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Cutaneous leishmaniasis is usually not treated. The lesions will resolve after weeks (or several months), but may result in scarring. Recurrence rates are low for this disease. More serious infections can be treated with stibogluconate (antimony gluconate), amphotericin B , and miltefosine .

a) Micrograph of a tissue sample. A black arrow points to leishmania mexicana. B) a large, open wound on skin.
(a) A micrograph of a tissue sample from a patient with localized cutaneous leishmaniasis. Parasitic Leishmania mexicana (black arrow) are visible in and around the host cells. (b) Large skin ulcers are associated with cutaneous leishmaniasis. (credit a: modification of work by Fernández-Figueroa EA, Rangel-Escareño C, Espinosa-Mateos V, Carrillo-Sánchez K, Salaiza-Suazo N, Carrada-Figueroa G, March-Mifsut S, and Becker I; credit b: modification of work by Jean Fortunet)
  • Compare the mucosal and cutaneous forms of leishmaniasis.

Schistosomiasis

Schistosomiasis (bilharzia) is an NTD caused by blood flukes in the genus Schistosoma that are native to the Caribbean, South America, Middle East, Asia, and Africa. Most human schistosomiasis cases are caused by Schistosoma mansoni, S. haematobium , or S. japonicum . Schistosoma are the only trematodes that invade through the skin; all other trematodes infect by ingestion. WHO estimates that at least 258 million people required preventive treatment for schistosomiasis in 2014. World Health Organization. “Schistosomiasis. Fact Sheet.” 2016. http://www.who.int/mediacentre/factsheets/fs115/en/. Accessed July 29, 2016.

Infected human hosts shed Schistosoma eggs in urine and feces, which can contaminate freshwater habitats of snails that serve as intermediate hosts. The eggs hatch in the water, releasing miracidia, an intermediate growth stage of the Schistosoma that infect the snails. The miracidia mature and multiply inside the snails, transforming into cercariae that leave the snail and enter the water, where they can penetrate the skin of swimmers and bathers. The cercariae migrate through human tissue and enter the bloodstream, where they mature into adult male and female worms that mate and release fertilized eggs. The eggs travel through the bloodstream and penetrate various body sites, including the bladder or intestine, from which they are excreted in urine or stool to start the life cycle over again ( [link] ).

A few days after infection, patients may develop a rash or itchy skin associated with the site of cercariae penetration. Within 1–2 months of infection, symptoms may develop, including fever, chills, cough, and myalgia, as eggs that are not excreted circulate through the body. After years of infection, the eggs become lodged in tissues and trigger inflammation and scarring that can damage the liver, central nervous system, intestine, spleen, lungs, and bladder. This may cause abdominal pain, enlargement of the liver, blood in the urine or stool, and problems passing urine. Increased risk for bladder cancer is also associated with chronic Schistosoma infection. In addition, children who are repeatedly infected can develop malnutrition, anemia, and learning difficulties.

Questions & Answers

full life cycle of plasmodium parasite
Emmah Reply
what are ways of handling sharps
namugenyi Reply
never recap or bend a sharp objects
benita
describe the process of platelet formation
Joy Reply
what is parasitic helminths
Sadiya Reply
list three categories of symbiotic relationships.
mary Reply
what's the difference between microbial intoxication and infectious diseases
dranimva Reply
microbial intoxication results when a person ingests a toxin or a poisonous substance that has been produced by a microbe while infectious disease results when a pathogen colonize the body and subsequently cause disease.
mary
weighing balance is needed in lab of microbiology for weighing?
amna Reply
It is mainly used for media preparation and product testing purpose.
Nakaweesi
thank you for your joining
nuur
what is microbiology
Shamsuddeen Reply
study of living organisms that are too small to be visible with naked eye
Marah
yes
Ahmed
microbiology is the study of microscopic organisms, either unicellular(single cell), multicellular( cell colony), or acellular (lacking cell).
munachimso
is the word Atypical or a typical bacteria. .am confused pliz help
MUWANGUZI Reply
typical bacteria
Zulpha
okay thank you what does that mean
MUWANGUZI
atypical means that it has some characters from bacteria not all characters ...but tybical means that it has all the characters that bacteria have
Reham
thank you Zulpha
MUWANGUZI
some examples please
MUWANGUZI
thank you Reham
MUWANGUZI
1) typical bacteria contain a cell wall whereas atypical bacteria usually do not contain a cell . 2) typical bacteria can be either Gram-positive or Gram-negative while atypical bacteria remain colorless with Gram staining. 3) cells of typical bacteria are large ,while cells of the atypical small
Marah
Example of atypical : Mycoplasma pneumoniae , chlamydophila pneumoniae , legionella
Marah
what is micro biology
Jauharah Reply
is the study of organisms which can't be viewed by our necked eyes
Egumat
Because it preexisting causing secondary infection after collateral damage of normal microbota
Rafaa Reply
combinations of drugs that can't be taken together and why
Grace Reply
Antagonism: the combined action is less than that of the more effective agent when used alone). All these effects may be observed in vitro (particularly in terms of bactericidal rate) and in vivo والله اعلم
Lenovo
....fermentros have 1-15litre capacity
AMAR Reply
which of the following microorganisms are classified as eukaryotic?
Semugab Reply
how do I see the list?
Melissa
what are the choices?
Melissa
dear tell us the choices
MUWANGUZI
mr semugab give us the list please
Nambi
Fungi
munachimso
what are the new discoveries of microorganisms
Ezibon Reply
bacteriology,viriology,micrology
Egumat

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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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