旋毛蟲絲蟲ppt課件-文庫吧資料
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【正文】 ine 1988 Malaria Smith Kline Beecham, WRAIR Eflornithine 1991 African Tryp. Marion Merrel Dow Liposomal amphotericin B 1994 Leishmaniasis (Kala azar) NeXstar Artemether 1997 Malaria Rhone Poulenc Rorer, Kunming Artemether umefantrine 1999 Malaria Novartis Artemotil (betaarteether) 2022 Malaria Artecef, WRAIR, Dutch Min. Dev. Miltefosine 2022 Leishmaniasis (Kala azar) Zentaris, Indian CMR Chlorproguanil dapsone 2022 Malaria Glaxo Smith Kline, DFID others: Pressure bandages on enlarged limbs forces lymph out. 彈力繃帶捆綁 Surgery can be used to remove elephantoid tissue if muscle involvement is minimal. 外科手術 Onchocerca volvulus 旋盤尾絲蟲 Causative agent of onchocerciasis （ river blindness） 90 million, million, 326 thousand Adults of Onchocerca volvulus Skin nodule Microscopic section showing adults and scar tissue reaction Microfilariae of Onchocerca volvulus Unsheathed microfilariae occur in the skin, never the bloodsteam Simulium 蚋 Pathogenisis of adults Nodules (about 189。m) Appearance graceful sweeping Irregular kinky 體態(tài) curves curves Cephalic space length equals width length twice width 頭隙 Body nuclei well defined, discrete, blurred, intermingled 體核 round, uniform sized nuclei crowded together Tail no terminal nuclei two terminal nuclei 尾核 Filariform larveinfective stage Microfilariae of Wuchereria bancrofti Nocturnal periodicity of microfilariae 夜現(xiàn)周期性 Pathology of Wuchereria bancrofti Incubation period no symptoms 3 clinical phases: 1. microfilaremia no symptoms or mild symptoms 微絲蚴血癥 Acute allergic inflammatory phase a. lymphadenitis, lymphangitis 淋巴結炎 淋巴管炎 Acute allergic inflammatory phase b. filarial fever 絲蟲熱 c. funiculi
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