Parasites Flashcards

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1
Q

What is a definitive and intermediate host?

A
  • Definitive Host (sexual cycle occurs in this host)
  • An animal in which the parasite passes its adult existence and/or undergoes a sexual reproductive phase
  • Intermediate Host
  • The intermediate host is where the parasite spends some time, but generally not as an adult, and with no sexual reproductive phase
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2
Q

What are the types of general parasites?

A

Helminths- worms, protozoa- malaria Giardia lamblia (intestinalis, duodenalis), arthropods- tick, mites

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3
Q

What are the types of worms- 2 types of platyhelmiths (flat worms) and nematodes

A

platyhelminths:
cestode (tapeworm) - Taenia solium and saginata, Hymenolepis nana (dwarf tapeworm)
trematodes (flukes)- Schistosoma sps
nematodes are ROUND worms
- Enterobius vermicularis (pinworm/threadworm)
- Trichuris trichiura (whipworm)
- Ancylostoma duodenale/Necator americanus (hookworms)
- Ascaris lumbricoides (large round worm of humans)
- Strongyloides stercoralis

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4
Q

what are the 2 less common sp of schistosoma?

A

S. mekongi (SE Asia only)
- S. intercalatum (stool only

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5
Q

what are the symptoms of schistosoma (bilharziasis)

how do we diagnose it and what is the treatment?

A
  • May be asymptomatic
  • fever, cough, abdominal pain, diarrhoea, hepatosplenomegaly, and eosinophilia

eggs in faeces, Tx – Praziquantel or Oxamniquine

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6
Q

Lifecycle of schistosoma
1. eggs shed from infected human diagnosed in faeces are shistosomas ______, _______, ______, while diagnosed in urine are _____, ______. (diagnostic stage)
2.eggs hatch and release _________
3. _________ penetrate snail tissue
4. _________ develop in snail (successive generations)
5. Free swimming _______ are released from snail to water (infectious stage)
6. _______ penetrate the skin, lose tail through penetrate and become _________. they circulate the body.
7. Migrate to ______ _______ in liver and ___________.
8. paired adult worms of S mansoni, japonicum and mekongi migrate to __________, S haematobium migrate to __________

A
  1. s. mansoni, japonicum and mekongi and haematobium. in urine just s mekong and japonicum and hematobium.
  2. miracidia
  3. miracidia
  4. sporocysts
  5. cercariae
  6. cercariae, schistosomule
  7. portal blood, mature
  8. Mesenteric venules of bowel or rectum that lay eggs that circulates in liver and shed in stool and haematobium migrate to venous plexis of the bladder - eggs shed in urine
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7
Q

What genus are cestodes?
what are the definitive host?
how long does it take to grow into an adult
how can you speciate the cestodes?
what is the treatment?

A

Taenia sp, - saginata (beef) and solium pork, worldwide distribution. Taenia asiatica (pork) is another sp
- Republic of Korea, China, Taiwan, Indonesia, Thailand
Humans are the only definitive host

  • Eggs can survive for days to months in the environment
  • Cysticercus can survive for several years in the animal
  • 2 months to grow to adult worm
  • survive in host for years
  • Diagnosis (after 3 months)
  • eggs in faeces
  • 30-40 μm (circular)
  • proglottids in faeces
  • Speciation by examination of proglottids or scolex NOT eggs
  • Tx – Praziquantel
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8
Q

what is the sage between sporocysts and cercariae in schistosoma?

A

Rediae

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9
Q

Lifecycle of taenia
1. ______ or _______ in faeces (diagnostic) is passed to the environment
2. _____ and ___ become infected by ingesting ________ contaminated by ____ or______.
3. __________ hatch, penetrate _____ walls and circulate to _______.
4. ________ develop into _________ (infectious) in _____
5. Humans are infected by ingesting ____ or _____ infected meat.
6. _______ attach to intestine (different ones for solium and saginata)- saginata more wide and solium more little
7. Adults in the small intestine

what do the proglottids look like for solim and saginata?

