Chapter 2 Flashcards

1
Q

What is the general structure of entamoeba

A

vesicular nucleus, small endosome at or near center, no goli nor mitochondria

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2
Q

What is the only pathogenic strain of entamoeba

A

Entamoeba histolytica

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3
Q

What illness does E. histolytica cause and what are the symptoms

A

amebiasis: mild loose stools, stomach pain and cramping

amebic dysentery: sever form, stomach pain, bloody stool, fever

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4
Q

Where in the body are E. Histolytica trophozoites found

A

trophozoites feed on mucosal secretions, invade tissue, lesions in cecum, appendix or colon

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5
Q

What is E. histolytica often confused with

A

E. hartmanni

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6
Q

How can E. Histolytica kill you

A

ulcers might get secondary infections, perforated colon.

rarely: attacks liver, perforates it, lungs or brain

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7
Q

Describe the life cycle of E. histolytica

A

in the large intestinal wall precysts (non-invasive)–> encystation create cysts that are passed out with feces–>cysts are ingested by host–> excystation in SI, metacystic amoeba reproduces by binary fission forming invasive trophozoites–>can transform to precysts, start over

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8
Q

How is E. histolytica diagnosed

A

stool samples by microscopy, floating stool sample, look for cysts

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9
Q

How is amebiasis treated

A

paromomycin for intestinal trophs and metronidazole for trophs and extraintestinal amoebiasis

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10
Q

How does metronidazole combat parasites

A

inhibits nucleic acid synthesis by disrupting DNA

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11
Q

How does paromomycin combat parasites

A

increases error rate in ribosomal translation, binds to RNA loop

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12
Q

Where in the world is E. histolytica found

A

cosmopolitan, moslty tropics and high density pops, young travelers

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13
Q

How is E. histolytica transmitted

A

contaminated water or food, filth flies and roaches can be mechanical vectors, night soil, oral anal sex

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14
Q

how can you avoid E. histolytica infection

A

bottled water, carbonated water, avoid unpeeled fruit and vegetables, street food

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15
Q

Where is Entamoeba coli found and what illness does it cause

A

lives in intestine, feeds on bacteria, protists and yeast, commensal, often confused with E. histolytica, non pathogenic

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16
Q

Where is Entamoeba gingivalis found

A

in the mouth

17
Q

What stages does E. gingivalis have

A

only trophozoite stage, no cyst stage

18
Q

How is E. gingivalis transmitted

A

direct contact, kissing, in primates, cats and dogs

19
Q

Where in the body is endolimax nana found

A

in human cecum, feces

20
Q

What animals are Iodamoeba buetschlii found in

A

pigs, humans other primates,

21
Q

What environment is Naegleria fowleri found

A

warm freshwater and soil

22
Q

What illness does Naegleria fowleri cause

A

PAM: primary amebic meningoencephalitis
rare: severe brain infection mostly fatal

23
Q

How is Naegleria fowleri transmitted

A

enters through nose, swimming in ponds, lakes, warm freshwater, hot springs, poorly maintained pools

24
Q

What stages are present in Naegleria fowleri

A

trophozoites and cysts

25
Q

Where in the world are Naegleria fowleri

A

US: southern states, all over the world

26
Q

Describe how PAM progresses

A

1-14 days: symptoms show: headache, fever, nausea, vomiting, and stiff neck.
Later: confusion, lack of attention, less balance, seizures and hallucinations
Death: in 3-7 days

27
Q

How is Naegleria fowleri treated

A

not clear, all infections have been fatal, 2 survived with miltefosine

28
Q

What illnesses does Acanthamoeba cause

A

chronic skin infection or CNS in immunocompromised

GAE, keratitis: eye infection

29
Q

What organisms cause GAE

A

granulomatous amebic encephalitis- Acanthamoeba and Balamuthia mandrillaris

30
Q

What stages does Acanthamoeba have

A

cysts and trophozoites

31
Q

What is keratitis

A

inflammation and opacity of the cornea, can cause blindness

32
Q

How are Acanthamoeba infections treated

A

keratitis with ketoconazole, corneal transport

GAE: fatal

33
Q

What illnesses does Balamuthia mandrillaris cause

A

GAE, infects respiratory system or through skin, skin lesions

34
Q

Where in an environment can Balamuthia mandrillaris be found

A

soil, dust, water

35
Q

How is Balamuthia mandrillaris diagnosed?

A

mostly through autopsy