Parasitology Flashcards
4 groups of protozoa
Sarcodina (amebas)
Sporozoans
Mastigophora (flagellates)
Ciliates
Metazoa 2 Phyla
Nemathelminthes (Round worms)
Platyhelminthes (Flat worms)
Platyhelminthes
Trematoda
Cestoda
Amoeba
E histolytica
E coli
Endolimax nana
Iodamoeba buetschlii
Amebic dysentery
Liver abscess
Motile amoeba
Forms cysts with 4 nuclei
E coli = 8 nuclei
E histolytica
Cyst -> humans -> trophozoites in small intestines ->colon -> cysts -> stool
E hystolitica
E histolytica transmission
Fecal oral
E histolytica trophozoites invade
colon (submucosa teardrop or flask shaped ulcers) -> bloody stools
Reaches portal blood circulation -> liver abscess R lobe -> spreads through diaphragm to lungs
Amebic abscess of the brain
E histolytica
E histolytica loves this part of liver
R posteroinferior lobe
E histolytica dx
Trophozoites
Cysts in stool *
Indirect hemagluttination
E histolytica
Tx
Metronidazole
Iodoquinol
Amoeba life cycle
Non invasive colonization R side of colon (Amoebic colitis) Extraintestinal liver (Amoebic liver abscess) Brain Stool exam cyst
Infective stage of E histolytica
Cyst mature 4 nuclei
Amoebic liver abscess
Anchovy paste
Ingested RBC
Bull’s eye karyosome
Cigar shaped chromatoidal body
E hystolitica
Whisk broom
Chromatoidal body
Entamoeba coli
Comma shaped
Chromatoidal body
Endolimax nana
Glycogen vacuole
Iodamoeba buetschlii
Ring dot nuclei
Entamoeba hystolitica
Peripheral chromatin
Central karyosome
Entmoeba hystolitica
Luminal and extraluminal amecides
Drugs
The right lobe is 4 times more likely to be involved than the left because
it receives bulk of the venous drainage from the colon
Anchovy paste is brought about by
Amoebic protease liquefying liver
Dreaded complication of amoebiasis with rupture of hepatic abscess reaching the thoracic cavity
Amoebic pericarditis
Luminal amebicide
Iodoquinol
Paromomycin
Diloxanite Furoate
DIP
Tissue amebicide
Nitroimidazole
Metronidazole
Tinidazole
Free living amoeba
Naegleria fowleri
Acanthamoeba
Dormant form of Naegleria
Cyst
Feeding and replicating form
Trophozoite
Naegleria
Acanthamoeba
mode of transmission
swimming in contaminated rivers, pools
inhalation
diving in warm, still waters
Naegleria gains access to the brain through the
Cribriform plate of ethmoid multiplying along base of the brain
Frontal lobe
Primary amoebic Meningooencephalitis with death in one week
Naegleria meningitis
Inhabits fresh brackish and salt water, moist soil and decaying vegetation
Naeglaria fowleri
Primary Amebic Encephalitis incubation period
1-14 days
Headache, fever, lethargy, rhinitis, nausea, vomiting and disorientation
Photophobia, CN III, CN IV and or CN VI
Coma and death within a week
Primary Amoebic Encephalitis
Primary Amoebic Encephalitis tx
Amphotericin B
Investigational breast cancer and anti leishmania drug
Shown amoeba-killing activity against free living amoebae, including Naegleria fowleri
Miltefosine
Skin lesions, uveitis and corneal ulceration, contamnated lens solutions
Acanthamoeba
Acanthamoeba is notoriously associated with infection of
contact lens
Usually in immunocompromised
Severe headache, nausea following swim; ulcerative eye infection
Granulomatous Amebic Encephalitis
Acanthamoeba Tx
Amphotericin B Miconazole Rifampin Propamidine Neomycin
Acanthamoeba Dx
Presence of organisms in CSF
Corneal scrapings