parasites Flashcards
chagas is caused by the…
riduviid bug (kissing)
what are the signs of chagas?
cardiomyopathy
mega colon
mega esophagus (localizes to the nerve cells of the myenteric plexus)
txt chagas w…
nifurtimox
(If i went on a “CRUZ” to SA and got the KISSING BUG, Keith would get a “kNIFe” and “‘URT” Me in the Heart (and colon and esoph)
signs of visceral leishmaniasis
spiking fevers, hepatosplenomegaly, pancytopenia
visceral leishmaniasis is spread by the
sandfly
what do you see on a blood smear of visceral leishmaniasis?
Macrophage w/amastigote (no flagella)
txt for visceral leishmaniasis?
sodium stibogluconate
what causes green, foul smelling vaginal discharge and itching?
Trichomonas vaginalis (trophozoite)
what is VERY important in txt trichomonas vaginalis?
txt pt AND PARTNER w/metronidazole
what’s another word for pin worms?
Entorobius vermicularis
how is Enterobius vermicularis (pinworms) spread
food contaminated w/eggs
signs of enterobius ifxn
anal pruritus - scotch tape test!
how do you txt enterobius vermicularis
Bendazoles- BEND over and scratch your butt!
Pyrantel pamoate
Taenia solium you get from
undercooked pork
how do you get intestinal disease from Taenia solium?
eat larvae in undercooked pork
how do you get cysticercosis/neurocysticercosis (Taenia solium cysts in brain that cause seizures)
eat taenia solium eggs
how do you txt intestinal ifxn from Taenia soleum?
how about cystericosis?
neurocystericosis?
intestinal ifxn and cystericosis w/ praziquantel
neurocystericosis w/bendazoles
3 protazoa that cause GI ifxns:
- giardia lamblia
- Entamoeba histolytica
- Cryptosporidium
bloating, flatulence, foul-smelling, fatty diarrhea seen in campers/hikers
Giardia!
how do you get giardia?
drink cysts in H20
how can you diagnose giardia?
trophozoites or cysts in stool
txt giardia w/
metronidazole
bloody diarhea, liver abcess, “anchovy paste” exudate, RUQ pain, recent travel to developing country?
Entamoeba histolitica
ddx of entamoeba histolytica?
serology and/or trophozoites w/ RBCs in cytoplasm! or cysts (spherical, granular cytoplasm w/up to 4 nuclei) in the stool
severe diarhea in AIDS pt or mild diarhea in immunocomp person
cryptosporidium
which protazoa causes multiple, discrete ulcerative lesions on colonoscopy? which is non-ulcerative?
ulcerative: entamoeba histolytica
non-ulcerative: cryptosporidium
biopsy n pt w/ cryptosporidium shows
basophil clusters on surface of intestinal mucosal cells
txt for entamoeba histolytica?
metronidazole