L5: Parasitology Flashcards

1
Q

What is a parasite?

A

→parasite is an organism that lives on or in a host organism and gets its food from or at the expense of its host

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the three main classes of parasite?

A

→Protozoa

→Helminths

→Ectoparasites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are protozoa?

A

→microscopic, single-celled organisms that can be free- living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How are protozoa living in the intestine transmitted?

A

→ can be transmitted by the faecal-oral route

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How are protozoa living in blood transmitted?

A

→transmitted by an arthropod vector

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How are protozoa classified?

A

→by mode of movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are 4 types of protozoa?

A

→Amoeba, e.g. Entamoeba

→Flagellates, e.g. Giardia, Leishmania

→Ciliates e.g. Balantidium

→Sporozoa – organisms whose adult stage is not motile
e.g. Plasmodium, Cryptosporidium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name some medically important protozoa infections

A

→Entamoeba histolytica- amoebic dysentery- forms ulcers in the large intestines
→Trichomonas vaginalis- STD
→Malaria (Plasmodium spp.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are helminths?

A

→large, multicellular organisms (worms)

→visible to the naked eye in their adult stages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When can helminths not multiply?

A

→adult form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the three groups of helminths?

A

→Nematodes (roundworms)

→Trematodes (flukes)

→Cestodes (tapeworms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the three types of medically important nematodes?

A

→Soil-transmitted helminths
→Filarial parasites
→Others

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Give an example of soil transmitted nematode

A

→Hookworm spp.- small intestines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the difference between Taenia saginata and Taenia solium?

A

→Taenia solium is shorter than saginata

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where can Taenia solium larvae migrate to?

A

→brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are ectoparasites?

A

→Blood-sucking arthropods such as ticks, fleas, lice, and mites

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How long do ectoparasites remain in the skin?

A

→weeks to months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 4 types of ectoparasites?

A

→mites
→ticks
→lice
→flies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the 2 types of hosts of parasites?

A

→Intermediate – host in which larval or asexual stages develop eg shictoma uses snail

Definitive – host in which adult or sexual stage occurs

20
Q

What are the types of vectors?

A

→Mechanical when no development of parasite in vector

→Biological when some stages of life cycle occur

21
Q

What is a primary determinant of distributions of parasite infections in the humans?

A

→Relative wealth

22
Q

What are other determinants of parasite infections?

A

→Government resources and level of human development/per capita income
→Education
→Country-level and regional control programmes
→Availability of cheap and efficacious treatments
→Construction and building regulations (eg Chagas)
→Urban vs. rural residence
→Environmental sanitation

23
Q

Describe the life cycle of Trypansoma cruzi(Chagas)

A

→triatomine bug takes a blood meal
→metacyle trypomastigotes penetrate various cells at bite wound
→amastigotes multiply by binary fission
→intracellular amastigotes transform into trypomastigotes
→they burst out of cells and enter blood stream
→epimastigotes in midgut multiply

24
Q

Where is Chagas endemic to?

A

→South America

25
What are the phases of disease?
→acute →intermediate chronic →determinate chronic
26
Describe the acute phase of Chagas disease
→Incubation 1-2 wks after bite →Up to months after transfusion →Trypanosomes in blood
27
Describe the intermediate phase of Chagas
→Lifelong infection →trypanosomes not detectable but often positive for parasite DNA →Seropositive →60-70% →Normal ECG and X rays
28
Describe the determinate phase of chronic disease
→Seropositive
29
Describe the symptoms of acute Chagas
→Local swelling (Romaña) →Nodule or chagoma →Fever →Anorexia →Lymphadenopathy
30
How long do symptoms last in Chagas?
→8-10 wks
31
What are rare effects of Chagas?
→Hepatopsplenomegaly →Acute myocarditis →Meningoencephalitis →fatal
32
What is Chagas effect on the heart?
→damage to Purkinje fibres →thin heart muscles →aneurysms of the muscle
33
What parts of the digestive tract does chronic commonly Chagas affect?
→Esophagus, →rectum, →sigmoid →colon
34
What is the main presentation for chronic Chagas affect on the colon?
→megacolon | →constipation
35
What are the complications of a megacolon?
→Faecaloma →Obstruction →Sigmoid volvulus →Ulceration →Perforation
36
Describe acute immune response to Chagas pathogenesis
→Tissue damage caused by inflammatory response →Parasite killing by antibodies →Th1 pro- inflammatory cytokines
37
Describe immediate immune response to Chagas pathogenesis
→characterized by IL-10 and IL-17
38
Describe chronic immune response to Chagas pathogenesis
→Predominance of Th1 cytokines and CD8+ T cells | →Autoimmune mechanisms
39
What is the difference between Old World and New World cutaneous leishmaniasis?
→Old World- Mediterranean/Middle East →New world- Central and South America
40
Describe the life cycle of leismaniasis
→sandfly bites skin →promastigote engulfed by histocyte →binary fission →amastigotes in histocytes infect other cells →amastigotes released and taken up by sandfly
41
What is the vector of leismaniasis?
→sandfly | →feed on chicken
42
What are the clinical features of cutaneous leishmaniasis?
→purple colouring →plaques →ulcer
43
What can happen in the most serious cases of leishmaniasis?
→uncontrolled proliferation of parasites on skin
44
Describe chronic leishmaniasis pathogenesis
→Mucocutaneous disease associated with strong but inadequate inflammatory response to parasites that have metastasized to mucosa →Diffuse cutaneous leishmaniasis associated with uncontrolled parasite replication. →Recividans – recurrence of lesions at old ulcer site →alteration in immune reponse
45
Describe latent leishmaniasis pathogenesis
→characterized by balance of Th1 and anti-inflammatory responses →use of steroids
46
Describe acute leishmaniasis pathogenesis
→Parasite killing by Th1 pro-inflammatory responses →Tissue damage caused by inflammatory response