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26                                                  5  Hemoflagellates
























            Fig. 5.1  Trypanosoma brucei gambiense trypomastigotes


                         Tsetse fly Stages            Human Stages
             Epimastigotes multiply  Tsetse fly takes
             in salivary gland They  1  a blood meal
             transform into metacyclic  (injects metacyclic trypomastigotes)  Injected metacyclic
             trypomastigotes.                                   trypomastigotes transform
                                                              2  into bloodstream
                8                                               trypomastigotes, which
                                                                are carried to other sites.
                                    i


             7                                                 3
            Procyclic trypomastigotes                          Trypomastigotes multiply by
            leave the midgut and transform                     binary fission in various
            into epimastigotes.                                body fluids, e.g., blood,
                                                               lymph, and spinal fluid.
                                   Tsetse fly takes
                                 5  a blood meal
                               (bloodstream trypomastigotes
                                   are ingested)
                 6                                               d
            Bloodstream trypomastigotes
            transform into procyclic                4 Trypomastigotes in blood
            trypomastigotes in tsetse fly’s
            midgut. Procyclic trypomastigotes
            multiply by binary fission
                                            i  = Infective stage
                                           d  = Diagnostic stage
            Fig. 5.2  Life cycle of Trypanosoma brucei gambiense (Reproduced from https://www.cdc.gov/
            dpdx/trypanosomiasisafrican/index.html)
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