Amoebiasis Flashcards
Named the Parasite as Amoeba Coli
Fedor Losch
Renamed the parasite into Entamoeba Coli
Fritz Shaudinn
Subphylum of Amoeba
Sarcodina
Family of Amoeba
Entamoebidea
Confined in the intestines but can be carried to other parts of the body
Amoeba
Amoeba is aerobe or anaerobe?
Anaerobe
Synonyms of Amoebiasis:
Amebiasis Entamoebiasis Intestinal Amoebiasis Amebic Dysentery Walking Dysentery
Causative agent of Amoebiasis:
Entamoeba histolytica
2nd most common cause of diarrhea in travelers
Amoeba
What kind is the Entamoeba histolytica?
Protozoa
Drug used for Amoebiasis
Metronidazole
Drug that causes aplastic anemia
Chloramphenicol
Morphologically related to E. dispar and E. moshkovskii
Entamoeba histolytica
2 forms of e. histolytica:
Hard, infective cysts
Fragile, pathogenic trophozoite
Predominate in formed stools
Resist destruction in the external environment
Thick Chitin wall that contributes to resistance from acidic juices of stomach
E. histolytica cysts
Feed on bacteria and tissue
Colonize lumen and mucosa of large intestine
Invade tissue and organs
Predominate in liquid stools
E. histolytica trophozoite
3 Steps of Host Cell destruction:
- Adherence
- Cytolysis
- Phagocytosis
Initial contact of Amoeba is mediated by the parasite’s
N-acetyl D-galactosamine
Final step in the apoptopic pathway:
Phagocytosis
Limit inflammation by preventing spillage of toxic intracellular contents of dead cells
Phagocytosis
Type of amoebiasis where cysts are absent in stools and trophozoites are fragile
Acute amoebiasis
Type of amoebiasis that involves gastrointestinal symptoms plus fatigue, wt loss, and occasional fever
Chronic Amoebiasis
Type of Amoebiasis; cysts in stool
Chronic Amoebiasis
Any diarrheal episode in which the loose or watery stool contains visible red blood
Amoebic dysentery
Occurs when the parasite invade the intestinal wall and abscesses may develop in the liver
Amoebic Dysentery
Presents w/ fever and right upper quadrant abdominal pain
Liver abscesses
Described the first proven case of Amoebic dysentery in St. Petersburg, Russia
Fedor Losch
Participates in adhesion and cytotoxicity
Serine, Threonine, and Isoleucine Rich protein
decreased virulence in animal model of amoebic liver
KERP
Intestinal Diagnosis
Stool Examination
PCR
Serologic Test (IHA)
Colonoscopy w/ Biopsy
Liver diagnosis of Amoebiasis
Liver Aspiration
Ultrasound Examination
Serologic Test (ELISA)
Incubation Period of Amoebiasis
2-4 weeks
Visual inspection of the entire large bowel from the distal rectum to cecum
Sigmoidoscopy
Use of crude extract of axenically cultured organism
Indirect Hemagglutination Assay
Present in stool examination; due to breakdown of eiosinophils
Charcot Leyden Crystals
Detects presence of anti-lectin antibodies IgG
Enzyme-Linked Immunoassay (ELISA)
with WBC
Anchovy paste from liver
without WBC
Anchovy paste from market
Most common complication of Amoebiasis
Liver Abscesses
Complication of Amoebiasis
Toxic Megacolon
Amoeboma
Condition where the lining of the colon thickens due to flask-shaped ulcers
Amoeboma
Virulence Factors of Amoeba
Gal/GalNac (Galactose and N-Acetyl-D-galactosamine)
Cysteine Proteinases
Amoebapore
Myosin IV
Virulence factor of Amoeba for binding
Gal/GalNac
Virulence factor of Amoeba for Invasion; destruction of proteins
Cysteine Proteinases
Virulence factor for the production of pores
Amoebapore
Virulence factor of Amoebiasis for increased phagocytosos
Myosin IV
Classification of Drugs for Amoebiasis
- Luminal amoebicides
2. Systemic Amoebicides
Drugs that are active primarily against organisms in the colonic contents
Drugs active against organisms responsible for invasive diseases
Loss of full control of body movements; adverse effect of Metronidazole
Ataxia
Treatment of Amoebiasis in non-edemic areas; asymptomatic carriers; luminal amoebicide
Diloxanide
Drug that is less toxic that Emetine; most effective but too irritant to be taken orally; alternative to metronidazole
Dehydroemetine
Treatment of amoebic hepatic abscesses as an adjunct to dehydroemetine
Chloroquinone