Treatment FAQ

what is the treatment for african sleeping sickness

by Mrs. Haylee Willms PhD Published 3 years ago Updated 2 years ago
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Antitrypanosomal treatment is indicated for all persons diagnosed with African trypanosomiasis. Choice of therapy depends on the infecting subspecies of the parasite and on the disease stage. The first line drugs for both first and second stage disease are highly effective. Pentamidine is used to treat first stage T.

Medication

Dec 21, 2018 · For Stage 2 treatment: Arsenic derivatives – these compounds may be used to treat both types of African sleeping sickness and are considered he first line of treatment for Trypanosoma brucei...

Self-care

Experts recommend the following: Wear protective clothing, such as long-sleeved shirts and pants. Tsetse flies can bite through material, so clothing... Wear khaki, olive, or other neutral-colored clothing. Tsetse flies are attracted to bright and dark contrasting colors. Use bed nets when sleeping. ...

Nutrition

From the first decade of this century arsenicals have been the most universal and most effective drugs for all cases of sleeping sickness. Melarsoprol, introduced in the 1940s, remains the most universal of these compounds. However, resistance of trypanosomes and toxicity that may be fatal for the patient are two major shortcomings.

What helps get rid of the African sleeping sickness?

African Sleeping Sickness - Learn about the causes, symptoms, diagnosis & treatment from the Merck Manuals - Medical Consumer Version. Merck Manual Please confirm that you are not located inside the Russian Federation

How dangerous is African sleeping sickness?

Some of the prevention and treatment measures include: Early treatment of the infected persons, including the person showing no symptoms. Using insecticides to protect oneself against the bite of Tsetse fly. By maintaining clearings around the villages and also residential areas. Use of …

How does African sleeping sickness get in your body?

In 2009, DNDi and partners launched NECT, the first new treatment for sleeping sickness in 25 years; however, it requires specialized hospital administration and trained staff. At the end of 2018, fexinidazole , an all-oral 10-day treatment that we developed with our partners was recommended by the European Medicines Agency for treatment of both stages of gambiense …

How long can African sleeping sickness last for?

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Can African sleeping sickness be cured?

There is no test of cure for African trypanosomiasis. After treatment, patients should be closely followed for 24 months and monitored for relapse.

Which drug is used in treatment of West African sleeping sickness?

Only four drugs are available for the chemotherapy of human African trypanosomiasis or sleeping sickness; Suramin, pentamidine, melarsoprol and eflornithine.Mar 10, 2010

How is trypanosomiasis treated in cattle?

If detected early, Trypanosomosis can be treated with trypanocidal drugs for therapeutic and prophylactic purposes. Therapeutic drugs for cattle include diminazene aceturate, homidium chloride and homidium bromide. Prophylactic drugs for cattle include homidium chloride, homidium bromide and isometamidium.

What drug can cure sleeping sickness?

From the first decade of this century arsenicals have been the most universal and most effective drugs for all cases of sleeping sickness. Melarsoprol, introduced in the 1940s, remains the most universal of these compounds.

What is the parasite that causes sleep sickness?

Parasites - African Trypanosomiasis (also known as Sleeping Sickness) minus. Related Pages. African Trypanosomiasis, also known as “sleeping sickness”, is caused by microscopic parasites of the species Trypanosoma brucei. It is transmitted by the tsetse fly ( Glossina species), which is found only in sub-Saharan Africa.

Where is trypanosomiasis transmitted?

b. gambiense causes a slowly progressing African trypanosomiasis in western and central Africa and T. b.

What is the chemical used to treat African sleeping sickness?

Below are the five chemicals mainly utilized for the treatment of African Sleeping Sickness: Pentamidine isethionate – This chemical compound was discovered in 1940 and is primarily used to treat patients infected by Trypanosoma brucei gambiense (West African sleeping sickness).

How does African Sleeping Sickness spread?

It is a national health concern that affects 60 to 70 million people. If left untreated, African Sleeping Sickness can causes meningoencephalitis, coma, and death. The disease is spread through tsetse flies that feed on infected hosts. In 2015, 84 percent of Trypanosoma brucei infections (the main cause of the disease) were recorded in ...

