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African Sleeping Sickness

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African sleeping sickness is a disease that is caused by the elusive protozoan, Trypanosoma brucei, which is also called African trypanosomiasis. African trypanosomiasis is abundantly found in mostly the 36 sub-Saharan countries part of Africa such as Somalia, Djibouti, Comoros and Mauritania. The causative agents of African sleeping sickness or African trypanosomiasis, T. brucei gambiense and T. brucei rhodesiense, are classified in the domain Eukarya, kingdom Protista, Phylum Sarcomastigophora, subphylum Zoomastigophora, and Class Zoomastogophorea. Overall, T. brucei has 4 different sub-species with the genus and species being T. brucei rhodesiense, T. brucei brucei, T. brucei gambiense & T. brucei TREU927. The specific subspecies, which …show more content…
Samples of the patient are drawn via a finger prick and tested on a card agglutination test. The card agglutination test for trypanosomiasis is a serum screening test used for mass population screening in endemic areas of Africa (CDC). Positively screened patients will need further testing, as the card agglutination test is considerably diagnosing stage 1 trypanosomiasis. For stage 2 of this infectious disease, a spinal tap is performed on patients to view the cerebral spinal fluid under a microscope to determine if the parasite has progressed passed the lymphatic system, into the central nervous system. As soon as the diagnosis is made, treatment is progressed and sought out quickly. There is ultimately no vaccine against African trypanosomiasis so preventive measures must be considered in these cases. Preventive measures are aimed at minimizing contact with tsetse flies overall. Wearing long-sleeved shirts bland colored clothes is one preventive measure to prevent tsetse fly bit. Tsetse flies are attracted to bright or dark colors and they can bite through lightweight clothing. Another tip informed would be to void bushes that harbor teste flies. Using insect repellent may ward off teste flies but help …show more content…
There were previously only 4 drugs that are used to treat this disease under the FDA’s approval prior to the 1990s. After extensive research by the DNDi’s (Drug Neglected Diseases Initiative), FDA has approved 1 of the 2 new drugs used for fighting this disease, Benznidazole & Nifurtimox, Benznidazole is FDA approved with a success rate of about 70% to be used for both stages of African trypanosomiasis. (WHO) The medications that were typically used for the first stage are Pentamidine & Suramin. For the second stage of treatment consist of the drugs Melarsoprol, Eflornithine, Nifurtimox. Treating African trypanosomiasis has been difficult, but promising improvements have been by DNDI in the previous years. The anti-trypanosome drug fexinidazole has been now determined to be more effective, thanks to DNDI, in treating visceral trypanosomiasis. The results of the present studies suggest that higher cure rates typically achieved in humans infected with the T. brucei gambiense following treatment of fexinidazole than benznidazole. Despite the recent advances in drug research, finding an innocuous and effective method to use chemotherapy for human African trypanosomiasis (HAT) remains a challenging mission. The four current anti-trypanosomiasis drugs have major disadvantages that limit more widespread use of these drugs in the

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