Parasitology PROTIST Flashcards

1
Q

Protozoa define, 2 forms of pathogensis, reproduction, lifecycle, size, locomotion and nutrition

A

Eukaryotic unicellular organisms
• Pathogenesis Intraintestinal OR Extraintestinal
• Reproduction Intracellular OR Extracellular
• Life cycle -> Direct (faecaloral route generally) OR Indirect (e.g. vector-borne)
• Size -> 5-40 μm
• Locomotion -> Gliding, via flagella, cilia or pseudopodia, other
• Nutrition -> Usually absorption via the pellicle (cell membrane)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the 4 structures used for locomotion and describe them

A

1) Flagella ->elongate ‘whip-like’ extensions of the cell membrane
2) Pseudopodia -> temporary extensions of the cell body or ‘false feet‘
3) Cilia -> small ‘hair-like’ extensions of the cell membrane
4) Undulating -> tiny undulatory waves in cell membrane imparting forward gliding motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are 8 important diseases caused by protozoa

A

1) avian trichomoniosis
2) leishmaniosis
3) cattle - neosporosis
4) canine babesiosis
5) malaria
6) feline tritrichomoniosis
7) porcine coccidiosis
8) cogenital toxoplasmosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Phylum - apicomplexa what is an important feature and its function and the reproductive aspect

A
Apical complex 
- Allows for penetration 
- Cytoskeletal and secretory function
- Central to cell penetration and invasion 
- Parasitophorus vacuole 
Reproductive
- sexual and asexual - highly prolific
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 3 phases of reproduction in apicomplexa and what produce

A

1) Schizogony (=Merogony) -> Asexual (Schizont)
- Replication of merozoites (multiple generations) - HIGHLY PROLIFIC
- Pathogenetic stage
2) Gametogony -> Sexual (Gamont) Gametes
> Macro-gametocytes (M) & micro-gametocytes (m)
> Gametes (M + m) > Zygote > unsporulated oocyst
3) Sporogony -> Asexual (Sporont)
- Sporulation of the oocyst (sporocyst > sporozoites) external environment or within the host
- “infective unit”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the general 6 steps in apicomplexa lifecycle

A

1) parasite within cell within a cyst
2) ingested
3) sporozoite comes out and invades the cells
4) within cell within vesicle -> replication - schizogony
5) gametongy
6) sporogony

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the general sporulated Oocyst morphology and how differentiated

A

Oocyst contains sporocyst which contain sporozoite/(s) -> infective stage
1st number - number of oocyst
2nd number - number of sporocyst
3rd number - number of sporozoite within one sporocyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the main differences between non- cysts and cyst forming coccidia in terms of lifecycle and location

A

Non-cyst forming
- Direct LC/rapid
- Mainly in intestines and associated organs cause coccidiosis
Cyst-forming
- Indirect LC/slow
- DH - intestines, PH/IH in tissues - pathogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the main different between eimeria and cystiosospora and cryptosporidium

A

Eimeria and Cystisospora
- Go deep into cell, destroy cell via rupture and self-infective -> lots of tissue destruction (haemorrhagic)
○ Different from cryptosporidium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Coccidia what are the 2 main different effects in the definitive host and what are the husbandry risk factors

A

DEFINITIVE HOST:
- Strong species-specific immunity develops with exposure (‘trickle immunity’)
- Subclinical / asymptomatic self-limiting
OR
- scours/ diarrhoea ± haemorrhagic
○ naïve’ most affected especially weaners
○ Immunity, dose, virulence
Husbandry risk factors:
- Overcrowding, stress (climate), poor hygiene, poor nutrition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Eimeria what are the hosts and the main pathogenic effects and the main spcies involved

A
Hosts:
- Birds, Ruminants, Lagomorphs
Significance:
- Economic losses – Poultry***
- Hepatitis
- Enteritis (watery/bloody diarrhoea)
- Many species – differing virulence
- Mostly SI – E. Tenella LI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Eimeria lifecycle what type, pre-patent period, sporulation and virulence

A
  • Direct – rapid
  • Pre-patent period varies from 3-21 days - RAPID
  • Sporulation 1-3 days (21-30ºC, humid optimal)
  • Many species, vary in virulence, low - severe
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 11 steps in the Eimeria lifecycle

