12 – Protozoa II Flashcards
1
Q
Toxoplasma gondii
A
- Felids only DH
- Wide range of vertebrates=facultative IH (cats, dog, people)
- Seroprevalence: 15-30% in humans
2
Q
Toxoplasma sporulated oocysts
A
- Oocysts produced for only a few weeks ONCE in cats lifetime
- Can be 100 million per cat
- Survive in moist soil for 1 year, 5 years in water
- *4 in 2
- Differential diagnoses: Cystoisospora, Hammondia
3
Q
Toxoplasma: Tachyzoites in Peritoneal Fluid
A
- Another infective form
- Divide fast in a naïve hosts
- Can be anywhere in the body
- *if host is eaten=infective
4
Q
Toxoplasma: Tissue Cyst with Bradyzoites in Brain
A
- Thin walled tissue cyst
- Dived slower, but continue to divide
- Will be found intracellularly for the rest of an animals life
- Still same ‘shape’ as Tachyzoites but in a cyst form
- *also in skeletal muscle
- *stay in cysts unless immunocompromised and they are released for some reason
5
Q
Toxoplasma felid gut reproduction
A
- Oocyst ruptures and oocyst sporulates
- Merogony
- Gametony
- *unsporulated oocysts into environment
- *ONLY IN CATS
6
Q
What is the route of feline infection? (3)(Toxoplasma)
A
- Fecal-oral route: 21days (PPP=21 days) (sporulate 1-3 days)
- Infect IH from being eaten (PPP=3-8 days)
- transplacental transmission to litter of queen INFECTED FOR FIRST TIME in pregnancy (or lactating)=most severe disease (for the kittens)
7
Q
What are the symptoms in congenitally infected kittens? (Toxoplasma)
A
- Ocular lesions
- Neurological lesions (encephalitis)
- Anorexia
- Lethargy
- Diarrhea
- Pneumonia
- icterus
8
Q
Pathogenesis of Toxoplasmosis
A
- Adult cats: self-limiting diarrhea, fever
- Most severe in congenitally infected kittens
- In <10% of cats, infection may recrudesce (reoccur) or may be reinfected
o May shed low # oocysts sporadically - IH: asymptomatic (can transmit through carnivory and vertically)
- Dogs: acutely infected in pregnancy may abort
9
Q
Vertically transmission of Toxoplasmosis ONLY occurs when
A
- Mother is infected for the FIRST time
10
Q
Humans and the Toxoplasmosis life cycle
A
- Food borne: if eat eggs shed in stool
- Organ transplants and blood transfusions
- Transplacental or transmammary: if INFECTED for first time
11
Q
Diagnosis of Toxoplasmosis
A
- Fecal floatation: oocysts only shed for 2 weeks
- Serology, immunohistochemistry, PCR
12
Q
Control of Toxoplasmosis
A
- Clean litter boxes daily (before sporulation)
- Keep cats indoors
- Feed only commercial, cooked or frozen (-18degrees C for at least 3 days)
13
Q
When do you treat Toxoplasmosis?
A
- Only acute disease
- To reduce risk of congenital transmission
- To avoid reoccurrence
14
Q
Risk assessment and mitigation of T. gondii for pregnant owners
A
- Avoid cleaning litter box, gardening, consumption of raw uncooked meat, raw milk, unwashed produce and unfiltered water
- <1% of cats shedding at a give time: young, outdoor
- *for highly concerned owners: consider serology
- *prevention for cat: only commercial diet or cooked foods
15
Q
Serology for T. gondii and pregnant owners: best and worst case scenario
A
- BEST: positive for cat and human (cat unlikely to shed and owner protected)
- WORST: negative for cat and human (HIGHEST level of prevent from cat and owner)