What is the best treatment for Trypanosoma brucei gambiense?

Alpha-difluoromethylornithine – while effective for treating Trypanosoma brucei gambiense, this compound requires a more complex and meticulous treatment plan and is therefore seldom used. Nitrof uran thiaz ine – a treatment plan that combines alpha-difluoromethylornithine and nitrofuran thiazine and was developed in 2009.

What are the symptoms of African sleep sickness?

Early stage symptoms include a cyclical fever, headache, and muscle and joint pain. However, once the parasite has entered the CNS, symptoms become more severe, manifesting as cognitive and behavioral changes, as well as sleep disruption and encephalopathy. Read more about the symptoms of African Sleeping Sickness.

Can African sleep sickness be diagnosed late?

However, due to the non-descript symptoms of the early stages of this disease, it is often diagnosed late.

Is Trypanosoma brucei gambiense a chronic disease?

The treatment plan depends on the clinical presentation of the disease, and the parasitic cause; Trypanosoma brucei rhodesiense (East African Sleeping Sickness), which causes ~2% cases and is more severe, or Try panosoma brucei ga mbiense (West and Central African sleeping sickness), which affects ~ 98% patients and is a chronic disease.

What is African sleeping sickness?

African sleeping sickness (African trypanosomiasis) is a disease caused by a parasite. It is passed on by the bite of the infected tsetse fly.

How long does sleeping sickness last in Africa?

East African sleeping sickness is caused by Trypanosoma brucei rhodesiense. It’s a short-term (acute) illness that may last several weeks to months. People from the U.S. who travel to Africa are rarely infected.

Where do African sleeping sickness flies live?

The parasites that cause the disease are passed on only by the tsetse fly. The tsetse flies live only in rural areas. They live in woodland thickets of the savanna ...

What to wear to protect against tsetse flies?

Wear protective clothing, such as long-sleeved shirts and pants. Tsetse flies can bite through material, so clothing should be made of thick fabric. Wear khaki, olive, or other neutral-colored clothing. Tsetse flies are attracted to bright and dark contrasting colors.

What is the best medication for West African sleeping sickness?

Fexinidazole: This new drug for West African sleeping sickness was approved in 2019. It is effective at treating both stage one and early stage two of the disease. It cannot be used in first trimester of pregnancy or in children under 6 years of age. The most common side effects are nausea, vomiting, and headache.

What are the symptoms of sleeping sickness?

The first stage of sleeping sickness generally involves physical symptoms like fever and body aches, while the second stage is marked by changes to a person’s mental state and neurological processes. 4 .

How does trypanosomiasis spread?

Transmission. The most common way the African trypanosomiasis parasite is spread is through the tsetse fly, a large, biting fly found in much of sub-Saharan Africa. 12  When a tsetse fly bites someone who is infected, it becomes infected with the parasite itself.

How often is eflornithine given?

Eflornithine: Eflornithine treats those with stage two West African sleeping sickness. 23  It’s administered intravenously four times a day for two weeks straight, which can be hard to manage in rural health settings. Due to this, it is sometimes combined with nifurtimox so that it can be given in less frequent doses.

What is the cause of African trypanosomiasis?

Prevention. African trypanosomiasis, or sleeping sickness, is a neglected tropical disease caused by a parasite and spread by the tsetse fly in sub-Saharan Africa. Infections begin with mild to moderate symptoms like fever and body aches before moving on to serious neurological issues that include sleep disturbances ...

What tests can be used to diagnose African trypanosomiasis?

Doctors often rely on lab tests, like microscopy, to confirm an African trypanosomiasis diagnosis, but screening tests and physical exams can also be helpful in determining who should be tested and how. 1 .

Is sleeping sickness fatal?

Without treatment, the disease is often fatal. 2 . While African sleeping sickness remains a serious public health issue in sub-Saharan Africa, significant progress has been made to fight infections. According to the World Health Organization (WHO), efforts to control the disease caused the number of cases to plummet by 73 percent ...

