「South America」の版間の差分

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(ページの作成:「==climate and vegitation== *tropical to temperate *much rain to dry *rain forest to desert *low to high altitude *mosquito to snake bite」)
 
5行目: 5行目:
 
*low to high altitude
 
*low to high altitude
 
*mosquito to snake bite
 
*mosquito to snake bite
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==HTLV-1 population offspring of Japanese immigrants==
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*related to stronglyoides
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==Bartonella==
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*''Bartonella henselae''
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**cat flea
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**cat scratch disease
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*''B. quintana''
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**body lice
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**trench fever
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*''B. bacilliformis''
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**sandfly (female) - ''Lutzomyia'' spp.
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**Carrion's disease, Oroya fever
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**Colombia, Ecuador, Peru
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**obligate intracellular (intra RBC)
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**acute phase vs chronic phase
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***CFR in acute phase >80%
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***chronic: angioprolific cutaneous disease (warts)
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****veruga peruana
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==Chagas disease==
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===pathogen===
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''Trypanosoma cruzi''
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===transmission===
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*Triatomine insect (reduvid bug) borne
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**food contaminated with triatomine faeces
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**skin wound contamination with triatomine faeces, including sucking by triatomine
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*blood transfusion, organ transplant from chronic career
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===disease===
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*acute disease only in 1% of infected
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**Romaña sign
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**chagoma
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*chronic
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**30-40% after 10-20 years
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**megacolon
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**RBBB in heart
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**cardiac aneurysm
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===diagnosis===
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*serology IgM/IgG
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*culture in NNN media
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*blood smear
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===treatment===
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*benznidazole
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*nifurtomox
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*cardiac treatment
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===prevention===
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*insecticide spraying
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*bed net
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*blood screening
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*improving construction
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==Leischmaniasis==

2021年4月16日 (金) 15:07時点における版

climate and vegitation

  • tropical to temperate
  • much rain to dry
  • rain forest to desert
  • low to high altitude
  • mosquito to snake bite

HTLV-1 population offspring of Japanese immigrants

  • related to stronglyoides

Bartonella

  • Bartonella henselae
    • cat flea
    • cat scratch disease
  • B. quintana
    • body lice
    • trench fever
  • B. bacilliformis
    • sandfly (female) - Lutzomyia spp.
    • Carrion's disease, Oroya fever
    • Colombia, Ecuador, Peru
    • obligate intracellular (intra RBC)
    • acute phase vs chronic phase
      • CFR in acute phase >80%
      • chronic: angioprolific cutaneous disease (warts)
        • veruga peruana

Chagas disease

pathogen

Trypanosoma cruzi

transmission

  • Triatomine insect (reduvid bug) borne
    • food contaminated with triatomine faeces
    • skin wound contamination with triatomine faeces, including sucking by triatomine
  • blood transfusion, organ transplant from chronic career

disease

  • acute disease only in 1% of infected
    • Romaña sign
    • chagoma
  • chronic
    • 30-40% after 10-20 years
    • megacolon
    • RBBB in heart
    • cardiac aneurysm

diagnosis

  • serology IgM/IgG
  • culture in NNN media
  • blood smear

treatment

  • benznidazole
  • nifurtomox
  • cardiac treatment

prevention

  • insecticide spraying
  • bed net
  • blood screening
  • improving construction

Leischmaniasis