Micro 6 Parasites Flashcards
Protozoa associated with water contamination outbreak
Cryptosporidium parvum
Entamoeba histolytica lifecycle
Trophozites replicate in intestine, encystation in colon, reingestion, excystation in gastric acid
Entamoeba histolytica pathology
- Afebrile dysentery (blood) or watery diarrhea
- Abscess in liver or brain
- Ulcer
Amebiasis risk
Poor sewage countries
E. histolytica Dx
- Microscopy of stools
- Serology
- CT for abscess
E. histolytica appearance
Gooey or cyst
Amebiasis ddx
MUCUS and blood in stool
No granulocytosis
No fever
Tx for all parasites
- Metronidazole for E. histolytica & G. lamblia
- Nitazoxanide for C. parvum
Giardia lamblia lifecycle
Same as ameba
Giardia lamblia risk
Beavers and Dogs
Giardia lamblia appearance
Ghost or cyst
Giardiasis ddx
- Watery diarrhea (no mucus, blood, PMN, fever)
- Flatulence, stinky greasy stools (malabsorption), lactose intolerance
Giardiasis Dx
ELISA antigen test, stool microscopy
Cryptosporidium parvum lifecycle
Same
Cryptosporidium parvum risk
Cows, anal sex, AIDS
-Chlorine resistant
Cryptosporidium Dx
ELISA, fluorescent microscopy
Roundworm name, location, & path
- Ascaris lumbricoides
- Small intestine
- Intestinal obstruction
Hookworm name, location, & path
- Ancylostoma duodenale, Necator americanus
- Small intestine
- Anemia
Threadworm name, location, & path
- Strongyloides stercoralis
- Small intestine
- Anaphylactic shock (autoinfection)
Whipworm name, location, & path
- Trichuris trichiura
- Colon
- Anal prolapse
Fish tape worm name, location, & path
- Diphyllobothrium latum
- Small intestine
- Macrocytic anemia (B12)
Worms that enter through skin
- Hookworm (ancylostoma & necator)
- Threadworm (strongyloides)
Ascaris egg
Corticated & pigmented (thick and dark)
Ascaris lumbricoides outside of intestine
Lung lifecycle
Ancylostoma egg
Thin-walled multi-cell (looks wet)
Ancylostoma outside of intestine
- Lungs
- Chew out, suck blood
Strongyloides egg
Look for larvae instead
Storngyloides outside the intestine
Filariform larvae thread back into skin, follow lung lifecycle, turn into Rhabditiform larvae
Trichuris egg
Thick-walled oval with polar hyaline plug
Trichuris outside the intestine
Whip out the prolapse
Cysticercosis tape worm
Taenia solium (pork)
Broad/Fish tape worm
- Diphyllobothrium latum
- B12 deficiency
- Scolex bites your shit