Parasitology Flashcards
CYSTS in water>
FATTY, FOUL SMELLING DIARRHEA>
TROPHOZITES/ cysts in STOoL>
Metronidazole
Giardia
Cysts in waTER>
BLOODY DIARRHEA, LIVER abscess>
TROPHOZITE (RBC in the cytoplasm) or cysts (up to 4 nuclei) in STOOL>
Metronidazole
Entamoeba histolytica
Tx for asymptomatic cyst passers w/ entamoeba histolytica
Iodoquinol
OOcysts in water>
SEVERE DIARRHEA IN AIDS pt or watery diarrhea in immcomp>
OOCYSTS on AF stain
Cryptosporidiumm
can be prevented by filtering city water suplies
Tx w/ NITZOXANIDE in IMmunocompetent hosts
Cryptosporidium
Chorioretinitis
hydrocephalus
intracranial calcifications
dx TACHYZOITE on biopsy
Toxoplasmosa gondi
reactivation of TP. gondi in AIDS pt
RING ENHANCING LESIONS SEEN ON MRI
Why should pregnant women avoid cats?
oocysts of tox gondi is found in CAT FECES
also in meat…MC
Tx TPG
Sulfadiazine
Pyrimethamine
swim in freshwater lakes>
little dude enters through cribiform plate>
FATAL MENIGOENCEPHALITIS
dx by AMOEBAS in spinal fluid
Naegleria foweleria
ampho B may help
Tstese fly bite>
enlarged LN, recurring fever, somnolence, coma
African sleeping sickness (trypanosoma brucei)
tx for trypanosoma brucei
blood borne: SURanmi
CNS penetration: MELrsoprol
Bite from ANOPHELES>
Fever
HA
Anemia
Splenomegaly
Malaria
trophozoite ring in RBC
shizont w/ merozoites
Malaria
48 hrs cycle
dormant form HYPNOZOITE in liver
Schuffner stipppling (red granules thorughout RBC cytoplasm)
P. Vivax/ovale
severe, irregular fever patterns
parasitized RBC occlude capillaries in brain, kidneys, lungs
P. falciparum
72 hrs cycle
p. malariae
blocks plasmodium heme polymerase
Chloroquine (FIRST LINE for malaria)
if resistant to chloroquine….
mefloquine
atovaquone/proguanil
if life threatening malaria….
IV quinidine or artesunate
sued for p. vivax/ovale for HYPONOZITE dormant in liver
primaquine
IODES TICK>
fever and hemolytic anemia in NE US>
MALTESE CROSS or RING on a blood smear
Babesia