Infectious Diseases and Parasite Vectors Daniel Wyton Ectoparasitism • Examples of ectoparasites included lice, mites, and ticks. • In a number of diseases caused in humans these parasites act as vectors for the virus/bacteria which once they have entered into humans cause diseases. Lice • Humans can be the host to three different lice: head, pubic, and body. • Lice spread from person to person via contact and while on their host they take blood meals many times a day. • Body lice are the main carriers of epidemic typhus Rickettsia & Rickettsia prowazekii • Typhus is caused by bacteria of the genus Rickettsia. • The members of this genus cause a number of diseases known as the spotted fevers, along with these diseases they also cause Epidemic typhus. • The main causative agent of Typhus is R. prowazekii. Typhus Risk High level of infection Cluster of infections Only sporadic cases Infection by R. prowarzekii • R. prowazekii and the Louse • R. prowazekii in Humans ▫ Poor hygienic conditions • R. prowazekii in Reservoir Hosts Symptoms • • • • • • • • Chills Cough Delirium High Fever Photophobia Rash which covers the whole body Severe headaches and muscle pain Coma Diagnosis and Treatment • Blood Tests ▫ Typhus antibodies ▫ Liver enzymes (ex. albumin) ▫ Kidney failure • Treatment for the R. prowazekii usually involves one of two antibiotics: ▫ Tetracycline ▫ Doxycycline Fleas • Small arthropods that live on the surface of animals. • Xenopsylla cheopis, the Oriental rat flea ▫ Carriers of the famous bacteria, Yersinia pestis. Fleas Yersinia pestis • A gram-negative bacteria which is transferred within the blood. • Causative agent of Plague. • Causes 3 types of Plague in infected individuals. ▫ Bubonic ▫ Septicaemic ▫ Pneumonic Y. pestis and the Black Death • Noted Outbreaks ▫ ▫ ▫ ▫ 6th century – Roman Empire 1348-1350 – Europe 1665 – London 18th century • Death toll • Effects Infection by Y. pestis • Infection in Fleas • Infection in Rats, Rattus rattus • Infection in Humans Symptoms • Bubonic ▫ ▫ ▫ ▫ Chills Swollen lymph nodes, bubos Fever Pain in area of infection • Septicaemic ▫ ▫ ▫ ▫ Stomach pain Organ failure Vomiting Clotting problems in blood • Pneumatic ▫ Difficulty breathing ▫ Severe cough ▫ Bloody phlegm Diagnosis and Treatment • Diagnosis ▫ Blood and Lymph tests • Treatment ▫ Antibiotics ▫ Quarantine ▫ Vaccines Ticks • Ticks live on their hosts and take blood meals until they become engorged. • Carriers of a set of illnesses called arboviruses (Arthropod-Bourne Viruses) Crimean-Congo Hemorrhagic Fever • Caused by a virus of the family Bunyaviridae • Ixodid ticks • Transmission • Reservoir Hosts • Infections in Humans ▫ 4 Stages • Emergence Symptoms • Pre-Hemorrhagic ▫ ▫ ▫ ▫ Photophobia Fever Chills Severe Headache • Hemorrhagic ▫ Large bruises ▫ Bursting of Capillaries Diagnosis and Treatment • Diagnosis ▫ Blood and Tissue Tests ▫ ELISA • Treatment ▫ ▫ ▫ ▫ Drugs Blood Transfusions Plasma Transfusions Vaccine References • • • • www.who.int/en/ www.cdc.gov/ www.ncbi.nlm.nih.gov/ Brachman, P. S. and A. S. Evans. (1998). Bacterial Infections of Humans: Epidemiology and Control. New York, NY: Plenum Medical Book Company. • Chamroonkul, N., U. Khow-Ean, W. Mitarnun, B. Ovartlarnporn and K. Silpapojakul. (1996). Liver involvement in murine typhus. QJM-Monthly Journal of the Association of Physicians. 89:623-629 • Chinikar, S., S.M. Ghiasi, A. Haeri, R. Hewson and M. Moradi. (2010). CrimeanCongo hemorrhagic fever in Iran, and neighbouring countries. Journal of Clinical Virology. 47:110-114. • Ammerman, N.C., A.F. Azad, M. Beier-Sexton, J.J. Gillespie and B.S. Sobral. (2009). Veterinary Research. 40:12. Questions?