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47 Cards in this Set

  • Front
  • Back
Cutaneous Leishmaniasis
is caused by what species of Flagellated protozoa
L. mexicana complex
L. tropica

(altogether ~15 different species)
Mucocutaneous Leishmaniasis
is caused by what species of Flagellated protozoa
**L. brazilensis complex
L. Peruviana
Visceral Leishmaniasis
is caused by what species of Flagellated protozoa
L. donovani complex
Leishmaniasis:
Reservoir?
Reservoir: Humans, rodents, wildanimals
Diagnosis of Leishmaniasis
Amastigotes in MØ's
Tx: Leishmaniasis
Stibogluconate sodium
Meglumine Antimoniate
(from CDC)
Leishmaniasis:
Vector?
Vector: Sandfly of the
genera Phlebotomus (old world)
and Lutzomyia (new world)
Leishmaniasis:
Infective form
Disease form
I: Promastigote

D: Amastigote
Geographic Distribution of Cutaneous Leishmaniasis
Middle East
Mediterranean
Africa
India
China
-Firm, painless papule develops at the or near the bite site.
-May be intensely pruritic .
-Granulomatous response.
Cutaneous Leishmaniasis
Dx
Cutaneous Leishmaniasis
Mucocutaneous Leishmaniasis geographic distribution?
Endemic to Central and South America.

Found from Texas to N. Argentina
Clinical s/s pf Mucocutaneous Leishmaniasis
-1º lesions similar to Cutaneous Leishmaniasis
-Untreated, skin lesions enlarge to involve the mucous membranes of the mouth, nose, and soft palate in 80% of cases
Cutaneous Larva Migrans
Species causing Cutaneous Larva Migrans
Ancylostoma braziliense
Ancylostoma Caninum
(dog and cat hookworms)
Geographical distribution of Cutaneous Larva Migrans
Tropical & Subtropical areas
and SW USA
Lab Dx of Cutaneous Larva Migrans
Eggs in stool
Definitive host of hookworms that cause Cutaneous Larva Migrans
Dog
Cat
Why do cutaneous larva migrans causing hookworms only get under the epidermis
The larva do not have enzymes to penetrate the basement membrane
Tx: Cutaneous Larva Migrans
Thiabendazole and Albendazole
Schistosome Cercarial Dermatitis
aka?
Swimmers itch
Causes of Schistosome Cercarial Dermatitis?
Non-human Schistosomes
Pathophysiology of Schistosome Cercarial Dermatitis?
The non-human Schistosome larva penetrate the skin, but are unable in humans to develop any further.
They Die and cause a inflammatory rxn
Tx?
Symptomatic for the itching
What type of bug is that?
Tick
What type of bug is that?
Tick
What type of bug is that?
Lice
What type of bug is this?
Fly
What type of bug is this?
Mosquito
Louse life cycle
Egg
Larvae
Nymph
Adult
Diseases transmitted by head lice
Typhus
Relapsing fever
Trench fever
Treatment for head lice
1% permethrin lindane
or
ɣ-benzene hexachloride
Treatment of body lice
Treat clothes rather than patient
Discard cothing
or
Wash in hot water and iron seams carefully
or
dust with 1% malathion powder
Epidemic typhus is caused by...
Rickettsia prowazeki
Relapsing fever is caused by...
Borrelia recurrentis
Trench fever is caused by...
Bartonella quintana
Lab diagnosis of Sarcoptes scabiei
Mites found in skin scrapings
Tx: Sarcoptes scabiei
5% permethrin cream
What is this bug
Chigger
Colorado tick fever caused by
Dermacentor andersoni
Life cycle of mosquito
Egg
Larva
Pupa
Adult
Protozoan disease transmitted by mosquitos
Malaria (Plasmodium)
Helminth disease transmitted by mosquitos
Filiariasis
(Wucheria bancrofti, Brugia malayi)
Viral diseases transmitted by mosquitos
Encephalitis
Yellow fever
Loxosceles reclusa
Brown Recluse
Latrodectus mactans
Black Widow
Human Cutaneous Myiasis
Infestation of tissue by larvae (maggots) of the dipterous fly