[Discussion] MODULE 1 UNIT 3 Flashcards
often cause anemia
trypanosomiasis and malaria
can result in bowel obstruction
Ascariasis
can cause diarrhea
amoebiasis
balance between host and parasite is tipped in favor of the parasite
disease
balance shifts in favor of the hosts ability to inhibit the parasite, the it will be damaged and eliminated
parasite
- refers to the number of parasites in or on the host- determines the likelihood of the parasitic disease.
Parasite Load
- the greater the number of parasite infective stages that enter the host, the greater will be the pathological damage.
Parasite Load
- However, a few parasites that have reproductive phase within the host can also have a considerable effect on the host.
Parasite Load
- reflects the ability of a given parasite to infect a specific organ or sets of organs
Tissue tropism
- after entering the host, the parasite migrates to these parts of the body where conditions are suitable for temporary or permanent residence.
Tissue tropism
infecting all or most organs
tropic
to a given tissue or even to certain tissue niches
restricted
Human African trypanosomiasis (HAT) agents
T. brucei rhodesiense and T. brucei gambiense
parasite remains in the peripheral blood and lymphatic system
First stage of Human African trypanosomiasis (HAT)
parasite crossing into the cerebrospinal fluid and ultimately into the brain parenchyma
Second stage of Human African trypanosomiasis (HAT)
refers to the manner of development of a disease
PATHOGENESIS
robs the host of essential nutrients and substances
Infection
Depleting or denying the host of these leads to (?) and in the process causing damage to surrounding tissues.
malnutrition
- Effects of Malnutrition
stunted growth, wasting, hunger, or more specific signs of micronutrient deficiency.
is more likely to occur in individuals with larger burdens of parasites
Malnutrition
attach to the intestinal mucosa by means of teeth or cutting plates.
Hookworms
Aside from the bleeding at the site of attachment, these parasites ingest human blood, which results in irondeficiency anemia.
Hookworms
prevents absorption of nutrients due to it covering the intestinal mucosa
Giardia lamblia
Physical trauma, or destruction of cells, tissues or organs brought about by parasite attachment, feeding, blockage, or migration by is common in parasite infections.
Traumatic or mechanical damage
Enzymes elaborated by many parasites do not only make it possible for them to digest available food in the immediate environment and to transform this nutrient into their own protoplasm but also to degrade tissues or cells to promote invasion and spread of parasites.
Lytic necrosis
vigorous inflammatory response
shares some features with other infectious diseases,
unique aspects of pathophysiology
exacerbate the impact of systemic inflammation on individual organs
Malaria
normal secretions and excretions of parasites and the products liberated from dead parasites accumulate in the host tissues
Toxic and allergic phenomena
Parasites provoke tissue reaction that consists of cellular proliferation and infiltration at the site of the parasite and may involve increase in certain types of cells – lymphocytes, neutrophils, and macrophages.
Stimulation of host’s tissue reaction
consists of a cellular reaction to the presence of parasite which is eventually surrounded by epitheloid cells and multinucleated giant cells and as it dies off
Stimulation of host’s tissue reaction
is deposited within the cell
calcium
may block fluid flow and lead to necrosis of the surrounding tissues
calcium
A parasite may open pathways in the skin or gastrointestinal tract for the entry of other pathogens in the tissues.
Secondary invasion
In one documented case, a 3-yr old was found to have a co-infection of Ascaris lumbricoides as well as Vibrio cholerae
Secondary invasion
is a distinctive host response to parasitic infections - especially in helminth infections.
Eosinophilia
elevated serum IgE leve
Eosinophilia
Eosinophils and IgE play a critical role in
antibody-dependent cellular cytotoxicity (ADCC)
particularly important mechanism against parasites
antibody-dependent cellular cytotoxicity (ADCC)