Parasitology Flashcards
Organisms that are Physiologically dependent upon their host for survival
Parasite
Two main groups are parasites
Protozoa
Helminths
Microscopic single celled eukaryotes
Protozoa
Macroscopic, multicellular warms of various lengths with differentiated tissues and complex organ systems
Helminths
The relationship where one organism benefits at the expense of the host
Parasitism
Living in harmoney with host
Commensalism
What are most parasites
Commensals
A host used by a parasite in the course of its life cycle and can multiply asexually but not sexually
Intermediate host
where sexual reproduction of a parasite takes place
Definitive host
Any eukaryotic organism that is not a plant animal or fungi
Protista
how many cells are protista
Unicellular that does not form tissues
Types of Protozoa
Sarcodina
Mastigophora
Apicomplexa
The amebas
Sarcodina
The Flagellates
Mastigophora
The non motile adults
Apicomplexa
The types of Helminths
Roungworms
Flatworms
where can Adult Roungworms(nematodes) live
Reside in GI tract, blood, Lymphatic system or subcutaneous tissue
What are Flatworms
Tapeworms
How is the Cytoplasm of Protozoa devided
Into inner endoplasm and thin outer ectoplasm
What is found in ENdoplasm
Granular containing nutrients
What is the Ectoplasm
Organelle of locomotion (Pseudopods and Flagella)
How do PRotozoa eat
Heterotrophic assimilating organic nutrients, engulfing soluble or particular matter via pinocytosis and phagocytosis
What type Parasite is Entamoeba Histoltica
An AMeoba (Sarcodina)
What does Entamoeba Histolytica cause
Amebic Dysentery
how many people are infected with Entamoeba Histolytica
50 million worldwide
where is Entamoeba Histolytica found
Humans are the principle host and reservoir
how is Entamoeba Histolytica transmitted
Fecal-oral route, directly or indirectly through contaminated water
How infectious is Entamoeba Histolytica
USually need greater than 1000 to infect, but one cyst can cause an infections
how many cysts does an individual infected with Entamoeba Histolytica pass
45 million cysts daily
what are the forms of Entamoeba Histolytica
Trophozoite
Cysts
the envirnomental form of Entamoeba Histolytica
Cysts
what does the cyst form of Entamoeba Histolytica resist
heat, low pH, chlorine in inmuniciplal water
where is the trophozoites form of Entamoeba Histolytica found
Dwells in lumen or wall of the colon
Nucleus of Entamoeba Histolytica cysts
immature: 1 nucleus
Mature: 4 nucleuses
Chromatoid bodies of Entamoeba Histolytica Cysts
Present in immature, but absorbed as cyst matures
how does the trophozoite form of Entamoeba Histolytica respire
Microaerophilic
where does the trophozoite form of Entamoeba Histolytica replicate
in the anaerobic environment of the gut
mitochondria of trophozoite form of Entamoeba Histolytica
No mitrochondria
how does an Entamoeba Histolytica cyst turn into a trophozoite
Cysts injested, pass through stomach to arive at small bowel, then turn into a trophozoite
what form of Entamoeba Histolytica invades the intestinal mucosa
Trophozoite
where does Entamoeba Histolytica Amebic Dysentery occur most
In the tropic with poor sanitation
Symptoms of Infection of Entamoeba Histolytica Amebic Dysentery
Most the times asymptomatic
Invasive: ab pain, diarrhea, bloody poo, farts
Fulminating amebric Dysentery: high fever, ab cramps, liver pain, profuse diarrhea
Liver abscesses that can spread to pericardium
Extra intestinal disease(1%)- can result in liver absceses, lung and brain involvement
Immunity to Entamoeba Histolytica Amebic Dysentery
Incomplete and does not correlate with antibody response
trophozoites shed antibody and resist complement lysis
Diagnosis of Entamoeba Histolytica Amebic Dysentery
Microscopic diagnosis - presence in stool (separate from E. dispar because Trophozoites ingest RBC)
Enzyme immunoassay
TReatment of Entamoeba Histolytica Amebic Dysentery
With MEtronidazole plus other agents
What does Naegleria Fowleri Cause
Primary Amebic Meningoencephalitis
who does Naegleria Fowleri infect
Healthy kids and young adults
Risk factors for Naegleria Fowleri AMebic Meningoencephalitis
Full body contact with shallow warm fresh water containing the bi-flagellate parasite form
How does Naegleria Fowleri enter to cause amebic meningoencephalitis
Nost, penetrate nasal mucosa and migrates to the brain via olfactory nerves
Result of Naegleria Fowleri amebic Meningoencephalitis
death within 5-6 days
How commone is Naegleria Fowleri Amebic Meningoencephalitis
300 cases reported in US, australia, and Europe
Acanthamoeba can cause
Keratisis(Corneal Ulcerations)
GRanulomatous Amebic Encephalitis
Where are Acanthamoeba found
Worldwide in soil, fresh and brackish water, cooling towers, heating ventilating and air conditions, humidifers, jacuzzies, dental irrrigation untis
What is Grranulomatous Amebic Encephalitis
Serious infection of the brain and spinal cord
who does Granulomatous Amebic Encephalitis affect
Those with compromised immun systems
Chronic progressive ulceration lesion of the eye that may lead to pain and blindness
