Difference between revisions of "Leishmania"

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**[[Psychodidae|Sand flies]] biting infected dogs may spread the disease to other dogs, humans and wildlife
 
**[[Psychodidae|Sand flies]] biting infected dogs may spread the disease to other dogs, humans and wildlife
 
**There is a slight possibility of transmission to humans by direct contact
 
**There is a slight possibility of transmission to humans by direct contact
 
+
<big>
==''Trypanosoma''==
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'''[[Trypanosoma|''Trypanosoma'']]
[[Image:Trypanosoma.jpg|thumb|right|150px|''Trypanosoma cruzi'' - CDC/Dr. Myron G. Schultz]]
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</big>
[[Image:T.cruzi in monkey heart.jpg|thumb|right|150px|''T. cruzi'' in monkey heart - Dr. L.L. Moore, Jr.]]
 
[[Image:T.cruzi Life cycle.jpg|thumb|right|150px|''T. cruzi'' Life Cycle Diagram - Wikimedia Commons]]
 
[[Image:Triatoma infestans.jpg|thumb|right|150px|''Triatoma infestans'' the Kissing bug - WHO Wikimedia Commons]]
 
[[Image:Chagas endemic zones 2005.jpg|thumb|right|150px|Chagas endemic zones 2005 - Wikimedia Commons]]
 
[[Image:Ndama.jpg|thumb|right|150px|N'dama - Trypanotolerant West African Bos taurus - Wikimedia Commons]]
 
*Protozoal parasites found in the blood and tissues of vertebrates
 
 
 
*Worldwide distribution
 
 
 
*Causes sleeping sickness in humans
 
 
 
*Particularly seen in sub-Saharan Africa
 
**Affects cattle production
 
**Causes Nagana (Wasting disease)
 
 
 
*Divided into two groups depending on the mode of development in the insect vector
 
**'''Salivarian'''
 
***Multiply in the foregut and proboscis
 
***Transmitted via inoculation during feeding
 
***Transmitted by [[Glossinidae|''Tsetse'' flies]]
 
***Also known as '''anterior station development'''
 
**'''Stercorarian'''
 
***Multiply in the hindgut
 
***Infective form migrates to the [[Rectum - Anatomy & Physiology|rectum]]
 
***Transmitted via contamination of wounds with insect faeces
 
***Also known as '''posterior station development'''
 
 
 
*All ''Trypansomes'' except for ''T. equiperdum'' have arthropod vectors
 
**''T. equiperdum'' is a venereally transmitted disease
 
 
 
*'''Non-cyclical''' transmission can also occur
 
**Mechanical transmission
 
**Transferred by interrupted feeding from one host to another
 
**Usually transmitted by [[Biting Flies|biting flies]], e.g. [[Tabanidae|''Tabanidae'']] and [[Stomoxys calcitrans|''Stomoxys'']]
 
 
 
'''Recognition'''
 
*Elongated, spindle shaped protozoa
 
 
 
*Between 8 and 39 μm in length
 
 
 
*Flagellate
 
**Flagellum runs the length of the body attached to the pellicle which forms an undulating membrane
 
 
 
*Kinetoplast present which contains the DNA of the single mitochondrion
 
 
 
'''Life Cycle'''
 
*Undergo morphological transformations in intermediate host before becoming infective for the next host
 
 
 
*Blood-sucking [[Biting Flies|flies]] ingest trypanosomes whilst taking a blood meal from an infected animal
 
**Trypanosomes multiply first in the gut of the [[Biting Flies|fly]]
 
 
 
*Salivarian trypanosomes are transmitted by [[Glossinidae|Tsetse flies]]
 
**Trypanosomes pass forward to the salivary glands where they transform into the infective stage
 
**Inoculated with saliva when [[Glossinidae|Tsetse fly]] next feeds on a host
 
 
 
*Stercorarian trypanosomes are transmitted by triatomid bugs, [[Tabanidae|tabanids]] and [[Biting Flies#Melophagus spp.|keds]]
 
**Trypanosomes pass back to the rectum
 
**Next host is infected when skin wounds are contaminated with infected [[Insecta|insect]] faeces
 
 
 
'''Pathogenesis'''
 
