差分

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525 バイト追加 、 2021年4月22日 (木) 17:24
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==morphology==
*single flagellum
*kinetoplast- aggregation of DNA
*similar to ''Trypanosoma''
===cutaneous leishmania===
*most common
*same as Oriental sore, Chiclero ulcer (in Latin America)
*papule, nodule → ulcer → scar
*basically self-limited
*rarely diffuce or disseminated
*600,000-1 mil. new cases per year
**imported in Texas, US in 2015
*''L. tropica'', ''L. mexicana'', ''L. amazonensis'' and other species >20
*''Rhombomys opimus'' (great gerbil) is primary reservoir
 
*cutaneous leishmaniasis by ''L. donovani'' is reported in Sri Lanka
===mucocutaneous leishmania===
*same as Espundia, white leprosy
*lyphatic or hematogenous dissemination to mucosa in mouth and/or upper respiratory tract, resulted in destruction and deformity of nose, palate, pharynx
*''L. braziliensis'', ''L. panamensis''
*Bolivia, Brazil, Peru
*progressive ever without treatment
*secondary bacterial infection
==emerging novel leishmaniasis==
*in Thailand
*''L. siamensis'', ''L. martiniquensis''

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