Microbiology Question:
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You have just examined a patient from Brazil who has a chronic ulcer of his ear that has been present for 6 months. You are concerned that he has Leishmaniasis and want to differentiate L. mexicana from L. braziliensis. Which of the following statements about these 2 organisms is false?

Answer:

* A. They are both transmitted by the sand fly
* B. Both appear as amastigotes in macrophages on biopsy
* C. Both can start as a cutaneous ulcer that eventually heals on its own
* D. Both heal with a residual scar
* E. Both will eventually cause lesions of the mucous membranes

Correct Answer: E

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This year a report from India indicates that a single dose of Amphotericin B can result in the cure of Leishmania donovani rather than prolonged treatment by fairly toxic medication. If confirmed this will be a major advance in the treatment of Kala-azar. Which of the following statements is false regarding systemic Leishmaniasis?Several years ago there was an outbreak of Trichinosis among a group of Vietnam immigrants in New York that had made their own pork sausage. About 30 people who ate the sausage all become ill. Which of the following statements is false about Trichinella spiralis?