A
  1. oocyst shed in faeces
  2. Sporulate in the environment via Sporogony and form sporozoites
  3. Ingested by host
  4. Passes through stomach
  5. In intestines the oocyst ruptures, sporocyst ruptures and sporozoites come out
  6. They get onto epithelial cells in gut - location species dependent
  7. Bind on and penetrate via apical complex
  8. Sit within cell in parasitophorous vacuole membrane where suck nutrients from the cell
  9. Undergo Schizogony -> thousands of schizonts produced which ruptures the cell
  10. Now called merozoites which ruptures the cell
  11. CAN EITHER
    a. repeat steps 7-9 (cycle) through pathogenic stage causing haemorrhagic diarrhoea
    b. Undergo developmental change and go through gametogony where they form gametes (ovum and sperm) which then invade a cell, form either Macro-gametocytes (M) or micro-gametocytes (m), gametes then fuse and become the zygote which becomes oocyst completing the lifecycle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Eimeria pathogenesis what parasite factors and host factors involved and what occurs

A
High mortality is rapid 
- 2nd schizogony phase - lamina propria destruction/sloughing off - haemorrhagic diarrhoea 
Parasite factors:
- species, dose, location
Host factors:
- age, nutrition, immunity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Eimeria diagnosis what are the 3 main ways this occurs

A
  1. Post-mortem (fresh!) - generally have high mortality when called out
    - Gross observation - predilection site, pathology
    - Samples:
    ○ Multiple fresh mucosal smears / scrapings + fixed gut sections for histology
    § schizonts with merozoites - diagnosis
    § gametes
  2. Ante-mortem:
    - Faecal flotation -> saturated sucrose or saline
    ○ McMaster method for oocyst counts and identification
    - Unsporulated oocysts -> sporulation in 2% potassium dichromate soln
  3. Feed sample: if coccidiostats incorporated to check dosage
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 3 types of treatment for Eimeria and what is the most common

A
  1. Curative treatment?
  2. Supportive treatment - most common
    a. fluids/electrolytes -> wait for immune system to remove the parasites
  3. Preventative treatment
    ○ Arrests development
    ○ None registered for layers!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the 3 groups of common anti-coccidial agents, the most common, examples within and species used on

A
  1. Ionophore Antibiotics
    - Affect cell membranes (e.g. Na2+ influx)
    - Coccidiostatic – extracellular stages only
    - Monensinchicken, cattle, sheep, goats, turkeys Lasalocid sheep, cattle
    - Salinomycin , Narasin, Maduramycin – chickens
  2. Toltrazuril
    - Drugs affect plastid-like organelles
    - Coccidiocidal (ALL STAGES)
    - Long acting – single dose prophylaxis, multiple for treatment
    - Long withdrawal period for meat
    - Poultry, dogs, cattle, sheep, pigs
  3. Sulfonamides: - MOST COMMON
    - Coccidiocidal
    - interfere with folate production and nucleotide (DNA) production.
    - Birds, dogs, cats, pigs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 2 main control strategies within controlling coccidiosis in poulty

A
  1. Vaccine
    - live and live attenuated vaccines
    - sporulated oocysts
    - species-specific immunity -> low exposure dose so acquire a level of immunity
    ○ Can do combination of species within one vaccine
    - inoculate chick or hatchery
  2. Hygiene
    - Resistant oocysts
    ○ Ammonia-based disinfectants - very effective
    § Irritation to the animals so need to remove before treatment
    ○ Desiccation - steam and heat - if dry out die quickly
    - Treat and introduce – quarantine
    - On-farm biosecurity
    - Chicken housing -> break the faecal oral route cycle -> bring chicken on slatted flooring to make faeces fall through the floor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is an issue of controlling coccidiosis via hygiene alone

A
  • ‘too clean’ – immunity?
    ○ Low level exposure is the best as can gain immunity
    ○ Get the major issue when outbreak in naïve group of animals - HIGHER MORTALITY
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Intestinal and hepatic coccidiosis in rabbits what are the effects and necropsy findings with hepatic

A
Intestinal coccidiosis in rabbits 
- Scours, haemorrhagic diarrhoea 
Hepatic coccidiosis in rabbits 
Eimeria stiedae
- Merogony in bile duct / gall bladder epithelium
- Jaundice, diarrhoea, sudden death
○ Up to 50% fatality in weanlings
Necropsy findings:
- Focal white-yellow nodules or cords in liver along path of bile ducts
- Cholangitis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Coccidiosis in cattle what are the two species, what age most common, what lead to, risk factors and treatment

A

E. zuernii , E. bovis
- 1-2 months <1 year old
- Calf diarrhoea / bloody scours
○ Secondary colibacillosis
- Subclinical – production losses
- Overcrowded barns, weaning to pasture/ feedlots
- Coccidiostats in milk replacer, feed (monensin, lasalocid) or single drench (toltazuril) before weaning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Coccidiosis of lambs what are the two main species, what age most common, risk factors and prevention strategies