What is sleeping sickness?

Sleeping sickness is a tropical disease that can prove fatal if not treated properly. It spreads through the bite of the Tsetse fly, a species that is native to the African continent. The people living in the rural parts of Africa are more at risk of contracting this disease.

What causes sleep sickness?

Sleeping Sickness Causes. The two parasites named Trypanosoma brucie gambiense and Trypanosoma brucie rhodesiense cause this disease. These parasites are present in the flies like the Tsetse fly that is mainly involved in transmitting the disease. When this fly bites the humans, the infection spreads throughout the body through the blood.

How do you know if you have sleep sickness?

Few symptoms of sleeping sickness are listed below: An unclear speech. Seizures. Irritation. Swelling of the brain. Swelling of the lymph nodes. Causes weakness in the body. Feeling of sleeplessness. Severe sweating.

How to prevent tsetse fly?

Early recognition of the disease might help to avoid the difficulty and major risks. Some of the prevention and treatment measures include: 1 Early treatment of the infected persons, including the person showing no symptoms. 2 Using insecticides to protect oneself against the bite of Tsetse fly. 3 By maintaining clearings around the villages and also residential areas. 4 Use of repellents or fly traps to stay away from the flies.

What is sleep sickness?

Sleeping sickness. Is transmitted by the bite of a tsetse fly and causes severe neurological disorders. We delivered a revolutionary new drug to replace toxic treatments, and have ongoing trials to eliminate this disease.

What happens if you don't treat sleep sickness?

If not treated, the parasite crosses the blood-brain barrier and invades the central nervous system causing advanced stage sleeping sickness. During this stage, people develop neuropsychiatric symptoms such as sleep disruption, confusion, lethargy, and convulsions. If left untreated, sleeping sickness is usually fatal.

How many people are at risk for sleeping sickness?

What is the impact of sleeping sickness? 8.5 million people live in areas at moderate to very high risk. Fewer than 900 cases of the T.b. gambiense strain diagnosed in 2019, down from over 38,000 in 1998. Historically, deadly epidemics followed periods where disease seemed controlled.

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Symptoms

Causes

Transmission

Diagnosis

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the type of infection and the stage of the disease. Treatment involves the use of medications.
Medication

Antiprotozoal drugs: Used prior to CNS invasion and in case of infection by T. brucei gambiense. Usually recommended for the initial stage of the disease.

Pentamidine


Antiprotozoal drugs: Used prior to CNS invasion and in case of infection by T. brucei rhodesience.

Suramin sodium


Ornithine decarboxylase inhibitor: Used after CNS invasion and in case of infection by T. brucei gambiense. Usually recommended for a later stage of the disease.

Eflornithine


Antiprotozoal drugs: Used after CNS invasion and in case of infection by T. brucei rhodesience.

Melarsoprol

Self-care

Always talk to your provider before starting anything.

  • Complete rest is advisable
  • Follow health care providers’ directions
  • Go for checkups periodically for a couple of years

Nutrition

There are no specific recommendation of food. The overall healthy diet is recommended and

Foods to eat:

  • Fruits rich in vitamin C - helps boosting the immune system
  • Vegetables rich in vitamins and minerals such as spinach, brocolli

To avoid: it is advisable to quit or avoid

  • Avoid alcohol
  • Avoid smoking

Specialist to consult

Infectious disease specialist
Specializes in dealing with the diagnosis, control and treatment of infections.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

Treatment

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The symptoms of African trypanosomiasis vary based on the stage of the untreated disease. The first stage of sleeping sickness generally involves physical symptoms like fever and body aches, while the second stage is marked by changes to a person’s mental state and neurological processes.4
See more on verywellhealth.com

Prevention

  • The two primary forms of African trypanosomiasis are East African sleeping sickness, caused by Trypanosoma brucei Rhodesiense, and West African sleeping sickness, caused by Trypanosoma brucei Gambiense.2
See more on verywellhealth.com

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