Malarial Parasite Flashcards
PLASMODIUM
● Normally transmitted by the bite of Plasmodium infected
female mosquito
Vertebrates: asexual or sexual
asexual cycle (Schizogony)
Invertebrate: asexual or sexual?
: sexual cylce (Sporogony)
Stage:
● Feeding or growing stages in the asexual cycle
● Lives within the tissue cells
- TROPHOZOITE
Stage:
Sporozoan body during schizogony
SCHIZONT
stage: ● Released from the infected cell
● Some will infect other tissue cells going back to the
trophozoite stage
● Others will be differentiated into male and female forms
(gametocytes)
- MEROZOITES/ LATE SEGMENTERS
IMMATURE SEXUAL FORM
. GAMETOCYTES -
stage:
● Fertilized ovum/ova before cell division
● Union of macrogamete and microgamete
- ZYGOTE
○ Female gametocyte
○ Produce a macrogamete
○ Mature only to be fit for fertilization
MACROGAMETOCYTES
○ Male gametocyte
○ Produce a group of microgametes
MICROGAMETOCYTES
Mature sexual form of plasmodium
- GAMETES
○ Female gametocyte
○ Produce a macrogamete
○ Mature only to be fit for fertilization
A. MICROGAMETOCYTES
○ Male gametocyte
○ Produce a group of microgametes
B. MICROGAMETOCYTES
Male sex cells in sporozoa
MICROGAMETES
○ Female sex cells in sporozoa
MACROGAMETES
stage:
● Encysted zygote
- OOCYST
stage:
● end product of sexual multiplication of malarial parasites in
mosquito
- SPOROZOITE
stage: ● one of a number of bodies in many sporozoa into which the
zygotes divide and from which sporozoites are formed
- SPOROBLAST
stage:
● the separated membrane that surrounds a sporoblast and
subsequently the group of sporozoites formed from this
sporoblast
- SPOROCYST
● Fertilized ovum/ova before cell division
● Union of macrogamete and microgamete
ZYGOTE
– rapidly multiplying stage in the development of the tissue phase of
certain organisms such as Toxoplasma gondii
Tachyzoites
P.vivax cause what disease?
Benign Tertian Malaria
Incubation Period of p.vivax
12-20 days
Incubation Period:PLASMODIUM OVALE
11-16 days
prepatent period of p.vivax
11-15 days
PLASMODIUM OVALE Has recently been shown by genetic methods to consist of two
species
1) Plasmodium ovale curtisi
(2) Plasmodium ovale wallikeri
Intermittent fever every 72 hours
PLASMODIUM MALARIAE
Prepatent period: PLASMODIUM OVALE
14-26 days
Intermittent fever every 48 hours
PLASMODIUM OVALE and p.vivax
The ____ can lead to severe disease and death due
to splenomegaly
vivax malaria
P.ova causes what disease
Ovale Tertian Malaria
Incubation Period: PLASMODIUM MALARIAE
18-40 days
Prepatent period:PLASMODIUM MALARIAE
3-4 weeks
p.mala cause what disease
Quartan Malaria
MALARIAL PAROXYSM
3 STAGES:Symptoms would usually diminish at this stage
SWEATING STAGE
Causative agent PLASMODIUM FALCIPARUM
Malignant Tertian Malaria
MALARIAL PAROXYSM
3 STAGES:
● There is a sudden feeling of cold or a feeling of inappropriate
convulsion
● characterized by mild shivering, violent teeth chattering
● Vomiting and febrile convulsions
- COLD STAGE
Intermittent fever every 36-48 hours
PLASMODIUM FALCIPARUM
incubation Period PLASMODIUM FALCIPARUM
8-15 days
Prepatent period: PLASMODIUM FALCIPARUM
11-14 days
MALARIAL PAROXYSM
3 STAGES: Rigors last for 14-60 minutes
COLD STAGE
MALARIAL PAROXYSM
3 STAGES:
● Characterized by very high temperature of 40-41C
. HOT STAGE OR FLUSH PHASE
ERYTHROCYTIC CYCLE: 48 hours
P. FALCIPARUM:
MALARIAL PAROXYSM
3 STAGES:
Manifests with headache
● palpitations , tachypnea, epigastric discomfort
● Because of the high temperature, thirst, nausea and vomiting
● Last for 2-6 hours
- HOT STAGE OR FLUSH PHASE
MALARIAL PAROXYSM
3 STAGES: Temperature lowers over the next 2 to 4 hours because of the
sweating
- SWEATING STAGE:
MALARIAL PAROXYSM
3 STAGES: In this stage, there is also convulsion and the patient can
become delirious because of the very high temperature and
the skin is usually flushed and very hot
HOT STAGE OR FLUSH PHASE
ERYTHROCYTIC CYCLE: paroxysms occur on alternate days hence causing Tertian
malaria
P. OVALE AND P VIVAX
MALARIAL PAROXYSM
3 STAGES: Total Duration: 8-12 hours
SWEATING STAGE:
ERYTHROCYTIC CYCLE: paroxysms 72 hours (on 1 and 4 days)
❖ Quartan malaria
PICTURE: DISSEMINATED INTRAVAS
P. MALARIAE:
DIAGNOSIS: ❖ In P. falciparum only the____can be found which would
usually be done 10 days after symptoms begin, gametocytes
may be found.
