FA - Micro - Parasitology Flashcards
Giardiasis - Transmission?
Cysts in water.
Giardiasis - Features?
- Bloating
- Flatulence
- Foul-smelling
- Fatty diarrhea (often seen in campers/hikers)
Giardiasis - Diagnosis?
Trophozoites OR cysts in stool.
Giardiasis - Treatment?
Metronidazole.
Amebiasis - Features?
- Bloody diarrhea (dysentery)
- Liver abscess (“Anchovy paste” exudate)
- RUQ pain (histology shows flask-shaped ulcer if submucosal abscess of colon ruptures).
Amebiasis - Transmission?
Cysts in water.
Amebiasis - Diagnosis?
Serology and/or trophozoites (with RBCs in the cytoplasm) OR cysts (with up to 4 nuclei) in stool.
Amebiasis - Treatment?
- Metronidazole
2. Iodoquinol for asymptomatic CYST passers.
Cryptosporidium - Features?
Severe diarrhea in AIDS. Mild disease (watery diarrhea) in immunocompetent.
Cryptosporidium - Transmission?
Oocysts in water.
Cryptosporidium - Diagnosis?
Oocysts on acid-fast stain.
Cryptosporidium treatment?
- Prevention (by filtering city water supplies).
2. NITAZOXANIDE in immunocompetent hosts.
T.gondii - causes?
Reactivation in AIDS ==> Brain abscess seen as ring-enhancing brain lesions on MRI.
Congenital toxo - classical triad?
- Chorioretinitis
- Hydrocephalus
- Intracranial calcifications
T.gondii - transmission?
- Cysts in meat (MC).
- Oocysts in cat feces.
- Crosses placenta (pregnant women should avoid cats).
T.gondii - diagnosis?
Serology or biopsy (tachyzoites).
Toxo - Treatment?
Sulfadiazine + pyrimethamine.
Naegleria fowleri - causes?
Rapidly fatal meningoencephalitis.
N.fowleri - transmission?
- Swimming in freshwater lakes .
2. Enters via cribriform plate.
N.fowleri - diagnosis?
Amoebas in spinal fluid.
N.fowleri treatment?
Amphotericin B has been effective for a few survivors.
T.brucei - causes?
African sleeping sickness.
African sleeping sickness - features?
- Enlarged lymph nodes
- Recurring fever (due to ANTIGENIC VARIATION)
- Somnolence
- Coma
T.brucei - Transmission?
Tsetse fly - a painful bite.