A
  • Lambs 1-5 months old (E. crandallis and E. ovinoidalis)
  • Lambing pens, weaning, introduction to feedlots
  • Prevention: coccidiostats in feed
    ○ late gestation in ewe, 21 days prior to lambing
    ○ prior to weaning in lambs!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Cystoisospora what age group mainly occur in and why and main pathogenic effects

A

strong acquired immunity
○ Therefore mainly in young animals -> puppies, kittens, piglets
- ± diarrhoea (not usually bloody), ill thrift

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Cystoisospora lifecycle what type, stages in which host or environment and steps

A
  • Direct life-cycle
    ○ rapid and host-specific
    ○ Can use a paratenic host
  • Schizogony – multiple phases - intestines
  • Gametogony – gametes (sex) - intestines
  • Sporogony – in environment
    Same as Eimeria HOWEVER
  • less asexual merogon penetration of tissues and repeating cycle that way
  • Can have paratenic host - rodents ingest oocyst, hatch, penetrate through the tissues and remain dormant in tissues until ingested by definitive host (Cystoisospora felis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are the 2 mechanisms of diagnosis of cystoisospora and what detecting

A

1) faecal flotation
○ Unsporulated oocysts
2) Schizonts/merozoites via histology

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What are the 3 treatment options for cystoisospora

A

1) Supportive care
2) Sulphonamides for 1 – 2 weeks -> can still be shedding through this time
3) Toltrazuril for 1-3 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are 3 prevention and control strategies for cystoisospora

A

1) Mass treatment of all animals including mothers
§ As for other coccidia PLUS
□ Dogs - before whelping and during lactation
2) Faecal oral Hygiene, biosecurity
§ Cleaning out bedding, hang in the sun (to kill)
3) Prevent predation / feeding of raw meat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

List some control options for cystoisospora in piglets and treatment options

A
  • Hygiene, biosecurity, all-in-all-out system
    ○ Hose the area DO NOT BROOM then allow to dry
  • Medicate the sow feed with coccidiostats
  • Piglets:
    ○ Single oral dose of toltazuril (Baycox) at 3-5 days
    OR
    ○ Long acting sulphonamide injection at 6 days of age
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Cryptosporidiosis what are the 3 main forms of disease in which animals occur in and what important consideration with treatment

A
  1. Intestinal: diarrhoea / steatorrhea - mammals
    ○ Generally before weaning calves
    ○ Not haemorrhagic diarrhoea as epicellular (sit on top of cells don’t invade and lyse cells)
  2. Gastric: Postpandrial regurgitation
    ○ In animals such as snakes -> hyperplasia and distention of cloaca (almost always fatal)
  3. Respiratory – mainly in birds
    Resistant to heat / chlorination!!!!!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Whihc of the cryptosporidium is less host-specific

A

C. parvum - zoonoses (particularly a problem in children)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Cryptosporidium lifecycle type, where sporogony occurs, special location where in the host

A
  • Direct - faecal-oral route
  • Sporogony occurs within the host – infective immediately
  • ‘Epicellular’ position – intracellular but extracytoplasmic
  • Gastric or intestinal
  • Respiratory epithelium poultry – C. baileyi
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What are the 7 steps in the lifecycle of Cryptosporidum and two ways transmitted

A
  1. Oocyst (1:0:4) ingested move through stomach
  2. cues in intestines/gastric/respiratory system that trigger release such as bile acids
  3. hatch and emerge as sporozoites
  4. attach to the surface of the gut (via apical complex) and causes the plasma membrane of the epithelial cells to engulf them and sit on top of the cell within the membrane
    a. Parasitophorus vacuole membrane in epicellular position
  5. parasite proteins that suck nutrients from host cell
  6. Undergo Schizogony producing schizonts into gut lumen merozoites
  7. CAN EITHER
    a. repeat steps 4-6(cycle) through pathogenic stage causing diarrhoea OR
    b. Undergo developmental change and go through gametogony where they form gametes (ovum and sperm) which then invade a cell, form either Macro-gametocytes (M) or micro-gametocytes (m), gametes then fuse and become the zygote which becomes oocyst completing the lifecycle
    i. Two types of oocyst formed
    1) Thick walled - passed in faeces
    2) Thin walled - autoinfection
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Cryptosporidum pathogensis what are the 3 main effects on host

A
1) Villous atrophy
○ Parasite destruction
○ T-cell induced apoptosis
2) Epithelial mucosa release cytokines
○ ↑H20 and ↑Chloride
3) Watery diarrhoea (frequent and can last weeks) and malabsorption
Destroy mucus membrane
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Cryptosporidum what are the 2 main significance

