Q:

For each of the lesions on the left select the most appropriate association from the list on the right

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For each of the lesions on the left select the most appropriate association from the list on the right.

a. Leishman-Donovan bodies in Kupffer cells.

b. Meningo-encephalitis.

c. Self-healing, crateriform ulcer.


  1. African trypanosomiasis.
  2. Cutaneous leishmaniasis.
  3. Muco-cutaneous leishmaniasis.
  4. South-American trypanosomiasis.
  5. Visceral leishmaniasis.

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The answer is E, A, B. In visceral leishmaniasis ('Kala-azar') the organisms infect macrophages.

In African trypanosomiasis the flagellates stay in the circulation, enter the central nervous system and alter the sleep rhythm.

In cutaneous leishmaniasis a papule develops at the site of the insect bite and ulcerates.

In mucocutaneous leishmaniasis (C) non-healing secondary ulcers occur months or years after the primary lesion. South American trypanosomiasis (D) is characterised by infection of organs by the parasite (Chagas' disease); the loss of bowel ganglion cells is a notable feature.

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