A
  1. eggs or gravid proglottis
  2. cattle or pigs, vegetation, eggs, gravid proglottis
    3.oncospheres, intestinal, musculature
  3. onchosphere, cysticerci (infectious) in muscle
  4. raw or undercooked

solium lines in glottids look fatter and less of them (pig= fattier), saginata more skinny more lines

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10
Q

which taenia sp can cause cycticercosis?
what is different from the development of normal tapeworm?
where can the cysticerci form? which is the most serious?

A

T. solium
Normal infective cycle is for humans to ingest the cysticerci in pig muscle but it is the Ingestion of embryonated eggs can lead to cysticercosis

can form at - cardiac
- spinal - ocular sites

cerebral (neurocysticercosis)
- seizures
- mental disturbances
- neurologic deficits
- death can occur suddenly

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11
Q

What is Hymenolepis nana known as?

A

Its a cestode- dwarf tapeworm

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12
Q

Life cycle of dwarf tapeworm
1. Embryonated egg in faeces (diagnostic AND infectious)
2. egg ingested by insect, _________ develops in insect
3 humans and rodents infected when the infected arthropods. or embronated egg ingested by human through hand to mouth, contam food
4. _________ hatches, cysticercoid dev in intestinal villus then grow to a _______ then an adult in the _____ portion of the small intestine
5. eggs can be released through the gential atrium of the ________ and they can also release eggs that are passed through stool by disintegrating

A
  1. cysticercoid
  2. oncosphere, scolex, ileal_
  3. gravid proglottids
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13
Q

how can autoinfection occur for dwarf tapeworm?

A

if egg remains in the intestine they then release a hexacanth embryo which penetrates the intestinal villus that continues the cycle

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14
Q

What is the lifecycle of enterobius vermicularis and trichuris trichiura
1. eggs in faeces
2, infective eggs develop in _______
3. the eggs are ingested and they hatch in the _______ where the young worms remain and mature
4. adult worms in the _____

A
  1. soil
  2. intestine
  3. intestine
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15
Q

what is another name for pin worm?
where do the female worms lay their eggs and when do they become infective?
what are the symptoms and how can it be spread?
what happens after eggs are ingested?

A

Enterobius vermicularis- a nematode, females lay eggs in perineal folds at night - Eggs become infective in 4 to 6 hours under ideal conditions
Itchiness because of secretion and self infection by hand to mouth also person to person or fomites, eggs also inhaled
larvae hatch in SI and grow to adulthood in COLON (caecum), can have male and female
* The time from ingestion to an adult female laying eggs is 1 month
* The life span of the adults is about two months

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16
Q

thought to be the most common nematode infection
* More common in children and can be passed to parents etc.
- More frequent in females
* Urethritis, vaginitis, nervousness, insomnia
* “Hand to mouth”
* Adult female worm 8-13 mm
* Source of infection- environment
* Signs and symptoms
- Anal skin irritation especially at night *

Treatment is?

A

Pin worm,

Mebendazole (Vermox)
- Pyrantel pamoate (Conbantrin)

17
Q

What is another name for trichuris trichuria
what is its lifecycle
Unembryonated eggs are passed in faeces
* Eggs become infective in the soil- how long does it take?
Soil-contaminated hands or food
* Larvae hatch in the small intestine and grow to adulthood (~4 cm long) in the colon

‘how many days do females lay eggs after infection and how long do adults live for?

A

Whipworm, infective- Takes 15 to 30 days

  • Adult female lays eggs 60 to 70 days after infection (3,000 and 20,000 eggs per day)
  • Adults live for about 1 year
18
Q

what is the ova of whipworm looking like? what is source of infection, signs and symptoms and treatment?

A

Distinct barrel shape ova with refractile convex polar plugs
* Adults 30-50mm
- Males are smaller with coiled “whip” tail * Source of infection
- Contaminated water, poor sanitary conditions
i.e., “Hand to mouth” – food, water, faecal hygiene
* Signs and symptoms
- May be asymptomatic with light infection
- Diarrhoea
- Abdominal pain/discomfort
- Anaemia
- Rectal prolapse (due to tenesmus)
* Treatment
- Mebendazole (Vermox)

