Parasitology Flashcards
What is a protozoan? Give some examples
Parasite
Unicellular eukaryote
Ex. Malaria, giardia, entamoeba
What is a helminth? Give some examples
Parasite; “worms”
Multicellular
Ex. Ascaris, loa loa, strongyloides
Are life cycles the same for all parasites?
No
What are the general steps involved in the lifecycle of a parasite?
Enter host
Migrate to target organ
Develop into adult form
Wreak havoc on pts
Spread (release eggs, leave host)
What are the general diagnostics used in identifying parasites in an infected host?
Serology - while parasite “wrecking havoc”
Microscopy - while parasite “spread”
How is entamoeba histolytica transmitted?
Fecal/oral route
What clinical diseases are associated with entamoeba histolytica?
Dysentery
Rare: abscesses in liver, brain, lungs (IC pts)
What is the treatment for entamoeba histolytica?
Metronidazole + paromycin (for cysts)
This parasite causes “beaver fever” and it not treated as it is self-limiting
Giardia lamblia/duodenalis
What clinical diseases are associated with Giardia?
GI distress: loose stools with no blood
Rare: fever, hives
What are the diagnostic tests used for Giardia?
Identification of trophozoites (adults) or cysts (eggs) in stool
Serology and PCR are also options
This parasite causes the most severe and dangerous form of malaria
Plasmodium falciparum
What does plasmodium look like on a blood smear?
A ring structure within an RBC
How does plasmodium spp. cause anemia?
Grows within an RBC, gets too big —> cell bursting
What are the treatments for plasmodium?
Malaria is treated with Chloroquine
What are the post-exposure prophylaxis options for plasmodium?
Atovaquone/proguanil
Doxycycline
How is plasmodium commonly transmitted to humans?
Via mosquitoes that are carrying the parasite
The mosquitoes acquire the parasite by taking a blood meal from an infected host
This amoeba is commonly associated with improper contact lens cleaning and can cause eye infection and in rare causes spread to the brain (granulomatous encephalitis)
Acanthamoeba
One of the diagnostic tests for acanthamoeba is placing it on agar and observing if it causes cell lysis on agar. What organism is lysed on the agar?
E. Coli
What is the treatment for acanthamoeba?
Miltefosine
This parasite is transmitted by contaminated cat faces, meat/water, and can be transmitted congenitally.
Toxoplasma gondii
What is the treatment of toxoplasma?
Usually not treated as it’s self-limiting
May need to be treated in pregnancy with pyrimethamine to prevent spread to infant
In which trimester is there risk of toxoplasma being transmitted to the fetus?
3rd trimester —> 60-80% likelihood
Chagas disease is associated with this parasite. It is transmitted by blood, congenitally, or by the kissing bug
Trypanosoma cruzi
Trypanosoma cruzi is found in what parts of the globe?
The Americas
What are the 2 phases of Chagas disease?
Acute flu like, lymphadenopathy. 50% asymptomatic
Chronic majority (80%) are asymptomatic, cardiac issues (rare) or GI issues
What are the treatment options for trypanosoma cruzi?
Benznidazole
Nifurtimox
This pathogen is responsible for causing African sleeping sickness
Trypanosoma brucei
Trypanosoma brucei is responsible for causing African sleeping sickness. What are the stages of this disease?
Stage 1: chancre (painless, firm ulcer), flu-like
Stage 2: month/years later —> CNS infection, severe
What are the treatment options for trypanosoma brucei?
Pentamidine
Kala-azar is associted with what pathogen?
Leishmania donovani
What organs does kala-azar impact?
Spleen/liver
What regions of the world is leishmania spp. associated with?
Old world: Asia, Africa
New world: Mexico, central/south americas
How is leishmania spp. transmitted?
Sand fly bite
Blood
Congenital
What 3 ways can clinical disease manifest with leishmania spp?
Cutaneous
Visceral
Mucosal
What are the visceral manifestations of clinical disease in leishmania?
Non-tender liver/spleen enlargement
What are the treatments for leishmania spp?
Treatment is geared towards preventing secondary infection
With kala-azar amphotericin B with heat/cold therapy
Colloquially called “African eye worm”, this helminth is found in West Africa and presents with calabar swelling in severe clinical cases
Loa Loa; round nematode
What is calabar swelling?
Localized, transient angioedema in response to metabolites released by the parasite
How is loa loa transmitted?
Deer fly bite
What is the treatment for loa loa?
Diethylcarbamazine (DEC)
Although this roundworm is asymptomatic in 80% of cases, it is associated with Loeffler’s syndrome and bronchitis if larva migrate through the lungs
Ascaris lumbricoides
What is the treatment for ascaris lumbricoides?
Albendazoel
This is the most common roundworm, presents clinically with mild perianal itching and eosinophilia. It is colloquially called pinworm
Enterobius vermicularis
What is the treatment for enterobius vermicularis?
Albendazole
There are 2 parasites associated with Loeffler’s syndrome. What are they?
- Ascaris lumbricoides
- Strongyloides stercoralis
What is loeffler’s syndrome characterized by?
Mild resp symptoms
Peripheral blood eosinophilia
Transient, migratory pulmonary infiltrates
This threadworm is associated with the clinical disease larva currens (tracks under skin from worm migration) and loeffler’s syndrome
Strongyloides stercoralis
What is the treatment for stronglyloides stercoralis?
Ivermectin
How is strongyloides stercolarlis spread?
Found mainly in the tropics, linked mainly to poor sanitation
Penetrates skin from soil
What parasite is colloquially called “pig tapeworm”?
Taenia solium
What are the clinical diseases associated with taenia solium?
Taeniasis - infection with taeniasis; causes GI symptoms, weight loss, and fatigue
Cysticercosis - migration of tapeworm to the brain
What is the treatment for Tania solium?
For GI: Praziquantel
For Cystercosis: Albenazole
What is the name of the parasite that causes cattle tapeworm?
Taenia saginata
Although both T. solium and T. Saginata are tapeworms, they have a key difference in clinical diseases associated with them
T. Saginata doesn’t cause cysticercosis; T. Solium does
What is the treatment for t. Saginata?
Praziquantel
What clinical diseases are associated with echinococcus spp?
GI discomfort
Hydatid disease - happens in severe cases. Oncosphere (egg) makes cysts, goes to lung/liver and causes organ obstruction
What is the treatment for echinococcus spp.?
Surgery for hydatid
Albendazole
This parasite is associated with clinical disease such as swimmer’s itch, schistosomiasis, and chronic GI issues
Schistosoma spp.
What is schistosomiasis?
Migration of eggs through tissue
This factor determines which tool is used for the diagnosis of schistosoma spp.
The species determines wether to look for the eggs; S. mansoni and s. japonicum are found in the stool
s. Haemotobuim are found in urine only
What is the treatment for schistosoma?
Praziquantel
Are bedbugs associated with any infectious diseases?
No
Are lice a vector for any infectious diseases?
Yes; typhus and trench fever
This genus of mosquitoes is responsible for the transmission of plasmodium
Plasmodium spp. is responsible for malaria
Anaopheles spp. are the main carriers of Plasmodium