FLAGELLATES Flashcards
whip-like locomotory organelle called
flagella
Motor component
: flagella and axonemes
Neuromotor apparatus
kinetoplast w/c consists of blepharoplast and parabasal body
Giardia intestinalis disease
Giardiasis, Traveler’s diarrhea, Gay bowel syndrome
This protozoan is also known as
G. lamblia
Discovered in 1681 by Antoine van Leeuwenhoek in his own stools
Giardia intestinalis
described by Lambl in 1859 who called it what?
Cercomonas intestinalis
How many nuclei does cyst of giardia intestinalis have?
2-4 nuclei
two longitudinal fibrils in the center and Football-shaped
Cyst if Giardia intestinalis
Pear shaped trophozoite
Giardia intestinalis
How many nuclei does trophozoite of Giardia have?
2 nuclei, each w/ a large karyosome, lying w/in the sucking disk
Has falling leaf motility
Giardia intestinalis
Old man’s face/old man w/ eyeglasses
Trophozoite of Giardia intestinalis
Infective stage of Giardia intestinalis
Mature cysts
Characterized by mild diarrhea, abdominal cramps, anorexia, and flatulence to tenderness of the epigastric region, steatorrhea, and malabsorption syndrome
Giardiasis (Traveler’s Diarrhea)
Sexual transmission of protozoal and helminthic
diseases by orogenital or oroanal routes.
Gay Bowel Syndrome
Duodenal contents can identify G. intestinalis using
using the string test, also known as Enterotest.
primary choice of treatments for G. intestinalis infections
metronidazole (Flagyl), tinidazole (Tindamax) and nitazoxanide (Alinia).
Common associated disease for D. fragilis
Dientamoeba fragilis infection
Initially classified as an ameba
Dientamoeba fragilis
Irregular and roundish in shape
Trophozoite of Dientamoeba fragilis
How many nuclei does D. fragilis have and consist of how many chromatin granules
2 nuclei with 4-8 chromatin granules
What does the trophozoite’s cytoplasm of D. fragilis consist of?
Vacuoles containing bacteria
Other documented symptoms that may occur
include bloody or mucoid stools, flatulence,
nausea or vomiting, weight loss, and fatigue or
weakness
D. fragilis infection
.The treatment of choice for D. fragilis infection
iodoquinol
alternative treatment for D. fragilis
Tetracycline
What are non pathogenic species
Trichomonas hominis and Chilomastix mesnili
Has five anterior flagella and a posterior flagellum projecting from an undulating membrane
Trichomonas hominis
How many nuclei does Trichomonas hominis
1
Pear-shaped
Spiral groove curving across the body
Spiral boring, jerky movement
3 anterior flagella and 1 w/in the cytostome
Trophozoite of Chilosmatix mesnili
Lemon to oval-shaped
Protrusion at end
Nipple-like cyst
Cyst of Chilomastix mesnili
Common associated disease and condition names for Trichomonas vaginalis
Persistent urethritis,
persistent vaginitis,
infant Trichomonas vaginalis infection,
Pingpong disease.
Resides in the genitalia
Trichomonas vaginalis
Infective stage of Trichomonas vaginalis
Trophozoites
Single prominent nucleus
Flagella: Three to five anterior and one posterior
Large axostyle with cytoplasmic granules
Inclusion bodies: Siderophil granules
Rapid jerky motility
Trophpzoite of T. vaginalis
Strawberry cervix
Pingpong’s disease
T. vaginalis trophozoites migrating from an
infected mother to the infant through the birth
canal and/ or during vaginal delivery.
Infant Infections
Medium used for culture in diagnosing T. vaginalis
Diamond’s modified medium, and Feinberg and Whittington culture medium.
Specimen of choice in T. vaginalis
Urine, Vaginal swab/discharge (female), Prostatic
secretion (male)
Resides in the oral cavity.
Pyriform in shape and measures 7 to 13 μm.
