单词 | american trypanosomiasis |
释义 | American trypanosomiasisAmerican trypanosomiasisAmerican trypanosomiasistrypanosomiasis[tri-pan″o-so-mi´ah-sis]Pharmacologic treatment should begin as soon as possible and is based on lab results and patient symptoms. suramin, pentamidine isethionate, and melarsoprol are the most common medications used. Pentamidine isethionate or suramin may be injected to remove parasites from the blood or lymph nodes before onset of disease, but the most effective preventive measure is eradication of the tsetse fly. The acute form often attacks children. Early symptoms include swelling of the eyelids and the development of a hard, red, painful nodule on the skin. Enlargement of the lymph nodes, liver, and spleen occurs, along with inflammation of the heart muscle, psychic changes, and general debility. In adults the chronic form often resembles heart disease. The control strategy suggested by the World Health Organization is to interrupt transmission of the disease by the vectors and to systematically screen blood donors. Preventive measures, such as the wearing of protective clothing and the use of insecticides, are of primary importance. Medication with antiprotozoal agents is usually effective when administered during the acute stage of infection. South A·mer·i·can try·pan·o·so·mi·a·sisAmerican trypanosomiasisAmerican sleeping sickness, agent T cruzi–Chagas' disease Vector Reduviid–kissing bug Clinical The acute form most commonly affects infants, causing malaise, fever, hepatosplenomegaly; the chronic or asymptomatic form is more subtle and is accompanied by altered cardiac conduction–the most common cause of CHF in South America, megaesophagus, megacolon Management Melarsoprol, a toxic agent used for end-stage meningoencephalitic disease or propoxydecanoic acid, a myristic acid analogue which is highly toxic to, and specific for trypanosome, eflornithine |
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