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TRYPANOSOMA BRUCEI RHODESIENSE Prepared by: NOE P. MENDEZ CENTRAL MINDANAO UNIVERSITY (CMU) [email protected]

Trypanosoma brucei rhodesiense

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Page 1: Trypanosoma brucei rhodesiense

TRYPANOSOMA BRUCEI

RHODESIENSE

Prepared by:

NOE P. MENDEZCENTRAL MINDANAO UNIVERSITY (CMU)

[email protected]

Page 2: Trypanosoma brucei rhodesiense

Kingdom: Protista

Subkingdom: Protozoa

Phylum: Sarcomastigophora

Subphylum: Mastigophora

Class: Zoomastigophora

Order: Kinetoplatida

Family: Trypanomatidae

Genus: Trypanosoma

Species: T. brucei

Subspecies: T. b. rhodesiense

Page 3: Trypanosoma brucei rhodesiense

2 Interchangeable Form:

Trypanomastigote

Epimastigote

Form:

Amastigotes

Promastigote

Epimastigote

Trypanomastigote

Metacyclic Trypanosome

Page 4: Trypanosoma brucei rhodesiense

Kinetoplast (K)

Axoneme (A)Nucleus

(N)

Volution

Granules (VG) Flagellum (F)K A

N

Flagellar pocket (FP)

Amastigote

Promastigote

Page 5: Trypanosoma brucei rhodesiense

AKN

Posterior End

Undulating membrane (UM)

F

AK

N

F

UM

Epimastigote

Trypanomastigote & Metecyclic Mastigote

Page 6: Trypanosoma brucei rhodesiense
Page 7: Trypanosoma brucei rhodesiense

East African Trypanosomiasis (Sleeping Sickness)

Glossina morsitans (Tsetse fly)

Page 8: Trypanosoma brucei rhodesiense

Pathogenesis and Clinical Picture

Trypanosoma Chancre

Via:

Lymphatic

Winterbottom’s Sign

Blood Stream

Headache, fever, muscle and joint pain,

irregular erythematous rash, and

hypoplastic anaemia

Invasion of CNS

Sever headache, mental apathy, slow

speech, deep sleep, coma and death

Page 9: Trypanosoma brucei rhodesiense

Progressive disease lead to C.N.S. manifestations:

Insomnia

Mood Changes

(Dullness/Apathy)

Motor and Sensory Disorders

(Hypersthesia/Slurred Speech/Abnormal Gait)

Convulsion

Epilepsy

Terminal Stage:

Permanent Sleep

Secondary Bacterial Infection

Coma & death

Page 10: Trypanosoma brucei rhodesiense

Clinical Picture

Page 11: Trypanosoma brucei rhodesiense

Trypanosoma Chancre

Winterbottom Sign

Epilpsy

Convulsion

Page 12: Trypanosoma brucei rhodesiense

Clinical Picture

Demonstration of Trypanosomes

Microscopic Examination

Culture on Suitable Medium

Animal Inoculation

Page 13: Trypanosoma brucei rhodesiense

Microscopic Examination

Animal Inoculation

C.S.F.

DEMONSTRATION OF TRYPANOSOME

Page 14: Trypanosoma brucei rhodesiense

Clinical Picture

Demonstration of Trypanosomes

Microscopic Examination

Culture on Suitable Medium

Animal Inoculation

Serological Test

Page 15: Trypanosoma brucei rhodesiense
Page 16: Trypanosoma brucei rhodesiense

Early Stage

Pentaminidine or Suramin

Late Stage

Tryparsamide

Both Early and Late Stage

Eflornithine (DMFO) Ornidyl

Page 17: Trypanosoma brucei rhodesiense

Treatment of Patient

Control of Vectors

Pentamidine as prophylactic drug

Page 18: Trypanosoma brucei rhodesiense

ENDOF

REPORT

QUESTIONS?