Flagellates Flashcards
general characteristics of Intestinal / urogenital flagellates
All inhabit the large intestine / colon except Giardia
lamblia (found in small intestine), Trichomonas vaginalis (found in urogenital area), Trichomonas tenax (found in the mouth or oral cavity)
All undergo encystation (having a cyst stage) except Trichomonas species
All are commensals or nonpathogenic except Giardia lamblia, Dientamoeba fragilis and Trichomonas vaginalis
All undergo asexual reproduction through binary fission
also known as G. intestinalis, G. lamblia, Cercomonas intestinalis
GIARDIA DUODENALIS
Final host, Habitat and MOT of Gardia duodenalis, REservoir host
Final host: man
Habitat: small intestine
MOT: ingestion of infective cyst
REservoir: Beaver
Causative agent of: ○ Giardiasis ○ Traveller’s Disease ○ Backpacker’s diarrhea ○ Fever
GIARDIA DUODENALIS
Trophozoite will undergo longitudinal binary fission
Gardia duodenalis trophozoite
Diagnostic stage of G. duodenalis
Both trophozoite and cyst
Gardia duodenalis cyst characterists
Oval in shape
● Outer wall – hyaline cyst wall, clear surrounding the
parasite
● Presence of 2-4 nuclei
● Prominent or large karyosome inside the nucleus Axoneme
● 2 parabasal / median bodies – energizing structures of the parasite, made up of RNA
● Abundant in stool specimens
Gardia duodenalis trophozoite characterists
● Pear / pyriform shape
● Bilaterally symmetrical – can be divided into 2 equal parts
● Characteristic: Old man’s face w/ glasses appearance
● Slightly curve on a side view – spoon like appearance
● 2 nuclei only
● Presence of karyosome
● Presence of median / parabasal bodies (claw hammer shape appearance)
● Axostyle – composed of axonemes; function for support, provide structure found at mid portion of parasite
● Presence of 8 flagella (4 lateral, 2 ventral, 2 caudal - lower part)
● Presence of 2 ventral sucking disk (a virulence
factor) – reason why its pathogenic, uses for attachment
to the lining of small intestine, preventing the absorption
of nutrients (malabsorption)
● In fresh specimens, you would see this in a NSS, parasite
would be moving in a characteristic motility, described as Falling leaf motility
● Also associated with Gay Bowel Syndrome because this infection is quite common among certain groups of people who are practicing certain sexual activities (oral-fecal activities)
Gardia infections
Pathogenicity / Virulence factors of Gardia Lamblia includes
2 ventral sucking disk (main virulence factor)
Lectin - for adhesion
Attachment of G. lamblia causes
Alteration of mucosal lining
Causes villous flattening and crypt hypertrophy
Presence of VSPs (Variant Surface Proteins)
Used by the parasites (like G. duodenalis) to hide or evade from the immune system/response
Variant Surface Proteins
Diagnosis of G. lamblia / duodenalis
At least collect _ specimens on alternate days ○ In a span of _ days
3 specimen
span of 10 days
○ 1 or 2 nuclei
○ Nuclear membrane has no peripheral chromatin
○ Karyosome: 4-6 discrete granules
DIENTAMOEBA FRAGILIS
MOT of Dientamoeba Fragilis
Fecal-oral route or via transmission of helminth eggs
Habitat of Dientamoeba Fragilis
mucosal crypts of the appendix, cecum and the upper colon
Common symptoms: intermittent diarrhea w/ excess
mucus
Caused by Dientamoeba fragilis
Symptomatic individuals may manifest: loss of appetite, colicky abdominal pain, and intermittent diarrhea with excess mucus, abdominal tenderness, a bloating sensation, and flatulence
Dientamoeba fragilis
Does not invade tissues, but its presence in the
intestines produces irritation of the mucosa with secretion of excess mucus and hypermotility of the bowel
Dientamoeba fragilis
Causes trichomoniasis
TRICHOMONAS VAGINALIS
Habitat and MOTs od TRichomonas vagialis
Habitat: urogenital area
MOTs:
Sexual intercourse
Infant delivery
Contaminated towels and underwear