Malaria

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1
Disease Classification
Malaria- protozoan disease of the blood
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Causative Organism
Plasmodium; P. falciparum
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Get to Know your CA
Eukaryote; protozoa, obligate intracellular parasite, nonmotile, complex multi host life span
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Epidemiology: Reservoir
Humans and Mosquitos
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Epidemiology: POE
Skin- circulatory system
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Epidemiology: MOT
Mosquito Bite- Vector Female Anopheles mosquito; vertical, lantent infection
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Incubation Period
1-5 weeks
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Pathogenesis
Protozoans replicate in human hepatocytes (liver cells). Cells lyse and release of next protozoa stage causes inflammation and fever. Protozoa replicate in RBCs causes cellular damage and adhesion to vasucular surfaces. Ruptured RBC is associated with inflammation, fever, anemia, and depriving tissue of O2
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Symptoms
Cycles of flue like symptoms (more severe version); fever, chills, tiredness, nausea/vomitng, headache, and diarrhea
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Complications
Anemia, Jaundice, seizures, coma, kidney failure, relapse (P. vivax and P. ovale), mortality (429k-731k)
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Prevention
limit contact with mosquitos: avoiding traveling to areas where malaria is endemic, insecticides, barriers- protective clothing or nets, repellents- DEET, GM Mosquito; Vaccine (not very effective- 30%); Prophylaxis
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What is Prophylaxis?
When you take the treatment drug in order to avoud contracting the diease; ex. for malaria you would use Ant-malaria drugs such as Chloroquine
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Anti-malaria Drug combinations
Mefloquine, Chloroquine, quinine and doxycycline
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