Human African Trypanosomiasis (African Sleeping Sickness)

CSF testing is done after a parasitologic diagnosis has been made by microscopic examination of blood, lymph node aspirates, chancre fluid, or bone marrow or when indications of infection are present that justify a lumbar puncture (e.g., clinical signs and symptoms of sleeping sickness or strong serologic suspicion).

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.