PARASITIC INFECTIONS Flashcards
what are the main types of parasites?
protozoa, helminths and arthropods
what are the features of protozoa?
unicellular eukaryotic
endoparasites
what are the features of helminths?
multiceullar
eukaryotic
endoparasites
have elongated, flat or round bodies
what are the features of arthropods?
multicellular
eukaryotes
ectoparasites
invertebrates
what features make an ideal anti-parasitic drug?
it having selective toxicity to parasites, being cost effective, easy to administer/distribute, unlikely to develop resistance
how do anti-protozoals work?
they target rapid proliferating, young growing cells by inhibiting nucleic acid synthesis/protein synthesis/specific metabolic pathways/detoxicification mechanisms
how do anti-helminthic agents work?
they target non-proliferating adult organisms
tend to Taggert neuromuscular coordination, carbohydrate metabolism and micro-tubular integrity
what do helminths need micr-tubular integrity for?
egg laying and hatching, larval development, glucose transport, enzyme activity, secretion
what can human malaria be caused by?
plasmodium falciparum
P. vivax
P. ovale
P. malariae
outline the exo-erythrocytic cycle in the cycle of mosquito/human in malaria
mosquito takes a blood meal from Human and injects sporozoites from salivary glands into host
sporozoites enter hepatocytes and mature into schizonts which rupture, releasing merozoites after about 7 days
outline the erythrocytic cycle in the cycle of mosquito/human in malaria
merozoites infect erythrocytes and parasites undergo asexual replication to form immature trophozoites before they mature into schizonts and rupture to release merozoites
outline how gametocytes form in the cycle of mosquito/human in malaria
some parasites dont continue in the erythrocytic cycle but instead differentiate into gametocytes which are released into the blood
what do we call male and female gametocytes?
male – microgametes
female – macrogametes
outline the sporogonic cycle in the cycle of mosquito/human in malaria
uninfected mosquito takes a blood meal from infected humans and ingests the macrogametes and microgametes. within the mosquito stomach, microgametes penetrate macrogametes and develop zygotes. zygotes develop into ookinetes and invade the midgut wall where they develop into oocysts
oocysts grow, rupture and release sporozoites which move to the salivary glands
what are hypnozoites?
dormant malaria parasites that persist in the lover and can reactivate and cause relapses of malarial disease
which plasmodium species can cause hypnozoites?
P. vivid and P. ovale
why is plasmodium falciparum the most virulent species?
as mature forms of P.falciparum-infected-erythrocytes sequester in the micro-vasculature
this can clog vessels e.g. causing cerebral malaria
outline the cyclic structure of the fever caused by malaria?
cold stage of shivering for 15-60 minutes
hot stage of fever, headaches, vomiting, flushing, dry skin and even seizures for 2-6 hours
sweating stage for 2-4 hours
what are the 3 classes of presentation of malaria?
asymptomatic
uncomplicated
severe
what is asymptomatic malaria?
caused by all Plasmodium species; the patient has circulating parasites but no symptoms
what is uncomplicated malaria?
can be caused by all Plasmodium species
A patient who presents with symptoms of malaria and a positive parasitological test but with no features of severe malaria
what is severe malaria?
when infections are complicated by serious organ failures or abnormalities in the patient’s blood or metabolism
(cerebral malaria, severe anaemia, resp distress, hypoglycaemia etc)
what are the effects of cerebral malaria?
fits, coma, brain damage
what do cells infected with malarial pigments look like?
dark spots in cells caused by the accumulation of hemazoin (disposal product of the parasite digesting blood)