A

1) Neonatal / post-weaning diarrhoea
○ Livestock, foals, pigs, pups, kittens
○ Poor colostrum intake
○ Immunocompromised
2) MAJOR water-borne pathogen – oocysts resistant to chlorine
○ Self-limiting diarrhoea (2-4 weeks in healthy)
○ Chronic life threatening diarrhoea in HIV-AIDs patients
○ Zoonoses! - C. parvum*

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Cryptosporidum in calves what age, infectious dose and excretion

A
  • Only calves up to pre-weaning < 4 weeks infected with C. parvum, not adult cattle!
  • High intensity of oocysts excretion
  • Low infectious dose (5-10 oocysts) - very hard to control, way all cattle will probably be infected within first few weeks of life
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Cryptosporidum diagnosis what are 4 mechanisms

A
  • Difficult if not trained eye
    1) Zinc or sucrose floats (S.G. 1.12-1.18)
    ○ Oocysts small (5-6 μm)
    ○ immunofluorescence - oocyst wall protein
    2) Smear - Ziehl-Neelsen, Modified Acid Fast stain - most common
    3) ELISA or immunochromatography (dip-stick)
    4) PCR – species ID
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Cryptosporidum treatment options

A
  • No curative treatment
  • Supportive care
    ○ Fluids, electrolytes
  • Hyper-immune bovine colostrum
  • Following shown some success
    ○ Halofuginone (quinazoline derivative) – prevention clinical signs - reduces oocyst output calves, not ‘cure’!
    ○ Nitazoxanide (anti-protozoal) and paromomycin/ azithromycin humans (HIV aids)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What are the 3 main control strategies for cryptosoporidum

A
  1. Hygiene (heat >70ºC – steam, flame gun, dry, ammonia based disinfectants)
    ○ All in all out -> flame thrower
  2. Biosecurity/ quarantine
  3. Adequate colostrum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What are the 13 main steps in cys forming coccidia

A
  1. Sporulated oocyst in faeces of infected cat (2-4 days)
  2. Oocyst ingested can involve parenetic host but ultimately ingested by intermediate host (any mammal)
    - Typical lifecycle cat to rodent
  3. Sporozoite comes from the oocyst moves into tissues where form 2 different specialist cells
  4. Form tachyzoite -> move around the blood through blood stream, gets into cells replicates under schizogony and ruptures the cells -> repeat this cycle
    ○ Where replicate leads to clinical disease
  5. When the Immune response or treatment occurs results in death of some tachyzoite and move into the cells
  6. In cell without replication forms bradyzoite -> dormant stage (cyst stage) waiting to be ingested
  7. Then Ingested by the definitive host where they get onto epithelial cells in gut - location species dependent
  8. Bind on and penetrate via apical complex
  9. Sit within cell in parasitophorous vacuole membrane where suck nutrients from the cell
  10. Undergo Schizogony -> thousands of schizonts produced which ruptures the cell
  11. Now called merozoites which ruptures the cell
  12. CAN EITHER
    - Become tachyzoite in its own right and cause issues in the definitive host
    - OR Undergo developmental change and go through gametogony where they form gametes (ovum and sperm) which then invade a cell, form either Macro-gametocytes (M) or micro-gametocytes (m), gametes then fuse and become the zygote which becomes oocyst
  13. In environment unsporulated -> sporulate then infective (takes 24-48 hours)
    ○ Oocyst (1:2:4 morphology)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Toxoplasma gondii what are the 3 main significance

A

1) Economic losses – Zoonosis
2) Abortions:
○ Humans, small ruminants
○ Not in cattle
§ When replicating in placental tissue
3) Systemic disease
○ Mainly intermediate hosts, where replicate leads to clinical signs
○ CNS involvement

41
Q

Toxoplasma gondii lifecycle PPP, DH and IH

A
- DH – felid
○ PPP 1 week;
○ P = 1 month
§ No more oocysts shed in faeces as cyst form (bradyzoite) 
○ oocysts live for years 
§ sexual reproduction formation of gametocyte resulting in 
- IH - broad spectrum
○ any warm-blooded animal (mammal)
42
Q

Toxoplasma gondii what are the 2 main transmission methods

A
  1. Oral
    - ingestion of oocysts
    ○ Resistant – up to 18 months
    - Ingestion of tissue cysts (dormant stage)
    ○ Raw / undercooked meat / unpasteurized milk
    ○ Ingestion of host species (intermediate host)
  2. Vertical to foetus in utero (tachyzoite)
    - transplacental and transmammary within definitive host
    -> bradyzoite won’t cross and only form trachyzoite if immunocompromised
43
Q

