flagellates lab Flashcards

1
Q

subphylum of flagellates

A

mastigophora
- move using flagella

2 main groups:
1. Phytomastigophorea
These are plant-like protozoans that have chlorophyll, meaning they can make their own food through photosynthesis (like plants).
Example: Some types of algae.

  1. Zoomastigophora – These are animal-like protozoans, they get nutrients by feeding on other organisms.
    Examples:
    Giardia – Can cause stomach infections in humans.
    Trypanosoma – Causes diseases like sleeping sickness.
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2
Q

general characteristics of a flagella

A

Whiplike locomotor apparatus (flagella)

Unicellular

Shape and cytoplasmic
characteristics are used for ID

Infective stage = CYST (except for Trichomonas as their infective stage is trophozoite)

Special organs
- Sucking disk
- Axostyle
- Undulating membrane (Withstand the peristaltic action [squeezing and pushing movements] of the intestine)

Most species have a rudimentary mouth known as cytostome (cell mouth)

Function: ingestion. Facilitates the process of phagocytosis where the organism can ingest food particles.

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3
Q

All are commensal (harmless) except

A
  • Giardia Intestinalis
  • Trichomonas vaginalis
  • Dientamoeba fragilis
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4
Q

reproduction of flagellates

A

All undergo asexual reproduction through binary fission

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5
Q

2 groups of flagella

A

Intestinal & urogenital
Blood & tissue dwelling (aka “hemoflagellates”)

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6
Q

intestinal flagellates is also called

A

atrial/ lumen flagellate

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7
Q

structures to identify the
- Giardia lamblia trophozoite
- Giardia lamblia cyst
- Chilomastix mesnili trophozoite
- Chilomastix mesnili cyst

A
  • Giardia lamblia trophozoite
    Nuclei with karyosome
    Sucking discs
    Parabasl body
    Flagella
    Axostyle
    Axoneme
  • Giardia lamblia cyst
    Nuclei
    Finely granular cytoplasm
    Cyst wall
  • Chilomastix mesnili trophozoite
    Spiral groove
    Nucleus
    Flagella
    Achromatic granules
    Cytostome
  • Chilomastix mesnili cyst
    Knob-like protuberance [a small, bump-like structure on the cyst]
    Cyst wall
    Nucleus
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8
Q

where does the giardia lamblia inhabits

A

visceral organ and non-tissue invader [stays in the intestines but does not damage the intestinal walls.]

aka Giardia intestinalis or Giardia duodenalis.

*Only pathogenic intestinal flagellate - SMALL INTESTINE

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9
Q

shape & (motility for T)
- Giardia lamblia trophozoite
- Giardia lamblia cyst
- Chilomastix mesnili trophozoite
- Chilomastix mesnili cyst
- Trichomonas vaginalis
- Trichomonas tenax
- Trichomonas hominis

A
  • Giardia lamblia trophozoite
    pear-shaped, teardrop, pyriform
    falling leaf/ kite-like motility/ jerky
  • Giardia lamblia cyst
    ovoid, ellipsoid
  • Chilomastix mesnili trophozoite
    pear-shaped
    stiff, rotary fashion, directional/ cork screw
  • Trichomonas vaginalis
    pyriform shape
  • Chilomastix mesnili cyst
    lemon-shaped/ oval-shaped/ nipple-shaped/ knob-like protuberance at anterior end
    fast, jerky (tumbling)
  • Trichomonas tenax
    n/a

-Trichomonas hominis
n/a

(Trichomonas spp, - rounded anterior end and somewhat pointed posterior end)

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10
Q

no. of flagella
- Giardia lamblia trophozoite
- Chilomastix mesnili trophozoite
- Trichomonas vaginalis
- Trichomonas tenax
- Trichomonas hominis

