Study Notes on African Trypanosomiasis

African Trypanosomiasis

Overview

  • African Trypanosomiasis, commonly known as sleeping sickness, is caused by two subspecies of the parasite Trypanosoma:
    • Trypanosoma brucei gambiense
    • Trypanosoma brucei rhodesiense
  • The disease is transmitted by the Tsetse fly.

Life Cycle of Trypanosoma brucei

Transmission by Tsetse Fly
  • The Tsetse fly takes a blood meal from a mammalian host, during which it injects metacyclic trypomastigotes into the host's bloodstream.
Mammalian Stages
  • Upon injection, the metacyclic trypomastigotes enter the bloodstream of the mammalian host.
  • Inside the host, the parasites transform into trypomastigotes.
  • The trypomastigotes multiply through a process known as binary fission.
Bloodstream Dynamics
  • During the acute phase of the infection, circulating trypomastigotes can be detected in the blood.
  • These parasites can also be found in body fluids, mainly lymph and other circulatory fluids.
  • In the latent phase, the trypomastigotes are usually undetectable in the bloodstream, indicating a progression of the disease.

Summary of Key Concepts

  • Tsetse Fly: The primary vector responsible for transmitting the disease.
  • Metacyclic Trypomastigotes: The infectious form of the parasite that is injected by the Tsetse fly.
  • Trypomastigote: The form of the parasite that develops in the mammalian host and is responsible for the disease symptoms.
  • Binary Fission: The asexual reproduction method used by trypomastigotes to replicate in the host's body.
  • Acute Phase: Initial stage characterized by high levels of trypomastigotes in the blood.
  • Latent Phase: Later stage where the presence of trypomastigotes in the bloodstream becomes undetectable.