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The medications nifurtimox and benznidazole are effective treatments during the acute phase of Chagas disease. The efficacy of these drugs is much lower when the disease is in the chronic phase. Avoiding exposure to the pathogen through vector control is the most effective method of limiting this disease.

a) Micrograph of red blood cells with crescent-shaped cells outside. These parasitic cells are about the length of 2 red blood cells. B) photo of a triatomine bug.
(a) Trypanosoma cruzi protozoan in a blood smear from a patient with Chagas disease. (b) The triatomine bug (also known as the kissing bug or assassin bug) is the vector of Chagas disease. (credit a: modification of work by Centers for Disease Control and Prevention; credit b: modification of work by Erwin Huebner)
  • How do kissing bugs infect humans with Trypanosoma cruzi ?

Leishmaniasis

Although it is classified as an NTD, leishmaniasis is relatively widespread in tropical and subtropical regions, affecting people in more than 90 countries. It is caused by approximately 20 different species of Leishmania , protozoan parasites that are transmitted by sand fly vectors such as Phlebotomus spp. and Lutzomyia spp. Dogs, cats, sheep, horses, cattle rodents, and humans can all serve as reservoirs.

The Leishmania protozoan is phagocytosed by macrophages but uses virulence factors to avoid destruction within the phagolysosome. The virulence factors inhibit the phagolysosome enzymes that would otherwise destroy the parasite. The parasite reproduces within the macrophage, lyses it, and the progeny infect new macrophages (see Micro Connections: When Phagocytosis Fails ).

The three major clinical forms of leishmaniasis are cutaneous (oriental sore, Delhi boil, Aleppo boil), visceral (kala-azar, Dumdum fever), and mucosal (espundia). The most common form of disease is cutaneous leishmaniasis , which is characterized by the formation of sores at the site of the insect bite that may start out as papules or nodules before becoming large ulcers ( [link] ).

It may take visceral leishmaniasis months and sometimes years to develop, leading to enlargement of the lymph nodes, liver, spleen, and bone marrow. The damage to these body sites triggers fever, weight loss, and swelling of the spleen and liver. It also causes a decrease in the number of red blood cells (anemia), white blood cells (leukopenia), and platelets (thrombocytopenia), causing the patient to become immunocompromised and more susceptible to fatal infections of the lungs and gastrointestinal tract.

The mucosal form of leishmaniasis is one of the less common forms of the disease. It causes a lesion similar to the cutaneous form but mucosal leishmaniasis is associated with mucous membranes of the mouth, nares, or pharynx, and can be destructive and disfiguring. Mucosal leishmaniasis occurs less frequently when the original cutaneous (skin) infection is promptly treated.

Definitive diagnosis of leishmaniasis is made by visualizing organisms in Giemsa-stained smears, by isolating Leishmania protozoans in cultures, or by PCR-based assays of aspirates from infected tissues. Specific DNA probes or analysis of cultured parasites can help to distinguish Leishmania species that are causing simple cutaneous leishmaniasis from those capable of causing mucosal leishmaniasis.

Questions & Answers

short not on medical microbiology
Massah Reply
Hy
Iqra
hope you fine
Arif
love you
Arif
Assalamualaikum
Suhaib
arai yeh micro kai sth kis ko love hua
Umer
icrobiology is the scientific study of these microorganisms. Microorganisms are those organisms that are too small to see with the naked eye and include things like bacteria, fungi, and viruses
Suhaib
iqra iqbal
Arif
What is gram syaining?
Arif
to differentiate between gram positive and gram negative bacty
Umer
True
Arif
where you are from
Arif
i m frm sopore..kashmir
Umer
i m frm baramulla .. Kashmir
Umer
and u
Umer
umer
Arif
and i m from afghanistan lovely country
Arif
yes
Umer
thanks
Arif
medical microbiology means study of microorganisms which are beneficial or harmful for the body. mostly which are studied under microscope by structure and shape appearance. e.g bacteria, viruses, bacteriophage, fungus hyphae and some blood and other body fluids parasites e.g plasmodium etc.
Rana
arif bhai gram staining in which we are given different dyes to the bacterial cell wall and cytoplasm and nucleus.e.g giemsa stain
Rana
Gram staining uses crystal violet to stain cell walls iodine as a mordant and a fuchsin or safranin counterstain to mark all bacteria
Umer
Gram staining uses crystal violet to stain cell walls iodine as a mordant and a fuchsin or safranin counterstain to mark all bacteria
Umer
Gram staining uses crystal violet to stain cell walls iodine as a mordant and a fuchsin or safranin counterstain to mark all bacteria
Umer
Omar baba crystal violet iodine 70% alcohol fuchicine or safranine after every step washing must be done
Rana
hello
Cristy
*Fuchsin stain
Cristy
*Safranin
Cristy
thanks
Ganesh
difference between epidermophyton trichophyton and microsporum
Ankita Reply
plz answer the question
Iqra
epidermophyton type of fungi causes superficial and cutaneous mycoses trichophyton is also fungi type including parasitic varieties causes dermatophytosis microsporum is also type of fungi causes dermatophytosis.
Rana
ok
Iqra
Is this app perfect for preparation of exam?
Ankita
Ankita I totally disagree with your respected opinion. it's just minor helpful
Rana
disagree by me ?
Ankita
what is infectious
Fred Reply
Many poeple are die due to covid-19 virus
AMINU Reply
they become sick due to millions bacteria, fungi and some insects that make plants as their host.
charles Reply
what are microbes and what are their effects to humans
charles Reply
they are organism that cannot be seen with the naked eye
Angel
classify microorganisms.
Satarupa Reply
protozoa' bacteria' virus' algai' archea'
Cabdifitaax
protozoa
Ayesha
Thank you
Satarupa
bacteria,fungi, protozoa and virus
Angel
mutant having a requirement for a certain growth factor is called a(n)
Purushoth Reply
what is atome
Marie Reply
is the smallest part of any material that cannot be broken up by chemical means
Feisal
How does forest tree become sick
Emmanuel
Aseptate hyphae are seen in
lab Reply
yes
Ahmed
w
Ahmed
hello
Apdikrim
what is ADT
Feisal
hii
Salman
how does this work bro
Feisal
CHEMISTRY
Apdikrim
biology
Ahmed
I.m student
Ahmed
I.m question what is difference between arthropod and insect?
Ahmed
Arthropod is a large division of jointed-foot Invertebrates such as Insects, centipedes and others so Insect is a part of the division or the phylum
hilina
thanks
Ahmed
ur welcome
hilina
describe binary fission
Queen Reply
in which parent cell devides into two daughter cells
Iqra
single parent cell
Tean
who is the father of microbiology
Mary Reply
Antonie van Leeuwenhoek , he is father of microbiology and Louis Pasteur is father of modern microbioloy.
Arshad
Anton van leeuwenhoek ( He descovered bacteria in 1679)
Satarupa
what is the role of protein in virus genome
Rana Reply
what is microbiological
Apdikrim Reply
Science is a good Subject
AMINU Reply
yes it is
Madrine

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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