Toxoplasma gondii immunity, how long shed oocysts and immunity levels

A
  • Cats will only shed oocysts in faeces for 10-21 days
    ○ intestinal phase
  • Repeat oocyst shedding rare
  • Long-lasting immunity by premunition in all hosts
    ○ due to presence of extraintestinal stages (tissue cysts) - bradyzoite
    ○ Except immunocompromised e.g. HIV-AIDs, FeLV, FIV
    § Bradyzoite will come out
44
Q

Pathogenesis of toxoplasma gondii what type of infections and what stage causes the issues

A

1) Acute infection in naïve host
○ Primary exposure
○ Attack placenta -> necrosis of placental tissue -> placental insufficiency -> abortion or directly attack the foetus
2) Re-activation of latent infection (bradyzoite)
○ Immunocompromised host
3) Tachyzoites multiply destroying tissue
○ Multisystem signs
§ Can get into different organs such as the eye (blindness), nerves (paralysis)
○ Generally don’t cause too much damage unless the situations above

45
Q

Toxoplasma gondii significance

A
  • Abortions in ewes – economic
  • Abortions and congenital deformities in humans
  • Multi-systemic disease in warmblooded mammals
    ○ Cats, marsupials, dogs, humans etc.
    ○ Humans – chorioretinitis, acute or reactivated
46
Q

Toxoplasmosis in cats what are the 2 main diseases and when worse

A
  • Intestinal – mild self-limiting diarrhoea, asymptomatic
  • Extra-intestinal Cycle –
    ○ SYSTEMIC DISEASE
    § Pyrexia
    § Multi-systemic
    Worse with Immunocompromised –kitten or underlying FIV, FeLeuk, FIP
47
Q

Toxoplasmosis in dogs what are the 4 main effects and when worse

A
  • Neurological
  • Gastrointestinal
  • Respiratory signs
  • ± Ocular
    Worse with Immunocompromised
    ○ e.g. < 1 year old, Distemper, cyclosporin tx
48
Q

Toxoplasmosis in dogs public health significance what are the two types of infect with effects and when worse

A
  • Majority asymptomatic
    ○ 1/3 population exposed
    ○ Mild flu like symptoms – fever, sore throat, weakness
  • Acute outbreaks (high infectious dose)
    ○ Chorioretinitis e.g. water-borne outbreak
    Worse with HIV-AIDS / organ transplant patients
    ○ 10-30% fatality from latent (90%) or newly acquired infection
    ○ Encephalitis, pneumonia, ocular disease
49
Q

Pregnant women with toxoplasmosis gondii what occurs with infection and when worse

A
  • Life-long immunity once exposed
    ○ Protects against vertical transplacental transmission
  • Unless immunocompromised
    ○ e.g. HIV +ve
  • If infection first contracted during pregnancy, infection MAY be vertically transmitted to foetus
50
Q

What are 5 diagnosis techniques for toxoplasmosis gondii

A

1) Faecal float??
2) Detection of T. gondii antibodies -> IgM or rising IgG?
○ Response curves to determine whether naïve or patent infection -> change in antibody from IgM to IgG
3) Detection of tachyzoites
○ Biopsy / necropsy placenta, amniotic fluid, foetus (liver, brain)
○ CSF – cytology
○ PCR
4) CBC & Biochemistry
○ Signs consistent with organ-specific disease e.g. hepatitis
5) Ancillary tests e.g. X-ray, ultrasound

51
Q

What is involved with treatment of toxoplasmosis and give some treatment options as well as when expect clinical improvement

A
  • Drug suppress tachyzoite replication -> cannot kill the bradyzoite (will always be present)
  • Pyrimethamine +
    ○ Clindamycin
    ○ Sulfonamides
    ○ Azithromycin
  • Clinical improvement usually noticed in 24-48 hours, unless permanent damage of organ due to necrosis
52
Q

What are 4 control methods for toxoplasmosis

A

1) Prevention – hygeine!
2) Prevent ingestion (oocysts)
○ gardening/kitty litter
3) Thorough freezing – meat
4) Vaccine (Toxovax®) sheep

53
Q

Neospora what disease caused, DH and IH and transmission

A

Neosporosis

  • DH – dog
  • IH – range of mammals (mainly cattle)
  • Oral/transplacental transmission -> should not breed from mother dog if she has this infection - will always have and will always transmit
54
Q

What are the 5 steps in the lifecycle of Neospora

A
  1. Unsporulated oocyst shed in faces sporulate in environment (Sporogony)
    ○ 1:2:4 morphology of oocyst
  2. Ingested intermediate host (mainly cattle)
  3. Within tachyzoite form when immune response get bradyzoite
    ○ Transplacental spread to offspring in intermediate host - vertical transmission
  4. Form cyst in muscle
  5. Definitive host ingest and infected -> horizontal transmission
    ○ ALSO Vertical transmission to pup -> transmammary
55
Q

