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2,729 バイト追加 、 2021年6月17日 (木) 12:22
Vaccipedia.admin がページ「Lympatic filariasis」を「Lymphatic filariasis」に移動しました
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*ヒト体内でadultから生まれたmicrofilariaは吸血で蚊に移行し,蚊の体内で3回moltを繰り返してL3 larvaeに至る.
*
[https://www.youtube.com/watch?v=daLr_clpaso Filarial dance under ultrasonography]
 
==distribution==
[[file:Lymphatic Filariasis distribution 2006.jpg|500px]]
 
==''Brugia malayi''==
{{intermediate
|category=mosquito, female
|latin=''Mansonia'' spp., ''Aedes'' spp.|inward=blood-feeding of human|organ=midgut, thoracic muscle, proboscis|reproduction=|course=<ol><li>microfilariae lose sheath<li>migrate to thoracic muscle<li>metamorphoses L1→L2→L3 in thoracic muscle<li>L3 migrate to proboscis</ol>|detection=|outward=blood-feeding of human through proboscis}} {{definitive|category='''HUMAN'''|latin=|inward=blood-feeding by mosquito|organ=lymphatics, blood stream|reproduction=sexual|course=<ol><li>L3 invade through cleavage on skin<li>L3 migrate to lymphatics<li>develop to adult*female 43-55 mm, male 13-23 mm*obstruct lymphatics resulted in '''elephantiasis''' and '''hydrocele''' in years<li>mate in lymphatics<li>produce '''sheathed microfilariae''' (no egg)*177-230 µm*nocturnal periodicity<brli>microfilariae migrate to blood circulation*mechanism unknown</ol>|detection=<ul></ul>*'''microscopy''', '''microfilariae''', Giemsa stain, blood taken nocturnally*concentration technique**2% formalin to blood (Knott's technique)**polycarbonate membrane filtration|outward=blood-feeding by mosquito}} ==''Wuchereria bancrofti''=={{intermediate|category=mosquito, female|latin=''Aedes'' spp., ''Anopheles'' spp., ''Culex'' spp., ''Mansonia'' spp., ''Coquillettida juxtamansonia''
|inward=blood-feeding of human
|organ=midgut, thoracic muscle, proboscis
}}
{{paratenicdefinitive|category='''HUMAN'''|latin=|inward=blood-feeding by mosquito|organ=lymphatics, blood stream|reproduction=sexual|course=<ol><li>L3 invade through cleavage on skin<li>L3 migrate to lymphatics<li>develop to adult*female 80-100 mm, male 40 mm*obstruct lymphatics resulted in '''elephantiasis''' and '''hydrocele''' in years<li>mate in lymphatics<li>produce '''sheathed microfilariae''' (no egg)*244-296 µm*nocturnal periodicity<li>microfilariae migrate to blood circulation*mechanism unknown</ol>|detection=<ul></ul>*'''microscopy''', '''microfilariae''', Giemsa stain, blood taken nocturnally**concentration technique***2% formalin to blood (Knott's technique)***polycarbonate membrane filtration*blood Ag RDT; rapid immunochromatographic '''antigen''' test (ICT card test)*urine Ab ELISA; high sensitivity and specificity**possible diurnally|outward=blood-feeding by mosquito}}
{{definitive}}==mass drug administration MDA==*'''Diethylcarbamazepine (DEC) 6mg/kg only once''' for all inhabitant in endemic area**repeated several consecutive years{{deadendquote|content=[http://doi.org/10.1371/journal.pntd.0000317 Ottesen EA, Hooper PJ, Bradley M, Biswas G. The global programme to eliminate lymphatic filariasis: Health impact after 8 years. PLoS Negl Trop Dis. 2008;2(10). doi:10.1371/journal.pntd.0000317]}}

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