*Salivarian
 
**Causes wasting disease in cattle (nagana)
 
**Sleeping sickness in humans
 
 
 
*Stercorarian
 
**''T. cruzi'' most important in veterinary medicine
 
***Occurs in South America
 
***Infects armadillos, possums and humans
 
***Causes Chagas' Disease
 
**Transmitted by a triatomid (kissing) bug
 
**Chronic infections are often fatal causing heart failure
 
**Non-pathogenic species are transmitted by [[Tabanidae|tabanids]] and [[Melophagus spp.|keds]]
 
***''T. theileria'' and ''T. melophagium''
 
 
 
*Enlarged [[Lymph Nodes - Anatomy & Physiology|lymph nodes]] and [[Spleen - Anatomy & Physiology|spleen]]
 
**Causes lymphoid exhaustion
 
**Associated with plasma cell hypertrophy and hypergammaglobulinaemia
 
***Due to an increase in [[Immunoglobulin M - WikiBlood|IgM]]
 
**With infections of increased duration, the [[Lymph Nodes - Anatomy & Physiology|lymph nodes]] and [[Spleen - Anatomy & Physiology|spleen]] shrink due to exhaustion of their cellular elements
 
 
 
*Anaemia
 
**Red blood cells are removed from circulation ('''haemolytic''')
 
**Is a cardinal feature of the disease
 
 
 
*Degeneration and inflammation of multiple organs
 
**E.g. Skeletal muscle, myocardium and CNS
 
 
 
'''Clinical Signs'''
 
*In ruminants:
 
**Anaemia
 
**Enlargement of the [[Lymph Nodes - Anatomy & Physiology|lymph nodes]]
 
**Progressive loss of body condition
 
**Fever and appetite loss occur during parasite peaks
 
**Chronic disease usually terminates in death of the animal if untreated
 
**Can cause abortion, infertility and decreased growth in herds
 
 
 
*In horses:
 
**Acute or chronic infections of ''T. brucei''
 
**Oedema of the limbs and genitalia
 
 
 
*In pigs:
 
**''T. congolense'' infections are mild or chronic
 
**''T. simiae'' infections are hyperacute usually leading to death from pyrexia in a few days
 
 
 
*In dogs and cats:
 
**''T. brucei'' and ''T. congolese''
 
**Acute infections
 
**Fever, anaemia, myocarditis, corneal opacity
 
**Occasionally neurological signs present, such as increased aggression, ataxia and convulsions
 
 
 
*In donkeys:
 
**''T. brucei'' in [[Protozoal Skin Infections - Donkey|skin infections]]
 
 
 
'''Epidemiology'''
 
*Vector distribution
 
**[[Glossinidae|Tsetse flies]] found in riverine, savannah and forest habitats
 
**Up to 20% [[Biting Flies|flies]] infected
 
**[[Biting Flies|Flies]] infected for life
 
 
 
*Parasite virulence
 
**Some parasitaemic animals survive for long periods of time
 
***E.g. ''T. brucei'' and ''T. congolense''
 
***Increases the opportunity for infection of [[Biting Flies|flies]]
 
**Some trypanosomes kill their host in 1-2 weeks
 
***E.g. ''T. vivax''
 
***Decreases the chances of [[Biting Flies|fly]] infection
 
**Trypanosomes avoid host immune defences by altering glycoprotein coat (surface antigen) before host [[Immunoglobulins - WikiBlood|antibody]] response
 
***'''Antigenic variation''' can occur many times over several months causes relapsing parasitaemia
 
 
 
*Host response
 
**Trypanotolerant wild animals remain parasitaemic for prolonged periods without showing clinical signs of disease
 
***Cause lasting reservoirs of infection
 
**Most domestic livestock are susceptible to trypanosomosis
 
**Some local breeds of sheep, goats and cattle are trypanotolerant
 
***E.g. ''Bos indicus''
 
 
 
'''Diagnosis'''
 
*Demonstrate trypanosomes in blood
 
**Giemsa stained smears
 
**Fresh blood films
 
***Motile trypanosomes
 
**Haematocrit tube
 
***Motile trypanosomes at the plasma/buffy coat interface
 
 
 
'''Control'''
 
*[[Glossinidae|Tsetse fly]] control
 
**Spraying and trapping
 
 
 