Neospora in cattle what are 3 main results

A
  • Transplacental spread of tachyzoite can lead to:
    ○ Abortions – 5-7 months
    ○ Congenitally abnormal calf
    ○ Asymptomatic carrier calf = persistently infected cattle!
56
Q

Neospora in dogs what transmission is common and effects on the dog, is it zoonotic

A
  • Transmammary transmission is the most common - shedding in faces is not as common
    ○ myositis
    ○ Paralysis in pups -> predilection for neurons (polyradiculo-neurons, leads to leads)
    § Ascending hindlimb paralysis -> untreatable - degenerative
  • Multi-systemic in older immunocompromised dogs
    ○ Uncommon
    NOT zoonotic unlike toxoplasma
57
Q

Neospora caninum treatment, diagnosis and prognosis

A

Treatment - Clindamycin, Pyrimethamine + sulphonamides
Diagnosis
- clinical signs, hind-limb paresis
- faecal float - usually unrewarding -> shedding in faeces is low mostly vertical transmission
Prognosis:
○ Early cases – good prognosis
○ Muscular contracture of hind limb – poor response
Nerve damage is irreversible

58
Q

Compare toxoplasma gondii and neospora caninum in terms of definitive host and main effects

A

Toxoplasma gondii - feline definitive host, sheep abortions, human - foetal defects
Neospora caninum - canids - definitive host, cattle abortions

59
Q

Sarcocystis lifecycle in which hosts does certain life stages occur, how host-specific and how similar to coccidia lifecycle

A
  • MANY host-specific species (>130)
    ○ Canids/ felids/humans DH – gametogony + sporogony
    ○ Herb/omnivore IH – merogony – tissue cysts
  • Highly host specific
  • Similar to other coccidia lifecycle besides
    ○ No vertical transmission
    no schizogony goes straight to gametogony
60
Q

Sarcocystis what are the 2 main issues, in which species

A

1) Condemnation of carcases – sheep and cattle
○ Microscopic (usually unnoticed!) and macroscopic cysts (granulomas)
2) Acute infection – merogony in vascular endothelial cells - vasculitis -> atypical
○ Abortions and still births
○ Multisystemic disease
○ Equine protozoal myeloencephalitis

61
Q

What are the 3 species of sarcocystis that can cause zoonotic infections and corresponding their definitive or intermediate host

A
- Definitive hosts for
○ S. hominis – cattle IH
○ S. suihominis – pigs IH
- Intermediate hosts for
○ S. nesbitti – reptilian DH?
○ Multi-systemic signs – relapsing fever, vasculitis, myositis, myalgia
62
Q

Sarcocystis what stages cause pathogenicity what effects do they have, what can increase the pathogenicity

A
  • Tachyzoite – endothelial cells
    ○ acute: petechia, echymosis, anaemia, oedema
  • Bradyzoite – musculature
    ○ chronic: premunition
    ○ no cross-protection
    § Species specific immunity not across different species of sarcocyst
  • Sarcocyst size v pathogenicity
    ○ Larger the sarcocyst the more pathogenicity
    § Different species produce different sizes
63
Q

What are the 4 ways to diagnose sarcocystis

A

1) Gross post mortem inspection of carcases
2) Histopathology
3) PCR tissue
4) DH – sporocysts in faeces

64
Q

Sarcoystis prevention and treatment

A

Prevention – hygiene!
- no uncooked/unfrozen meat to carnivores (farms)
- exposure of livestock to sporocyst-contaminated feed
Treatment
- some coccidiostats – DH
- partial efficacy in IH *

65
Q

What are the 3 coccidia related genus DH and IH and where present in that host

A

DH (blood) IH (invertebrates)

1) Babesia - DH - mammals IH - ticks
2) Theileria - DH - mammals IH - ticks
3) Plasmodium - DH - vertebrates IH - mosquitoes

66
Q

Babesia what disease involved what are the 3 main issues

A

1) Replicating in blood, replication in blood cell, then lysis -> depletion of red blood cells
○ High fever, shaking, chills, haemolytic anaemia, organ failure
2) Numerous species / hosts
○ e.g., dogs, cattle, small ruminants, horses -> generally species specific
3) distribution via tick vector
○ $28 million losses cattle industry annually – Australia

67
Q

Babesia vogeli what host, what effects in the host, susceptible animals and how can it be induced by vets

