(O) 30: Parasitology II Flashcards
Flagellates
have one or more whiplike flagella
- sometimes has an undulating membrane
Amebae
use pseudopodia or protoplasmic flow to move
Sporozoa
undergo a complex life cycle w/ alternating sexual + asexual reproduction
move by GLIDING
Ciliates
have cilia distributed in rows or patches
Trypanosoma
Flagellate w/ intermediate + definitive host
- unicellular parasitic flagellate protozoa
- most are HETEOXENOUS and transmitted via a VECTOR
Some diseases they cause are:
- African trypanosomiasis (aka African Sleeping Sickness) caused by Trypanosoma brucei - vector is Tsetse fly
- American trypanosomiasis (aka Chagas disease) caused by Trypanosoma cruzi
African Trypanosomiasis
there are two types - East and West African
- BOTH are transmitted by the tsetse fly
- both are eventually fatal if not treated
East African trypanosomiasis is caused by Trypanosoma brucei RHODESIENE
West African trypanosomiasis is caused by Trypanosoma brucei GAMBIENSE
Tsetse fly and disease burden
Tsetse flies get nutrition from bloodmeal - reproductive cycles in their own body + eggs are laid in soil
Animals can host the human pathogen of Trypanosoma genus
T brucei brucei infects CATTLE in both West and East Africa - disease is Nagana
Trypanosomiasis in animals, especially cattle, is a major obstacle for economic devlopment
Trypanosoma life cycle
- infected tsetse fly ingests blood and injects parasites
- primary chancre develops at bite wound, in lymph
- trypomastigotes invade bloodstream (use our glucose + spreads asexually)
- humans are INTERMEDIATE hosts. tsetse fly bites + acquires infection
- undergoes sexual reproduction IN fly - tsetse fly is DEFINITIVE host
Signs and Symptoms of Trypanosoma infection
- Winterbottom’s sign (early onset): swollen lymph nodes at back
- perivascular cuffing in brain (late onset)
Antigenic Switching
T. brucei cell surface is covered by a variant surface glycoprotein (VSG)
if they switch, immune system can’t identify it fast enough to eradicate it
West vs East African Sleeping Sickness Symptoms
Both infections occur in 2 stages (initial hemolymphatic stage then CNS involvement)
- second stage symptoms: reversal of sleep-wake cycle, motor, sensory, mental + neurological disturbances
Main difference is time of symptom appearance + progression
West (T. brucei GAMBIENSE)
- symptoms develop over MONTHS post bite (headache, weakness, fevers)
- progress to 2nd stage in 300-500 days
East (T. brucei RHODESIENE)
- symptoms develop 1-3 WEEKS post bite
- progress to 2nd stage in 30-60 days
Diagnosis and Treatment of Sleeping Sickness
- no vaccine or drug for prophylaxis (can’t prevent)
- treatment depends on type of infection and stage
Staging is done by microscopic exam of CSF
- parasite in CSF = progressed to 2nd stage (if not, parasite in blood)
Giardia Lamblia
Flagellate, strict anaerobe = thrives in GI TRACT of humans
- infections by FECAL-ORAL route thru contaminated water
- giardiasis is frequent in travellers and immunocompromised ppl
G. lamblia is common in domestic animals - many infected ppl remain undiagnosed
Giardiasis Symptoms
Some ppl have no symptoms at all
Usually develop 1-2 weeks after infection: (all GI related)
- diarrhea
- gas
- foul-smelling, greasy stools
- stomach cramps or pain
- upset stomach or nausea
- vomiting
- dehydration
Treatment of Giardiasis
If you have diarrhea, drink lots of fluid to avoid dehydration
Effective pharmaceutical treatments exist
Entamoeba Histolytica
Amoeba, anaerobic
Causes AMOEBIC DYSENTRY (bloody diarrhea) in humans
- many members of this genus live in human large intestine but ONLY E. histolytica is clearly pathogenic
Transmitted via FECAL-ORAL route