2,992
回編集
差分
ナビゲーションに移動
検索に移動
編集の要約なし
*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==