*Prophylactic drug treatment
 
**Change drug group periodically to decrease the chances of resistance occurring
 
**May lead to protective immunity but livestock will still be susceptible to heterologous challenges
 
 
 
*Barrier fences and buffer zones
 
**Separate livestock and wild animals
 
 
 
*Trypanotolerant livestock
 
 
 
'''Other trypanosomes'''
 
*Mechanically transmitted by [[Biting Flies|biting flies]]
 
**E.g. Surra affecting horses and camels in North Africa, Asia and South America
 
**''T. equinum'' in South America
 
**''T. evansi'' in Asia
 
 
 
*Venereally transmitted
 
**E.g. Dourine
 
***Transmitted by ''T. equiperdum''
 
***Causes genital and abdominal oedema, emaciation and CNS signs
 
***Affects horses and donkeys in Africa, Asia, Central and South America
 
 
 
*Non-pathogenic species occur in the UK
 
**In sheep caused by ''T. melophagium''
 
**In cattle caused by ''T. theileri''
 
 
 
 
==[[Protozoa Flashcards - Wikibugs#Tropical Protozoa|Tropical Protozoa Flashcards]]==
 
==[[Protozoa Flashcards - Wikibugs#Tropical Protozoa|Tropical Protozoa Flashcards]]==

Revision as of 15:38, 29 March 2010


Infectious agents and parasitesWikiBugs Banner.png
PARASITES
PROTOZOA



Leishmania

Leishmania Life Cycle - Wikimedia Commons
Leishmania donovani in bone marrow cell - Dr. L.L. Moore, Jr.
L. tropica - Yutaka Tsutsumi, M.D., Professor, Department of Pathology, Fujita Health University School of Medicine
  • Leishmania spp. are intracellular parasites of macrophages
  • Are closely related to Trypanosoma spp.
  • Cause diseases in humans, dogs and wild animals
  • Present in southern Europe, Africa, Asia and south America
  • Can cause both cutaneous and visceral diseases

Recognition

  • Ovoid shaped
  • Possesses a rod-shaped kinetoplast
  • Has a rudimentary flagellum which does not project beyond the cell margin
  • After the amastigote has transformed into a promastigote inside the sand fly, the kinetoplast is situated in the posterior of the body

Life Cycle

  • Transmitted by blood sucking sand flies
    • Phlebotomus spp. in the Old World
    • Lutzomyia spp. in the New World
  • The amastigote (morphological form) is found in vertebrate macrophages
  • Multiplies and migrates to insect proboscis
    • Inoculated during feeding
    • Can be transmitted percutaneously if sand fly crushed on skin
  • Multiplies by binary fission

Pathogenesis

  • Infection of vertebrate host
    • Produces foci of proliferating Leishmania-infected macrophages in skin (cutaneous) or internal organs (visceral)
  • Very long incubation period
    • Months to years
  • Many infected dogs are asymptomatic
  • Cutaneous form
    • Produces areas of ulceration on pinnae of ears, eyelids or on the lips
  • Visceral form causes chronic wasting condition
    • Generalised eczema
      • Loss of hair around eyes producing 'spectacle' effect
    • Intermittent fever
    • Generalised lymphadenopathy
  • Long periods of remission followed by recurrence of clinical signs is not uncommon in infections

Epidemiology

  • Disease dependent on sand fly vectors
    • E.g. Common in dogs around the Mediterranean coast, foci around southern Europe and around Madrid
  • Reservoirs of infection
    • E.g. Wild animals such as rodents and stray dogs
  • Mechanisms of transmission
    • sand fly bite
    • Rarely through direct contact
  • Leishmaniasis in British dogs
    • Susceptible to infection if exposed whilst abroad in endemic areas as have no immunity
    • No sand flies in Britain but dogs have become infected whilst in contact with infected imported animals

Diagnosis

  • Demonstrate Leishmania organisms

Treatment and Control

  • Chemotherapy
    • Prolonged treatment, expensive, suppresses infection
    • Does not cure infection
  • Destruction of infected and stray dogs
    • Sand flies biting infected dogs may spread the disease to other dogs, humans and wildlife
    • There is a slight possibility of transmission to humans by direct contact

Trypanosoma

Tropical Protozoa Flashcards