blood & tissue protozoa Flashcards
Y2C1 1 question will be asked
malaria caused by_____
which is a plasmodium ssp.
protozoan
Human malaria transmitted via______mosquito
this mosquito has over 60 species
Anopheles
Female anopheles mosquito is____host
definitive
_____pattern occcurs in area over a period of several years
endemic
** periodic or occasional sharp rises occur in its incidence
epidemic
life cycle of plasmodium vivax
1st step is injection of____by mosquito during blood meal
transportation and repliacton occurs on human
sporozoites
plasmodium vivax’s 1st form
life cycle of plasmodium vivax
2nd step
sporozoites infects____cells
liver
life cycle of plasmodium vivax
after sporozoites infects liver cells new formation occurs called ?
3rd step
schizont
1st appearence in cycle
life cycle of plasmodium vivax
ruptured schiozont merozoites liberated and invade ?
4th step
RBC
life cycle of plasmodium vivax
after invasion of schiozont merozoites early____forms
trophozoite
maturation of trophozoite & schizont formation occurs at ?
trophosite matures and forms schizonts
RBC
life cycle of plasmodium vivax
how mosquito gets infected ?
ingests gametocytes via blood meal
gametocytes forms spozoites after undergoing meiosis inside of mosquito
clinical features of malaria
no symptoms during**stage
incubation period 1-6 weeks
liver
cliniacl features of malaria
characterized by acute___attacks
also known as malarial paroxysms
febrile
periodic episodes of fever alternating with sypmtom-free periods
clinical features of malaria
symptoms of malaria ?
7 exists
malaise
fatigue
fever
myalgia
arthralgia
dry cough
anorexia
fever can be up to 40.6 celsius
malarial paroxysm
prodrome 2-3 days before
* can mistake for_____or______infection
* slight_____may worsen just prior to pasoxysm
influenza and gastrointestinal infection
slight fever
malarial paroxysm
symptoms that seen in prodrome ?
6 exists
malaise
fever
fatigue
muscle pains
nausea
anorexia
malarial paroxysm
how long paroxysm lasts in hours ?
8-12 hours
starts between midnignt and midday
malarial paroxysm
____stage characterized by rigors
starts in paroxysm stage
cold stage
malarial paroxysm
____stage max temp can reach 40-41 celsius spelnomegaly easily palpable
palpable=visible
spelnomegaly=enlarged spleen
hot stage
malarial paroxysm
sweating stage occurs at_____
hot stage
diagnosis of malaria
thick microscopic films used for ?
presence/absence of malaria
diagnosis of malaria
thin microscopic films used for ?
morphology/species
malaria microscopy
which type malaria is this
P. falciparum
malaria microscopy
which type malaria is this
p.vivax
malaria microscopy
which type malaria is this
p. malariae
malaria microscopy
which type malaria is this
P. ovale
Malaria in pregnancy
malaria has high risks both maternal & perinatal____and____
morbidity & mortality
malaria in pregnancy
severe malaria should be treated aggressively with________therapy
antimalarial
babesiosis
babesiosis are______parasites
intraerythrocytic sporozoan
babesiosis
morphologically resemble_____
plasmodium
babesiosis
cause________like ilness in animals
tick borne like
babesiosis
_______infections in humans(intermediate host)
opportunistic
babesiosis
definitive host is______
Ixodid ticks
babesiosis
3 impo species exists which are
B. microti(rodents)
B. clivergens(cattles)
B. bovis(cattles)
life cycle of babesiosis parasites
trophozoites merozoite formation occurs in which animal(s) ?
check babesiosis life cycle pic if ur blue
mouse
life cycle of babesiosis parasites
sexual formation of sporozoites known as sporogony occurs at which animal ?
tick
Babesiosis
how long is incubation period for babesiosis ?
1-4 weeks following tick bite
1-9 weeks after contaminated blood transfusion
Babesiosis:clinical features
there is no______like paroxysm
babesia infection can range from_____to_______
mild____&____
______anemia
______
______
malaria-like
mild chills and fever
hemolytic anemia
jaundice
hepatomegaly
babesiosis:risk factors
_____and impaired______function
advanced age
asplenia
impaired immune function
babesiosis
no of parasites per RBC ?
1-12
1-3 for malaria
Babesiosis:laboratory diagnosis
ID of intraerthrocytic babesia parasites by ?
peripheral blood smear examination under light microscope
PCR
IFA testing
total Ig
Toxoplasmosis
etiologic agent____is
most populations are____
threat to______&_____
Infected women can pass______to fetus via bloodstream
domestic____and felines are main reservoirs
T. gondii
seropositive
immunosuppressed and unborn
women
cats
toxoplasmosis:Transmission
Ingestion of______& toxoplasma____
____from fecally contaminated hands or food
_____transplantation or____transfusion
________transmission
accidental inoculation of ______
uncooked meat & toxoplasma cyst
oocyst
organ transplantation or blood transfusion
transplacental transmission
tachyzoites
toxoplasmosis:symptoms
___is mostly fatal
prenatal
babesiosis:preventation and treatment
people w/ healthy immune systems no____needed
risk groups should avoid___&___contact
cogenital toxoplasmosis oral pyrimethamine w/ folinic acid
Immunocompromised patients
trimethoprim-sulfmethoxazole
dapsone-pyrimethamine
treatment
Cat&feces contact
Leishmaniasis
transmitted by____flies
new world:_____
old world:____
parasites replicate within____
sand flies
lutzomyia
phlebotomus
macrophage
macrophage is vertebrate host’s
leishmaniasis:
cutaneous leishmaniasis:causes lesions on____(CL)
mucocutaneous:skin lesions spred over____(MCL)
viseral leishmaniasis:infection of________system, high____(kala-azar)
skin
mucosa
reticuloendothelial
mortality
leishmaniasis:life cycle
which ones are the diagnostic stages ?
3,4
leishmaniasis:life cycle
promastigotes phagocytized by macrophages and transform into____
DİAGNOSTİC STAGE!!!
amastigotes
leishmaniasis:life cycle
after amastigotes formed they multiply in cells and_____
DİAGNOSTİC STAGE!!!
infect other cells
trypanosomiasis:african domain
causes_____sickness
3 species causes this
vector:___flies
sleeping disease
T. brucei rhodesiense
T.brucei gambiense
tse tse
trypanosomiasis:american domain
causes___disease
vector:
parasite:
changa’s disease
T.cruzi
reduviids-kissing bugs
trypanosomiasis:african domain
travel or residence in___area
irregular___and enlarged____
_____changes, mental symptoms
endemic
fever & lymph node
behavioral changes
trypanosomiasis:african domain
lab diagnosis
_____tests
serological
american trypanosomiasis
transmission
_____bugs
_____transmission
______route
treated with_____or______
parasite in feces of bug
kissing bugs
blood transmission
transplesental route
benznidazole or nifurtimox
american trypanosomiasis:acute phase
mostly_____
active infection
asymptomatic
children most likely to be asymptomatic
american trypanosomiasis:Interdeterminate phase
___years of latency
seropositive with no detectable______
10-30
parasitemia
american trypanosomiasis:chronic phase
10-30% of infected exhibit______and conduction defects congestive____failure
_____phenomenon
cardiomyopathy arrhythmias
congestive heart failure
thromboembolic
fill the blanks
T.rhodesiense T.gambiense
epidemiology:sporadic, sarafis endemic some epidemics
disease progression:rapid,, often fatal slow
paresitemia:high low
asymptomatic carriers:rare common