A
  • Giardia lamblia trophozoite
    1 pair at anterior and posterior end
    2 pair at central, extending laterally
  • Chilomastix mesnili trophozoite
    3 anterior
    1 posterior
  • Trichomonas vaginalis
    Four sub-equal anterior flagella
  • Trichomonas tenax
    4 flagella
  • Trichomonas hominis
    5 anterior flagella
    Posterior flagellum projecting from an undulating membrane (full body)
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11
Q

nuclei, karyosome and others

A

index card
GIARDIA LAMBLIA
- binucleated, the nucleus supported by an axostyle. (a prominent and rigid rod-like structure which functions for support and to maintain its shape)
- 2 axonemes are specialized structures associated with flagella. (kabit sa flagella)

2 median/ parabasal bodies are described as sausage shapes. Usually located posterior to the nuclei and serve as a unique cytoskeleton.

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12
Q

This helps measure the size of the parasite you are looking at under the microscope.

A

an ocular micrometer, which is a small ruler inside the eyepiece

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13
Q

they are described as sausage shapes. Usually located posterior to the nuclei and serve as a unique cytoskeleton.

A

2 median/ parabasal bodies

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14
Q

it is a prominent and rigid rod-like structure which functions for support and to maintain its shape.

A

axostyle

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15
Q

for protective barrier against environmental harsh conditions.

A

Well defined cyst wall

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16
Q

A soft inner layer inside the cyst that separates the outer wall from the parasite’s internal structures.

A

Thin layer of granular cytoplasm

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17
Q

life cycle of giardia lamblia

A

MOT: ingestion of cyst from contaminated food/water
Infective stage: cyst
Diagnostic stage: cyst
Site of inhibition: small intestine
Site of excystation: duodenum [first part of the small intestine]
Site of encystation: large intestine

18
Q

pathology of giardia lamblia

A

Giardiasis
Traveler’s/ Hiker’s/ Backpacker’s diarrhea
[people often get it from drinking contaminated water while traveling or hiking.]

  • cause inflammation in the intestines = excess mucus production
  • lead to malabsorption (poor absorption of nutrients) of fats and carbs STEATORRHEA
19
Q

epidemiology of giardia lamblia

A

Most common in warm, moist climates particularly in children.
Associate with poor environmental sanitation.

Risk factors:
- Poor hygiene
- Poor sanitation
- Overcrowding
- Bacterial and fungal overgrowth in the small intestine
- Homosexual man - “gay bowel syndrome”

20
Q

lab diagnosis of giardia lamblia

A

Stool examination

Examination of duodenal contents = for trophozoites
- As excystation is happening in the duodenum.

Entero-test/ String test

Small bowel biopsies (patients with negative stool examination)

serological test: ELISA = using Giardial antigen

21
Q

procedure for the entero-test/ string test

A

Ask the patient to swallow the gelatin capsule attached to a long string and will be left in place for several hours to allow the capsule to dissolve and the string to pass through into the small intestine.
- Several hours to overnight
- The string will be examined under the microscope, not the gel.

22
Q

treatment
- giardia lamblia
- chilomastix mesnili
- trichomonas vaginalis

A
  • giardia lamblia
    1. Metronidazole
    2. Furazolidone - for children under 5 years old
  • chilomastix mesnili
    Not necessary
  • trichomonas vaginalis
    Oral metronidazole (Most effective drug for treatment in both sexes)
    Acid douche for women
23
Q

prevention and control for
- giardia lamblia
- chilomastix mesnili
- trichomonas vaginalis

A
  • giardia lamblia
    Proper water treatment
    Avoid using human excreta as fertilizer for vegetables
    Prevent food contamination from flies and infected food handlers
  • chilomastix mesnili
    proper sanitation
    personal hygiene
  • trichomonas vaginalis
    Proper personal hygiene
    Avoid promiscuous sexual intercourse
    Protective devices such as condoms should be used.
24
Q

it has a distinct karyosome with a few achromatic fibrils.

