「Matrices of tropical infection」の版間の差分

提供: Vaccipedia | Resources for Vaccines, Tropical medicine and Travel medicine
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*[[Ascariasis]]
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*[[Strongyloidiasis]] (by larvae)
 
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*[[Enterobiasis (pinworm)]] (by eggs)
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2022年10月15日 (土) 23:01時点における版

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Reproduction of protozoa

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
asexual
sexual

Routes of transmission

Vertical transmission that matters

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
placental
transvaginal
breastfeeding

Water

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
Direct contact to freshwater nil
Aspiration of freshwater
Ingestion of freshwater

Soil

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
soil to skin
soil to mouth
direct anus to mouth
though called as
soil-transmitted helminths

Animals

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
Rodent
Domestic animals

Flies

Virus Bacteria and Rickettsia Protozoa Nematodes Trematodes Cestodes
Sandfly
Blackfly
Tse Tse fly
Deer fly
Chrysops
Horse fly
Tabanus

Incubation period/Latent infection

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
Incubation/latency possibly > 1 year

Target organs

Eye involvement

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
Conjunctivitis

Skin involvement

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
larvae migrans

Liver and spleen involvement

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
Jaundice
Hepatosplenomegaly
Hepatomegaly predominant
Splenomegaly predominant

Infected cells

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
Macrophage

Syndromes

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
Katayama syndrome
Löeffler syndrome
Mazzotti reaction
Wakana syndrome

Treatment

Treatment for helminths

Virus Bacteria and Rickettsia Protozoa Nematode Trematode Cestode
Diethylcarbamazine
(DEC)
Ivermectin
Albendazole
Praziquantel
Triclabendazole
Doxycycline
Mechanical removal
Spontaneous resolution
No effective treatment

Options for LF, Oncho and Loiasis

Lymphatic filariasis Onchocerciasis Loiasis
Diethylcarbamazine
(DEC)
1st line NEVER
possibly Mazzotti
<8,000MF/mL
Ivermectin 1st line
but Mazzotti 10%
NEVER
possibly encephalopathy
Albendazole >8,000MF/mL
Lymphatic filariasis →LF & Oncho← Onchocerciasis →Oncho & Loiasis← Loiasis
Diethylcarbamazine
(DEC)
1st line NEVER NEVER NEVER <8,000MF/mL
Ivermectin Ivermectin + Albendazole
may be safe
1st line
but Mazzotti 10%
NEVER NEVER
Albendazole may be an option >8,000MF/mL
Other option Cytapheresis of oncho MF before DEC