African Sleeping Sickness
Tropical disease that flips day and night, then ends in fatal coma. Trypanosoma brucei with VSG antigenic variation, Winterbottom's sign, CNS invasion.
Key facts
| Cause | Protozoa |
|---|---|
| Spread | Arthropod (Tsetse fly) |
| Incubation | 7–21 days |
| Vaccine | No |
| Treatment | Antiparasitic (Fexinidazole) |
Did you know?
Trypanosoma brucei uses antigenic variation: it constantly swaps its surface coat glycoprotein (VSG) from a repertoire of over a thousand genes, so by the time your antibodies catch up to one version, the parasite is already wearing the next — producing the characteristic waves of parasitemia and defeating every vaccine attempt. It dedicates roughly 10% of its entire genome just to this wardrobe of disguises, a staggering evolutionary investment in one trick.
Next: Amebiasis
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