Has five anterior flagella and a posterior flagellum projecting from an undulating membrane.
Trichomonas tenax
Where do hemoflagellates inhabit?
Blood and tissues of humans
MOT of Hemofllagelates is through?
Arthropod bites
Four stages of development
amastigote, promastigote, epimastigote, and trypomastigote
Non-motile, intracellular replicative form that is absent in Trypanosoma spp.
Amastigote
flagellated form with no undulating membrane present in Leishmania
Promastigote
Short undulating membrane that is present in Trypanosomes but absent in Lesihmania
Epimastigote
Full undulating membrane
Trypanomastigote
American trypanosomiasis, Chagas’ disease.
Trypanosoma cruzi
Vectors of Trypanosoma cruzi
Triatomid bugs
Kissing bugs
Reduviid bugs
Assasin bugs
Cone nose bugs
Triatoma rubrofasciata = Philippines
Habitat of Trypanosoma cruzi
RES, Cardiac muscle and CNS
Exhibits all four stages of development
Trypanosoma cruzi
Development of an erythematous nodule, known as a chagoma, at the site of infection.
Chaga’s disease (acute)
present in patients who contract T. cruzi through the
ocular mucosa.
Romaña’s sign
Destruction of multiple tissues results in patients who present with myocarditis, enlargement of the colon and esophagus, cardiomegaly, and hepatosplenomegaly.
CNS involvement
Death
Chaga’s Disease (chronic)
East africa
Trypanosoma brucei subspp. rhodesiense
West africa
Trypanosoma brucei subspp. gambiense
T. brucei gambiense is transmitted by
Glossina (tsetse flies)
Virulent form of trypanosomiasis transmitted by Glossina
T. brucei rhodesiense
Development of a painful chancre (ulcer), surrounded by a white halo at the bite site.
Fever, malaise, headache, generalized weakness, and anorexia.
West African (Gambian) Sleeping Sickness
enlargement of the cervical lymph nodes
Winterbottom’s sign
a delayed sensation to pain
Kerandel’s sign
excessive sleepiness
somnolence
Fever, myalgia, and rigors.
Winterbottom’s sign may or may not be present.
Lymphadenopathy is absent.
Rapid weight loss is common and the CNS becomes involved early in the disease course.
Death caused by subsequent kidney damage
(glomerulonephritis) and myocarditis (inflammation of the heart), usually occurs within 9 to 12 months in
untreated patients.
East African (Rhodesian) Sleeping Sickness
Specimen of choice in febrile stage
blood and lymph node aspirate
Specimen of choice in sleeping sickness stage
Cerebrospinal fluid
four major species of Leishmania
L. tropica, L braziliensis, L. mexicana, L. donovani
Lesihmania spp. are transmitted by?
Sandfly or Phlebotomus spp.
Old World leishmaniasis, cutaneous leishmaniasis,
Oriental sore
L. tropica
New World leishmaniasis or cutaneous leishmaniasis
L. mexicana
mucocutaneous leishmaniasis or espundia
L. braziliensis
Kala-Azar or visceral leishmaniasis
L. donovani
Infective stage of Leishmania spp.
Promastigotes
most common form of the disease, and is
caused by several species of Leishmania
Cutaneous Leishmaniasis
An erythematous papule or nodule, called an?
oriental button
Also called anergic or lepromatous leishmaniasis.
Characterized by a localized, non-ulcerating
papule, eventually developing numerous diffuse
satellite lesions that affect the face and
extremities.
Diffuse Cutaneous Leishmaniasis
Involvement of the mucous membranes of the
nasal and oral cavities results in nasal stuffiness,
discharge, epistaxis, and destruction of the nasal
septum
Mucocutaneous Leishmaniasis
Often called espundia
Mucocutaneous Leishmaniasis
Other name is Kala azar
Visceral Leishmaniasis
Spread of parasites into the bone marrow, spleen,
and liver
Visceral Leishmaniasis