A

Dog
- Pyrexia, icterus, splenomegaly, haemoglobinuria
○ Splenomegaly -> high infection -> filters the blood and therefore leads to larger spleen
- Susceptible animals: Pups 3-4 months old, naive adults (acquired immunity - species specific immunity), Splenectomised dogs (allow parasite to increase in numbers)
- Iatrogenic!
○ Confused with immune mediated haemolytic anaemia
§ STEROID USE -> BAD FOR PARASITES AS DECREASES THE IMMUNE RESPONSE

68
Q

Babesia gibsoni what is the vector pathogenicity and transmission

A
  • Haemaphysalis longicornis vector
  • As B. vogeli, but more severe forms in adults
  • PLUS direct (DOG fighting) and vertical transmission (dam to pups)
69
Q

Babesiosis in cattle what are the two species, what disease lead to, what transmitted by and with and distrubution

A
  • Babesia bovis and Babesia bigemina
    ○ Tick / Red Water Fever
  • Transmitted via Boophilus microplus
    ○ N.B. Boophilus also transmits Anaplasma (bacteria)
  • Bovine babesiosis distribution = Boophilus distribution!
    ○ Northern areas of Australia
70
Q

Babesiosis in cattle what are the 2 main forms of the disease and what occurs

A

Subclinical
- Weight-loss, decreased milk production
- Poor calving rates, loss of bull fertility
Acute:
- Fever
- Abortion, decreased fertility
- Ill-thrift
- Pale mm, jaundice
- Haemoblobinuria
- Aggression / neurological signs (usually B. bovis)
- Coagulopathy -> RBC rigid and stuck in capillaries so aren’t filtered out -> formation of blood clots (high dose can lead to issues)
○ Death -> depends on the area, if occur in the brain issue -> cerebral babesiosis

71
Q

List the 8 steps in Babesia lifecycle

A
  1. Tick (IH?) takes blood meal from DH and sporogony occurs
  2. Parasites may undergo trans-ovarian transmission and infect developing eggs
  3. Eventually hundreds of pyriform bodies (sporozoites) are formed within salivary glands
  4. Sporozoites are injected into host blood stream after a blood meal
  5. sporozoite becomes trophozoites which enter RBCs
  6. Schizogony form merozoites within the erythrocyte
    ○ Haemolytic anaemia, haemoglobinuria
  7. Lysis of red blood cell - cycle through as trophozoites
  8. Eventually form gametocytes which are taken up by the tick where they form a zygote
72
Q

Babesia immunity (how varies) and distribution

A
- Good protective immunity
○ Inverse age resistance
§ As older less susceptible 
○ Bos indicus vs. Bos taurus
§ Bos indicus more resistant to tick 
- Ticks:
○ Introduction into Victoria -> via cattle movement 
○ Cattle / farm quarantine
○ Haemaphysalis spp -> present in Victoria, looks like Boophilus
73
Q

What are 4 diagnosis techniques for Babesia

A
  • History (season / geography)
  • Blood smears / Romanovksy stain - primarily
    ○ Piroplasm size, morphology, parasitaemia
    § Size differentiate the species
  • Serology
  • PCR
74
Q

Babesia treatment what are the 2 aspects and give examples

A

1) Supportive care
- Blood transfusion, iron and Vitamin B12 supplementation
2) Anti-protozoal agents
- Imidocarb dipropionate* (drug of choice)
○ Treatment SC/ IM injection
○ Sterilisation of infected animals moving to non-endemic areas
○ Meat and milk withholding periods
- Diminazine aceturate
○ less efficacious, limited availability

75
Q

Babesia gibsoni treatment options

A

○ Challenging as re-lapses common
○ Macrolide antibiotic + antiprotozoal drug some success
○ e.g. Clindamycin and imidocarb (CDI)
○ Atovaquone (anti-malarial) and azithromycin (AA)

76
Q

Theileria main host, main species and types, what country important in and what transmitted by

A
  • Mainly in ruminants
  • Theileria orientalis - found in AUS
    ○ T. orientalis buffeli -> non pathogenic
    ○ T. orientalis ikeda -> pathogenesis
    ○ T. orientalis chitose -> pathogenesis
  • Important in America, southern Europe and Africa
  • Transmitted by ixodid ticks
    ○ Rhipicephalis , Dermacentor, Haemaphysalis spp (primary transmission vector)
77
Q

Piroplasmosis what parasite caused by, other disease and distribution

A

Theileria
Theileriosis
- Disruption of Rhipicephalis microplus
○ Warm, humid tropical and sub-tropical conditions

78
Q

Theileria clinical signs, blood smear characteristics, diagnosis and control and carriers

