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    Dec 09, 2019
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    Sleeping sickness

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    Authors
    Malvy, D
    Chappuis, F
    Affiliation
    Travel Clinics and Division of Tropical Medicine and Imported Diseases, Department of Internal Medicine and Tropical Diseases, University Hospital Centre, Bordeaux, France; Universite de Bordeaux, Faculty of Medicine, INSERM U897 and Centre Rene-Labusquiere (Tropical Medicine Branch), Bordeaux, France; Division of International and Humanitarian Medicine, Geneva University Hospital, Switzerland; Medecins Sans Frontieres, Operational Centre, Geneva, Switzerland
    Issue Date
    2011-04-04
    
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    Journal
    Clinical Microbiology and Infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases
    Abstract
    Human African trypanosomiasis (HAT), or sleeping sickness, is a vector-borne disease that flourishes in impoverished, rural parts of sub-Saharan Africa. It is caused by infection with the protozoan parasite Trypanosoma brucei and is transmitted by tsetse flies of the genus Glossina. The majority of cases are caused by T. b. gambiense, which gives rise to the chronic, anthroponotic endemic disease in Western and Central Africa. Infection with T. b. rhodesiense leads to the acute, zoonotic form of Eastern and Southern Africa. The parasites live and multiply extracellularly in the blood and tissue fluids of their human host. They have elaborated a variety of strategies for invading hosts, to escape the immune system and to take advantage of host growth factors. HAT is a challenging and deadly disease owing to its complex epidemiology and clinical presentation and, if left untreated, can result in high death rates. As one of the most neglected tropical diseases, HAT is characterized by the limited availability of safe and cost-effective control tools. No vaccine against HAT is available, and the toxicity of existing old and cumbersome drugs precludes the adoption of control strategies based on preventive chemotherapy. As a result, the keystones of interventions against sleeping sickness are active and passive case-finding for early detection of cases followed by treatment, vector control and animal reservoir management. New methods to diagnose and treat patients and to control transmission by the tsetse fly are needed to achieve the goal of global elimination of the disease.
    Publisher
    Wiley-Blackwell
    URI
    http://hdl.handle.net/10144/255371
    DOI
    10.1111/j.1469-0691.2011.03536.x
    PubMed ID
    21722252
    Additional Links
    http://onlinelibrary.wiley.com/doi/10.1111/j.1469-0691.2011.03536.x/abstract
    Type
    Article
    Language
    en
    Description
    Artyicle approval pending
    ISSN
    1469-0691
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1469-0691.2011.03536.x
    Scopus Count
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    Trypanosomiasis/Sleeping Sickness

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