A

Chilomastix mesnili

25
Q

pathology of Chilomastix mesnili

A

Non-pathogenic
Harmless commensal

26
Q

MOT for
- Chilomastix mesnili
- Trichomonas vaginalis

A
  • Chilomastix mesnili
    Ingestion of cyst in food and drinks
  • Trichomonas vaginalis
    sexual intercourse
    contaminated toilet seat and towel
27
Q

Urogenital Flagellates

A

Trichomonas spp.
Trichomonas vaginalis
Trichomonas tenax
Trichomonas hominis

28
Q

general characteristics for Trichomonas spp.

A
  • rounded anterior end and somewhat pointed posterior end
  • curved and rigid axostyle
  • small cytostome on one side of the anterior end
  • spherical nucleus
  • blepharoplast is present margin from which 3-5 flagella and a marginal flagellum on an undulating membrane, the base attachment being heavy a costa
    (costa - thickening on the side of the membrane)
29
Q

Largest Trichomonas spp.

A

Trichomonas vaginalis

30
Q

nucleus and cytoplasm of trichomonas vaginalis

A

NUCLEUS
Uninucleated anteriorly; ovoidal
Undulating membrane (½ of the length of the body) with a marginal flagellum

CYTOPLASM
Presence of siderophile granules
[small dark-staining granules that can be seen under a microscope.]

31
Q

site of inhabitation for trichomonas vaginalis

A

MALE host
- epithelium of the urethra
- prostate gland

FEMALE host
- surface of vaginal epithelium

Male host is usually ASYMPTOMATIC carriers

32
Q

the pathogenic trichomonas

A

trichomonas vaginalis
Disease: trichomoniasis

33
Q

clinical manifestation of trichomonas vaginalis

A

Inflamed vaginal walls with petechial hemorrhage
Surface of the vaginal epithelium is covered with coagulated materials: leukocytes, RBC and trichomonas
Desquamation of the epithelial cells
Cause non-specific urethritis, vaginitis and prostatitis

34
Q

trichomonas sign and symptoms
- female
- male

A
  • female
    Greenish yellow frothy vaginal discharge
    Intense itchiness of the vagina (Pruritus)
    Burning sensation
    Strawberry colored cervix
  • male
    thin, whitish discharge from the penis
35
Q

diagnosis for trichomonas vaginalis

A
  1. Unstained saline wet preparation (trophozoite)
    - Female specimen
    Urine
    Urethral discharges
    Vaginal discharges
    Cervical secretions
  • Male specimen
    Semen
    Prostatic secretions
  • For stained preparations, ff stains may be used:
    Giemsa
    Pap’s
    Romanowsky
    Acridine orange
  1. Specimens may be cultured using the ff. culture media:
    - Diamond’s modified medium
    - Feinberg and Whittington culture media
    - Cysteine peptone liver maltose
    - Simplified trypticase serum
  2. Semen culture
  3. Antigen detection
  4. Molecular methods
36
Q

undulating membrane for the trichomonas spp

A

Trichomonas vaginalis
- ½ of the length of the body with a marginal flagellum

Trichomonas tenax
- ⅔ of the body
- does not reach the posterior end of the body

37
Q

site of inhabitation and MOT for trichomonas tenax

A

Site of inhabitation: oral cavity

MOT: droplet spray from the mouth (kissing, common use of contaminated dishes and drinking glasses)

38
Q

lab diagnosis for trichomonas tenax

A
  • Swabbing the tartar between the gingival margin of the gums or the tonsillar crypts
  • Direct examination of mouth scrapings
39
Q

Trichomonas hominis aka

A

Pentatrichomonas hominis

40
Q

site of inhabitation and MOT for trichomonas hominis

A

Site of inhabitation: colon
MOT: ingestion of contaminated food and water
*Trophozoites are presumed to pass out with diarrheic stools.

41
Q

treatment for children under 5 years old with giardia lamblia

A

Furazolidone