Airborne Diseases
Malaria
Leishmaniasis
African Sleeping Sickness and Chagas Disease
Giardiasis and Toxoplasmosis
100

This airborne pathogen is known to have fragmenting hypha and arthrospores. The disease is called Valley Fever, San Joaquin Fever, or Desert Rheumatism. What is the causative agent?

Coccidioidomycosis.

100

What is the pathogen's genus that causes malaria?

Plasmodium.

100

What are the three forms of Leishmaniasis infection?

Cutaneous, Mucocutaneous, and Visceral.

100

What is the causative agent of African Sleeping Sickness and Chagas disease?

Trypanosomes that are observable in blood, spinal fluid, or a skin biopsy.

100

What are the two lifecycle stages of Giardiasis that cause clinical symptoms?

Giardiasis cysts and trophozoites. They interfere with nutrient absorption.

200

You are a physician investigating a clinical case of Coccidioidomycosis. What are some ways you can identify the pathogen? What are some concerns regarding the pathogens' tissue tropism?

Identification of the spherules. It can spread to every organ.

200

How is Plasmodium spread to other uninfected individuals?

It is an arbovirus, specifically using the female anopheles mosquito. A mosquito has to feed on an infected person to get a blood meal. 

200

How would a physician diagnose a case of leishmaniasis?

Observation of protozoa within infected macrophages.

200

What are the two vectors that transmit the diseases?

Tsetse flies or kissing bugs. The reservoirs include domestic cattle and wild animals.

200

How is Giardia intestinalis transmitted?

Usually through cyst-contaminated water.

However, there are reservoirs that include household pets and livestock.

300

As a CDC agent investigating the Mississippi, Ohio and Rio Grande River basins for recent data on endemic pathogens, what microbe would catch your attention?

Histoplasma capsulatum.

300

What is the general lifecycle of the plasmodial protist?

Sporozoite injected with mosquito bite.

Replicates as merozoite in hepatic cells.

Released, enters erythrocytes and replicates.

Lysis of erythrocytes correlates with fever.

300

What are common themes found between the prevention of these parasites and malaria?

Antiparasitic drugs, vector control, and reservoir control. Additionally, epidemiological surveillance to manage case control.

300

Why would a vaccine be pointless/not useful against African Sleeping Sickness?

Antigenic variation makes it the antibodies and immune cell responders unable to recognize the new sites.

300

What are the clinical manifestations of Giardiasis?

Clinical manifestations include severe diarrhea, epigastric pain, anorexia. Additionally, chronic gastritis can occur.

400

A public health agent recently made comments to wear masks in the Rio Grande Basins, why would they suggest this type of PPE?

The pathogen is spread through airborne pathogens, meaning you should wear equipment that prevents the inhalation of the microbes.

400

A physician wants to identify common symptoms and clinical manifestations of malaria. What are they?

A critical identification are periodic attacks of chills and fevers. Anemia and spleen/liver hypertrophy.

400
Social scientists and physicians have worked together to discover that Leishmaniasis is not just a health problem but causes other social problems. What are some examples?

Malnutrition, displacement, poor housing, discrimination. Leishmaniasis leads to disfigurements.

400

What are the clinical manifestations of African Sleeping Sickness?

Interstitial inflammation and necrosis within the lymph nodes. It leads to lethargy.

400

What domesticated animal is required for the completion of the Toxoplasma gondii lifecycle?

Cats.

500

What are some differences between Coccidioidomycosis and Histoplasmosis regarding their prevalence and severity?

Most infections of Coccidioidomycosis are asymptomatic whereas more deaths are reported by Histoplamsosis. So, one is more severe than the other.

500
What are the current methods to prevent, treat, and control malarial infections?

Antimalarial drugs, netting, and insecticide, as well as a new recombinant vaccines. 

500

What cell do promastigotes infect?

Macrophages.

500
Explain the acute versus chromic disease of Chagas disease.

The acute disease has rapid onset and the trypanosomes moves through the bloodstream to become amastigotes. 


The chronic disease is asymptomatic and the amastigotes reach the heart and gastrointestinal cells.

500

What are some of the clinical symptoms of toxoplasmosis?

They usually are either asymptomatic, resemble mononucleosis, encephalitis, and even congenital defects in newborn babies.

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