Flagellates And Hemoflagellates Flashcards
Flagellates includes
Giardia lamblia
Trichomonas vaginalis
Which is the most common parasitic infection in world and most commonly found in stool
Giardia lamblia
Habitat of Giardia lamblia
Mucosa of duodenum and upper ileum
Infective stage of Giardia lamblia
Cyst
Infective dose of Giardia lamblia
Small dose - 10-25
Route of infection of Giardia lamblia
Feco oral route
Giardia lamblia attaches to duodenum with the help of
Sucking disk
Lectin Antigen
Attachment of Giardia lamblia to duodenum results in
Blunting of villi - Malabsorption (Vit B12, FA, Protein)
Iron deficiency anemia
Disaccharide enzymes -
Life cycle of Giardia lamblia
Ingestion of dormant cysts - Excystation( Trophozoite emerges) - Trophozoites undergoes asexual reproduction - both trophozoites and cyst in feces - Only cyst can survive outside host (human) - can survive weeks to month in cold water - Ingestion
Sample and Trophozoites in M/E in Giardia Lamblia
Sample - Stool (3 consecutive days)
M/E - Trophozoites: Pear/tennis racket appearance, attaches by suckling disc
2 nuclei
4 pairs of Flagella
Cyst of Giardia lamblia on M/E
1-4 nuclei
No Flagella
Which test is done im case of Giardia lamblia to do pull out Duodenal contents
String test/Enterotest
Other diagnosis methods of Giardia lamblia and gold standard
Copro antigen detection
Antibody
Gold standard - PCR
Giardia lamblia appearance on Duodenal biopsy
Luminal organism - Sickle shaped Organism in lumen
Giardia lamblia shows which type of Motility
Falling leaf Motility
Treatment of Giardia lamblia
DOC - Metronidazole or Tinidazole
Most common cause of STD and Non Gonococcal urethritis
Trichomonas vaginalis
Mode of transmission of Trichomonas vaginalis
Sexual
Reservoir in case of Trichomonas vaginalis
Female
Infective and diagnostic forms of Trichomonas vaginalis
Trophozoite only
Cyst -ve
IP and Clinical features seen in males in case of Trichomonas vaginalis
IP - 4 to 28 days
C/F - Urethritis, Cystitis, Prostatitis
Clinical features seen in females in case of Trichomonas vaginalis
Strawberry cervix/Colpitis macularis
Greenish discharge
Structure of Trophozoite of Trichomonas vaginalis on M/E
Only one nucleus
4 ant Flagella
1 post flagella with undulating membrane
Motility seen in case of Trichomonas vaginalis
Jerky/twitching Motility
Culture medium used for diagnosis of Trichomonas vaginalis
Lash cysteine Hydrosylate medium
Trussell and Johnson medium
Diamond medium
Site commonly affected in case of Trichomonas vaginalis
Genitals
Hemoflagellates includes
Leishmania
Trypanosoma
Development stages or morphological forms in case of Hemoflagellates
APET
Amastigote
Promastigote
Epimastigote
Trypomastigote
Protozoan bodies seen in case of Hemoflagellates
Parabasal body and Blepharoplast - Kinetoplast