ring form ; THICK AND THIN BLOOD FILM EXAMINATION
s Disseminated Intravascular Coagulation
that can be seen in
P. falciparum
DIAGNOSIS: Malarial parasites: bright green and yellow under fluorescent
microscope
QUANTITATIVE BUFFY COAT (QBC)
DIAGNOSIS:
❖❖ Special capillary tube coated with Acridine orange
QUANTITATIVE BUFFY COAT (QBC)
DIAGNOSIS:❖ Giemsa and Wright’s stain
❖ Specimen collection which can be done anytime every 6-8
hrs is appropriate)
THICK AND THIN BLOOD FILM EXAMINATIO
DIAGNOSIS: ❖ Only used for screening and needs thick, thin films
QUANTITATIVE BUFFY COAT (QBC)
DIAGNOSIS:Antigen capture test
PARASIGHT F TEST
DIAGNOSIS: High sensitivity and good specificity
PARASIGHT F TEST
DIAGNOSIS: This is a dip stick test for simple and rapid diagnosis of P.
falciparum
PARASIGHT F TEST
DIAGNOSIS:
PARASIGHT F TEST antigen
Ag: trophozoite-derived histidine-rich protein II
(HRP-II)
TREATMENT To prevent establishment of the parasite in the liver
CAUSAL PROPHYLACTIC DRUGS
TREATMENT destroy the sexual form of parasite in the blood
GAMETOCYTOCIDAL DRUGS
MORPHOLOGY:
Ovoidal, pyriform or cresentic
TOXOPLASMA GONDII
TREATMENT attacks the parasite in red blood cells
BLOOD SCHIZONTICIDAL DRUGS
TREATMENT prevents the occurrence of the disease
HYPNOZOITICIDAL OR ANTI-RELAPSE
MODE OF TRANSMISSIONTOXOPLASMA GONDII
Ingestion of uncooked meat, fecal contamination, nasal route,
transplacental
Drug of choice for malaria
CHLOROQUINE
TREATMENT it inhibits the development of the oocysts in the gut of the
mosquitoes.
SPORONTICIDAL DRUGS:
MAIN USES OF ANTIMALARIAL DRUGS: MAIN USES OF ANTIMALARIAL DRUGS:
Curative-
MAIN USES OF ANTIMALARIAL DRUGS: prophylactic
Protective-
CHLOROQUINE combination
Pyrimethamine/sulfadoxine
So there is an exogenous asexual phase in the mosquito
called the
sporogony
MODE OF REPRODUCTION TOXOPLASMA GONDII
longitudinal binary fission
drug for severe falciparum malaria
Quinine or quinidine:
TOXOPLASMA GONdii HOST:
cats
OPPORTUNISTIC SPOROZOANS:
- Toxoplasma gondii
- Cryptosporidium specie
- Pneumocystis carinii
- Isospora belli
TOXOPLASMA GONDII DISEASE:
Toxoplasmosis
T,gon infective stage
oocyst
ONE OF THE MOST
COMMON HUMAN INFECTIONS THROUGHOUT THE WORLD
TOXOPLASMOSIS
IS A PROTOZOAN PARASITE THAT
INFECTS MOST SPECIES OF WARM BLOODED ANIMALS
INCLUDING MAN AND CAN CAUSE THE DISEASE
TOXOPLASMA GONDI
a high prevalence of infection in ___ has been related to a
prevalence for eating raw or undercooked meat
France; t,gondi
high prevalence in ____ has been related to the
frequency of stray cats in a climate favoring survival of
OOCYST and soil exposure
central America; t.gondii
TISSUE STAGES IN MAN of T.gondi; fast rapid, multiplication, acute phase
TACHYZOITEs
TISSUE STAGES IN MAN of T.gondi ; slow proliferation during this stage, chronic phase
BADYZOITES
TISSUE STAGES IN MAN of T.gondi; Female who first to acquire the infection
during pregnancy may transmit the
infection to embryo resulting in fetal
death, or mental retardation on newborn,
or blindness in later life
TACHYZOITES
TISSUE STAGES IN MAN of T.gondi ; Major cause of encephalitis in AIDS
patients
TACHYZOITES