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Hemoflagellates
Hemoflagellates
Leishmania donovani*
Leishmania infantum* Visceral leishmaniasis
Leishmania chagasi
Diagnosis:
• Surgical:
o Cryosurgery
o Excision
o Curettage
Visceral leishmaniasis
Diagnosis
(1) Parasitological diagnosis: METHOD
ELISA test
Formol-gel
Treatment:
• Pentavalent antimony (Pentostam)
• Amphotericin B
Treatment of complications:
• Anaemia
• Bleeding
• Infections etc.
Trypanosomiasis
African Trypanosomiasis
• Blood film
• Serology: IFAT
• Xenodiagnosis: feeding bugs on a suspected
cases.
T. cruzi causes cutaneous stage (chagoma)
C-shape
TREATMENT
African trypanosomiasis
For early infection
• pentamidine
• suramin
For late infection
• eflornithine (Diflouromethylornithine- DFMO)
• sexual intercourse
• contact with contaminated objects.
Pathology
Female: trophozoites
vaginitis, profuse thin yellowish discharge with
bad smell
Male:
invasion of urethra, prostate and seminal vesicles,
causing urethritis but mostly asymptomatic.
Diagnosis
Note:
Treat sexual partner because infection is
mostly asymptomatic in males.