General- parasites Flashcards

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1
Q

What are Sarcodina?

A

Ameba (protozoa)

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2
Q

What are Mastigophora?

A

Flagellates (protozoa)

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3
Q

What are Ciliophora?

A

Ciliates (protozoa)

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4
Q

What are Sporozoa?

A

Protozoa that are nonmotile in adult stage

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5
Q

What are the categories of helminths?

A
  • Flat worms/platylhelminths (trematodes and cestodes)
  • Thorny-headed worms/acanthocephalins
  • Roundworms (nematodes)
  • Segmented worms (annelids)
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6
Q

What are ectoparasites?

A

Blood-sucking ectoparasites, fleas, ticks, lice, mites, etc. that burrow into skin and remain for a long time. May serve as vectors of other pathogens.

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7
Q

Which parasites can be cultured? What do they usually cause?

A

Acanthamoeba species and Naegleria fowleri; CNS and ocular infections

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8
Q

Common causes of acanthamoeba

A

Eye contact contamination causing ocular infection (e.g. dirty hands)

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9
Q

Which parasite may be seen in routine bacterial culture?

A

Strongyloides (note: not cultured this way)

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10
Q

Which parasite can cause CNS infection by Gram-negative rods? How?

A

Strongyloides; tissue invasion may bring GI flora into bloodstream (note: Gram-negative rods may cause meningitis in neonates and children without Strongyloides infection)

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11
Q

How is a Giemsa stain performed?

A

Drop of blood is hemolyzed for visualization of intracellular organisms. in thick smear. Thin smear is not hemolyzed, but morphology is preserved.

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12
Q

How many specimens are needed to check for parasites in a stool O&P?

A

3 specimens on 3 separate days.

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13
Q

Which parasites cannot be identified on stool O&P?

A
  • Cryptosporidium
  • Cyclospora
  • Cystoisospora
  • Microsporidia
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14
Q

Which stain is used if cryptosporidium is suspected?

A

Acid-fast stain (EIA or DFA can also be used)

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15
Q

When is stool antigen testing the optimal choice?

A

Giardia, Cryptosporidium, and Entamoeba (antigen testing also available for Plasmodium species)

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16
Q

Which parasites can be detected by serology?

A

Strongyloides, Entamoeba histolytica (disseminated only)

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17
Q

Loa loa (microfilariae)- Presentation

A

Swelling in skin; worm in conjunctiva

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18
Q

Loa loa (microfilariae)- Labs

A

Blood smear/Giemsa

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19
Q

Entamoeba histolytica- Presentation

A

Inflammatory diarrhea, liver abscess with ‘anchovy paste’ smell

20
Q

Entamoeba histolytica- Labs

A

Stool O&P, antigen test, serology

21
Q

Acanthamoeba- Presentation

A

Ocular and CNS infections

22
Q

Acanthamoeba- Labs

A

Culture, stain, PCR

23
Q

Pediculus humanus- Presentation

A

Head and body lice

24
Q

Pediculus humanus- Diagnosis

A

Ectoparasite exam

25
Q

Enterobius vermicularis- Presentation

A

Pinworm (itchy butt)

26
Q

Enterobius vermicularis- Diagnosis

A

Scotch tape prep

27
Q

Trypanasoma brucei- Presentation

A

African Sleeping Sickness

28
Q

Trypanasoma cruzi- Presentation

A

Chagas disease

29
Q

Trypanasoma- Labs

A

Blood smear/Giemsa stain

30
Q

Strongyloides stercoralis- Presentation

A

Intestinal or disseminated infection

31
Q

Strongyloides stercoralis- Labs

A

Stool O&P, serology

32
Q

Babesia- Presentation

A

Hemolytic anemia and fever

33
Q

Babesia- Labs

A

Blood smear/Giemsa stain or PCR; “Maltese Cross” distinguishes it from Plasmodium

34
Q

Taenia/tapeworm- Presentation

A

Taenia solium/saginatum, cysticercosis

35
Q

Taenia/tapeworm- Diagnosis

A

Stool O&P, imaging

36
Q

Giardia- Presentation

A

Camper’s/Hiker’s diarrhea (steatorrhea)

37
Q

Giardia- Diagnosis

A

Stool O&P (at least 3), antigen test; “Face” distinguishes it from other trophozoites

38
Q

Echinococcus- Presentation

A

Hydatid cysts

39
Q

Echinococcus- Labs

A

Stool O&P, imaging, serology

40
Q

Trichomonas- Presentation

A

STI/vaginitis (yellow-green discharge)

41
Q

Trichomonas- Diagnosis

A

Wet mount, molecular test

42
Q

Scabies- Diagnosis

A

Skin scraping of leading edge

43
Q

Schistosoma- Diagnosis

A

O&P of stool or urine

44
Q

Plasmodium falciparum- Presentation

A

Malaria

45
Q

Plasmodium falciparum- Diagnosis

A

Blood smear/Giemsa stain, antigen test