Keratitis
who is at risk of Keratitis
Contact lens wearers due to improper disinfections
How to treat KEratitis
must be started early
Where are Flagellates found
Widespread in nature
How do Flagellates move
Flagellum
where do Flagellates parasite in humans
Mouth
Vagina
Intestines
What Flagellates Induce Disease
TRichomonas Vaginalis
Giardia Lamblia
Leishmania
Trypanosoma
The noninvasive Luminal Flagellates
TRichomonas Vaginalis
Giardia Lamblia
The Invasive disease causing Flagellates
Leishmania
Trypanosoma
Morphological stages of Trichomonas Vaginalis
Only exist as Trophozoite, cannot encyst
Size of Trichomonas Vaginalis
Larger than a white blood cell
What organelle does TRichomonas Vaginalis lack
Mitochondria
What does Trichomonas Vaginalis cause
Trichomoniasis (STD)
How many people are infected with Trichomonas Vaginalis
8 million in US (180 mill worldwide)
How does Trichomonas Vaginalis spread
Skin to skin contact from vaginal intercourse
Infection with Trichomonas Vaginalis increases risk of what
Increases risk of HIV transmission
Symptoms of Trichomoniasis
Mostly Asymptomatic
30% have symptoms
Women symptoms of TRichomoniasis
Produces PErsistent Vaginitis
Vaginal Discharge
Vulvar itching and burning, Dyspereunia, Dysuria
Men symptoms of Trichomoniasis
Urethral and prostatic infections that are usually asymptomatic
Dysuria
Non-purulent discharge from urethra
Diagnosis Trichomoniasis
Wet mount examination for motile Trophozoites
TReatment of Trichomoniasis
ORal Metronidazole
Sex partners need to be treated to prevent reinfection
Who does Giardia Lamblia infect
Humand and many mammals
where is Giardia Lamblia in nature
Contaminated water or food
How does Giardia Lamblia exist in contaminated water
As dormand microbial cysts
Resistance of Giardia Lamblia
Can survie weeks in cold water, resistant to water treatment
How is Giardia Lamblia spread
Fecal-oral route (drinking contaminated water)
Where does Giardia Lamblia colonize and reproduce
In the small intestine (not found in the blood or other parts of the GI tract
Whar does Giardia Lamblia cuase when it colonizes and reproduces in the small intestine
Giardiasis
How many people with Giardiasis show symptoms
60% are Asymptomatic
when do Symptoms for Giardiasis begin
1-3 week after infection
How long does Giardiasis symptoms persist
2-6 weeks
Symtpos of Giardiasis
Diarrhea (explosive) Gas or flatulence Greasy stool that can float stomach or ab cramps upset stomach or neausea Dehydration weight loss
Who is at the greatest risk of contracting Giardiasis
Backpackers, Hikers, campers Swimmers who swim in infected water International travelers Kids in day care Homo's for oral anal sex
Diagnosis of Giardiasis
Presence of Cysts in stoll (may need 2-3 sampled)
What is one of the most frequently id intestinal parasite from stool in the US
Giardia
How is Giardiasis treated
Many drugs, But MEtronidazole is affective
What kind of Parasite are the Leishmania Spp
Oblligate intracellular parasite of Mammals
What does Human infection of Leishmania species cuase
Leishmaniasis
how many people are infected by Leishmania species
20 mill (1-2 mill new)
How are Leishmania species transmitted
By Phlebotomine sandflies
Reservoir for Leishmania species
Rodents and dogs
do all Leishmania species cause the same disease
No
Fomrs of a Leishmania organism
Amastigote
Promastigote
Where are Amastigote for of LEishmania organisms found
Intercellular in Mononuclear phagocytes and blood stream
What form of Leishmania is motile
Promastigote form
Where does the Promastigote form of Leishmania live
extracellular in the alimentary tract of sandflys
How does the Phlebotomine sand flies get Leishmania
In the tropic and subtropics, nocturnally feeding and ingest the amastigote form from mammalian host
How is the Leishmania spread from the sand fly
Feed on the next host and the promastigote form is injected into the skin along with saliva containing peptides that inactivate macrophages
How does Leishmania avoid immunity and live in the Human
Saliva from sand fly bite contains peptieds that ianctivate macrophages
Manipulates classical complemnt pathway
Promastigotes get phaocytosed and amtigote form within phagolysozome in macrophage
Disease caused by differeny strands of Leishmaniasis
Cutaneous Leishmaniasis “chiclero Ulcer”
Mucocutaneous Leishmaniasis “espundia”
Visceral Leishmaniasis “kala Azar”
what is Cutaneous leishmaniasis “Chiclero ulcer”
Localized cutaneous lesion or ulcer
what is Mucocutaneous Leishmaniasis “Espundia”
Destruction of muccous membranes of nose, mouth, or throat
what is Visceral Leishmaniasis “kala Azar”
Dissemination disease
How does the Immune system respond to Localized Cutaneous Leishmaniasis
CD4+ T-cells of Th1 type secrete IFN-gamma in response to LEishmanial antigens
activation of NO production to kill intracellular amastigotes
What is the Positive delayed skin reaction to Leishmania
Lymphocytes cear lesions
Anergy to leishmanial antigens can lead to
Diffuse Cutaneous Leishmaniasis