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Biology of Phlebotomine Sand Flies (Diptera: Psychodidae). Bruce Alexander Molecular & Biochemical Parasitology Group Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UNITED KINGDOM. Female sand fly feeding on blood. Characteristics. Small (2-3 mm)
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Biology of Phlebotomine Sand Flies (Diptera: Psychodidae) Bruce Alexander Molecular & Biochemical Parasitology Group Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UNITED KINGDOM
Characteristics • Small (2-3 mm) • Brown (but appear white when illuminated) • Wings held in erect V-shape • Nocturnal • Do not hover • Silent • Painful bite
Life cycle and developmental stages Adult male Fourth instar larvae Eggs Life cycle Adult female
Pathogens transmitted by sand flies • Leishmania spp. (Cutaneous and visceral leishmaniases in 89 countries worldwide) • Bartonella bacilliformis (Bartonellosis or Carrión’s disease in Peru, Ecuador and Colombia • Phlebovirus spp. (Sand fly fever in Middle East and N. Africa)
CYCLE OF LEISHMANIA TRANSMISSION Intracellular amastigotes in mammal host ingested by sand fly Transformed into extracellular promastigotes in gut of sand fly Extracellular promastigotesinjected into new mammal host by sand fly
MUCOCUTANEOUS LEISHMANIASIS resulting from uncured chronic infection with Le. braziliensis
DIFFUSE CUTANEOUS LEISHMANIASIS, due to incurable infection with Le. amazonensis parasites and related parasites – all leishmaniasis patients in Dominican Republic have DCL– why?
Visceral leishmaniasis in man • Anthroponotic cycle due to Le. donovani in India (kala-azar): humans generally represent “dead-end host” for Le. infantum • Most cases in malnourished children • Many asymptomatic subclinical cases; AIDS in southern Europe
Sand flies – vital requirements • Larvae breed in soil (not aquatic) • Only females take blood, from a variety of vertebrate species • Rest during the day in dark, humid microhabitats • Both sexes require sugar as an energy source
Extrafloral nectaries on Inga sp. - potential sugar source for sand flies