Parasitology Flashcards

1
Q

What type of parasite is schistosomiasis?

A

→helminths

→flukes

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2
Q

What are the three main species of schistosomiasis?

A

→• Schistosoma mansoni
→S. haematobium
→ S. japonicum

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3
Q

Describe the life cycle of schistomiasis

A

→Eggs shed from infected human
→eggs hatch and release miracidia
→miracidia penetrate snail tissue
→sporocysts develop in snail
→free swimming cercariae released from snail into water
→cercariae penetrate skin
→cercariae lose tails during penetration and become schistosomulae
→circulation
→migration to portal blood in liver and maturation into adults
→paired adult worms migrate to bowel, liver, bladder
→eggs shed in urine

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4
Q

What is the presentation of schistosomiasis cercarial dermatitis?

A

→Allergic-type reaction

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5
Q

What is a key feature of immune response in schistosomiasis?

A

granuloma formation

eggs become organised in granulomas

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6
Q

What damage can granulomas do in schistosomiasis?

A

tissue repair leads to fibrosis and

organ damage

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7
Q

Which schistosomiasis strains result in hepato-intestinal symptoms?

A

S.mansoni

S.
japonicum

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8
Q

What type of parasite if onchocerciasis?

A

helminths

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9
Q

What is a major disease in onchocerciasis?

A

blinding disease

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10
Q

What is onchocerciasis caused by?

A

filarial parasite

onchocerca volvulus

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11
Q

What is onchocerciasis transmitted by?

A

blackfires

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12
Q

Describe the geographical distribution of onchocerciasis

A

Africa

South America

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13
Q

Describe the life cycle of onchocerciasis

A

→blackfly takes a blood meal
→subcutaneous tissues
→adults produce unsheathed microfilariae found in skin and lymphatics, urine
→blackfly takes blood meal
→microfilarie penetrate blackfly’s midgut and migrate to thoracic muscle
→migrate to head

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14
Q

Why is there damage and scarring in the skin and eyes in onchocerciasis?

A

→ repeated episodes of inflammation to microfilariae

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15
Q

Describe the clinical presentations of skin disease in onchocerciasis

A

→Acute papular onchodermatitis
→Chronic onchodermatitis
→ sowda

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16
Q

What are the clinical eye presentations in onchocerciasis?

A
→• Punctate keratitis
• Acute iridocyclitis
• Sclerosing keratitis
→Optic neuritis/atrophy
• Chorioretinopathy
17
Q

What are the different molecules involved in acute or chronic onchocerciasis?

A

Acute
→dendritic cell
→natural or adaptive TReg
→eosinophil

18
Q

What are the different molecules in chronic immune response of onchocerciasis?

A

→activated macrophages
→IgG
→B2 cells

19
Q

What causes progressive tick paralysis?

A

→failure of acetylcholine release in neuromuscular junction

→toxin blocks motor nerve fibres

20
Q

What is the difference in disease between hard bodied ticks and soft-bodied ticks?

A

→hard bodied= rickettsal, bacterial, protozoan diseases

→soft bodied= fever, Q-fever

21
Q

Where do body lice lay their eggs?

A

→on clothing

22
Q

What are the two types of sucking lice?

A

→crab lice

→public lice

23
Q

How does suckling lice spread?

A

→close contact

24
Q

Describe the life cycle of botfly

A

→fly bites cow

→produces larvas

25
Where is botfly disease endemic to?
→South America
26
What are some treatments for protozoa?
→Tinidazole →metronidazole →nitazoxanide
27
What are some treatments for helminths?
→albendazole →praziquantel →Ivermectin
28
What are some treatments for ectoparasites?
→ivermectin | →benzyl
29
What are the three ways of controlling parasites?
→behaviour →environmental interventions →poverty reduction
30
What are some environmental interventions?
``` Spraying of residual insecticides for household vectors • Mosquito nets for malaria • Improved housing • Sewage disposal and potable water • Drainage of swamps ```
31
Why must treatment be given periodically over long periods?
→re-infections are rapid or →treatment kills larval rather than adult stages