Chapter 2 Flashcards

(35 cards)

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

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
Where in the world are Naegleria fowleri
US: southern states, all over the world
26
Describe how PAM progresses
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
How is Naegleria fowleri treated
not clear, all infections have been fatal, 2 survived with miltefosine
28
What illnesses does Acanthamoeba cause
chronic skin infection or CNS in immunocompromised | GAE, keratitis: eye infection
29
What organisms cause GAE
granulomatous amebic encephalitis- Acanthamoeba and Balamuthia mandrillaris
30
What stages does Acanthamoeba have
cysts and trophozoites
31
What is keratitis
inflammation and opacity of the cornea, can cause blindness
32
How are Acanthamoeba infections treated
keratitis with ketoconazole, corneal transport | GAE: fatal
33
What illnesses does Balamuthia mandrillaris cause
GAE, infects respiratory system or through skin, skin lesions
34
Where in an environment can Balamuthia mandrillaris be found
soil, dust, water
35
How is Balamuthia mandrillaris diagnosed?
mostly through autopsy