19
Q

lifecycle of ascaris lumbricoides
1. eggs in faeces
2. develop to infective stage in ______
3. Eggs ingested, hatch, larvae penetrate _________
4. Migrate via __________ to heart, _______, _________ then swallowed
5. Adult worm in ________

hookworm
1. eggs in faeces
2. hatch in _________
3. __________ (non infective form) larvae becomes _______ (infective) larvae then penetrates the skin or ingested
4. migrate via ______ to heart, _______, _________ then swallowed
5. Adult worm in ________

A

Ascaris
2. soil
3.intestine
4. bloodstream, alevoli of lungs, trachea
5. intestine

Hookworm
2. hatch in soil
3. Rhabditiform, Filariform
4. bloodstream alevoli of lungs, trachea
5. intestine

20
Q

What is another name for hookworm?
which are the diagnostic and infectious stages?
how long does it take egg to hatch? how long till it becomes filariform (that penetrates skin), how long does it survive in soil?

how does it enter blood?
where does it mature and live in the body and how long do they live for (adult)

A

Ancylostoma duodenale/Necator americanus
infective is filariform larvae while diagnostic is eggs

Larvae hatch after 1-2 days (favourable conditions)
* Rhabditiform larvae (non-infectious)
* Larvae grow in faeces or soil
* After 5-10 days become Filariform larvae
* Can survive for 3-4 weeks in soil
* Filariform larvae penetrate skin

Enter into the blood by veins
* Travel via the circulation to the heart
* Then travel to the lungs
* Ascend bronchial tree and swallowed
* Mature and live in the small intestine
* Attach to the mucosa and consume blood
* Most adults live for about 1-2 years (longer possible)

21
Q

What is ascaris lumbricoides known as?

life cycle
* ____ and _______ eggs are passed in faeces
* ______ eggs become infective in the soil
* Takes __ days to several weeks
* Unfertilised eggs are not infective
* Ingested from soil-contaminated hands or food
* Larvae hatch in the small GIT
* Penetrate the mucosa into the blood
* Travel via the circulation to the lungs
* Mature in the _____ for 10-14 days
* Ascend bronchial tree and swallowed
* Mature and live in the small intestine
* Adult female lays eggs _____ months after infection
* (________ eggs per day)
* Adults live for about ___ years

A

large round worm

  • Fertilised and unfertilised eggs
  • fertilised
  • 18 days
  • lungs
  • 2 to 3 months
    -200 000 eggs/day
  • 1 to 2 yrs
22
Q

how long can a large round worm be?
* Estimated to affect 25% of world population - 1 billion people
* 1 worm can be significant
* Adult worms can migrate from GIT
* Source of infection
- Contaminated water, poor sanitary conditions
i.e., “Hand to mouth” – food, water, faecal hygiene
* Signs and symptoms
- May be asymptomatic with light infection
- Diarrhoea
- Abdominal pain/discomfort
- Obstruction of GIT - anal protrusion, coughed up, bowel perforation
* Treatment
- Mebendazole (Vermox)

A

15-35cm long

23
Q

What is different about strongeloides
what is the lifecycle?
how can auto infection occur

A

Rhabditiform larvae is the diagnostic form while filariform is the infectious form, eggs not used to diagnose

once filariform penetrate skin it enters circulatory system- transported to lungs, penetrate alveoli, carried to trachea and pharynx, swallowed then to SI where become adults

eggs deposited in intestinal mucosa, hatch and migrate to lumen, rhabditiform larvae in intestine excreted in stool

autoinfection- Rhabditiform larvae in large intestine becomes filariform- penetrate intestinal mucosa or perianal skin and follow normal infective cycle

24
Q

where is strongeloides stercolaris usually found, diagnosis and length and treatment

A

Distribution is tropical and sub-tropical
30-100 million people infected globally

Diagnosis
- Rhabditiform larvae in stool
- 180-380 μm long

Tx - ivermectin with albendazole

25
Q

What type of parasite is Giardia lamblia

where is it carried and what is the source of infection?
what are the symptoms like stool

how do you treat it?

A

Protozoa

May be carried by some animals - calves,
lambs, rodents
* Source of infection
- Contaminated water, person to person contact
* Signs and symptoms
- Diarrhoea
- Mucus secretion
- Flatulence
- Fat malabsorption - pale stools, mustard colour, foul smelling
* Treatment
- Metronidazole (Flagyl)
- Quinacrine (Atabrine)