A
  • Clinical signs
    ○ fevers / lymphadenopathy* (severe swelling of the lymph nodes)
  • Blood-smears
    ○ infected leukocytes
    ○ ‘Maltese cross’ / bayonet cells (spine projections from the red blood cells) -
    ○ Multiple piroplasms within the cell - also differentiate from Babesia
  • Diagnosis and control similar to Babesia
  • Recovered animals can act as permanent carriers!
79
Q

Theileriosis treatment, drug of choice and what use in australia

A
- Effective drugs -> trying to prevent disease and suppress infection CANNOT KILL 
○ Buparvaquone* (drug of choice)
○ Primaquine
§ currently not registered in Australia
- In Australia, variable efficacy
	○ Imidocarb
	○ Halofuginone 10 X dose!
	○ Erythromycin in calves
80
Q

Plasmodium (malaria) distrubution, significance and hosts

A
  • Tropics / subtropics
    ○ not in Australia anymore
    ○ Endemic PNG / SE Asia
  • Most significant parasite in humans (several species)
    > 1 million deaths per year
  • Affects birds*, primates, reptiles, rodents also
81
Q

Plasmodium (malaria) DH and IH and the 6 steps in the lifecycle

A
  • DH = mosquito (females!) - Anopheles
  • IH = vertebrate
    1. First stage of infection -> blood stream -> liver infect hepatocytes
    2. 1st phase Schizogony forms merozoite (within hepatocyte)
    3. Move out of liver cells into bloodstream
    4. Infect red blood cells undergo 2nd phase schizogony cycle through destruction of RBC
    5. Can then go through gametogony again within the RBC
    6. Mosquito takes up the gametes and then zygote formes
82
Q

Distribution of malignant (pathogenic) or benign (non-pathogenic) theileriosis in australia

A
  • Distribution of malignant (pathogenic) theileriosis
    ○ Tropical theileriosis - Hyalomma
    ○ East coast fever - R. appendiculatus
  • Distribution of benign (non-pathogenic) theileriosis
    ○ Humid, coastal areas, sub-tropical/temperate conditions
83
Q

What are the two major schizogony phases in Theileria and where does gametongy occurs (LIFECYCLE)

A

Two major schizogony phases
1. White blood cells -> Leukocytes, Lymphoid tissue
○ Macro / microschizonts
2. Red blood cells -> Erthryocytes
- Merozoites from microschizonts
- piroplasms in RBCs
Tick ingests infective RBCs
- gametogony/sex in tick gut!
Sporozoite then moves to the salivary gland when ready to infect
- also trans-stadial transmission between nymph and adult stages

84
Q

What are the two main forms of Theileria in terms of pathogenesis and disease

A
  • Malignant and benign forms
    ○ depends on parasite species
  • Acute (haemolysis, fever, chills, cerebral affects) vs Chronic (disseminated coagulopathology)
85
Q

What are the 3 main genus within flagellates

A

Giardia, Tritrichomonas and histomonas

86
Q

Plasmodium 1st schizogony phase where located in the body, species and what lead to

A
  • Exo-erythrocytic
  • Hepatocytes
    ○ Hepatosplenomegaly
    § Leycopenia, thrombocytopaenia
    § P. vivax alters spleen allows it not to be filtered through the spleen
    ○ Hypnozoites (dormant stage - liver)
    § P. vivax
    § Relapsing fevers in humans can be years later
    § Hard to treat/diagnose - like bradyzoites
87
Q

Plasmodium 2nd phase schizongony where located in the body, what effects and why can evade immune system so well

A
- intra-erythrocytic
○ haemolytic anaemia
○ fever paroxyms
○ haemaglobinuria – “black-water”
- Antigenic variation -> constant turn-over of the antigens
88
Q

Plasmodium what are the 3 main diagnosis techniques

A
1) Blood-smears (thick and thin)
○ blood-stages
○ Giemsa / Romanovsky staining
2) Immunological
○ Antibody against certain antigens that are only present at the beginning of the infection 
3) PCR – species id!
89
Q

Plasmodium what are the 3 main control/treatment strategies

A
1) Mosquito control
○ bed nets
○ insecticides (DDT)
○ biological (Wolbachia)
§ If target this can affect embryology 
2) No vaccine yet
3) Drugs (Resistance!!!)
○ quinone
○ chloroquinone
○ tetracycline analogues
Artemisins
90
Q

Giardiasis what are the 2 main significance

A
1) Neglected tropical disease (WHO)
○ Chronic subclinical infection developing regions
§ Stunted growth
§ Reduced cognitive development
2) Diarrhoea – humans and animals
○ Kennels
○ Day-care centres
○ Farms – calves (production loss)
§ Stunting 
○ Waterborne outbreaks (zoonosis!)
91
Q

What are the 3 stages of flagellates

A
  • Trophozoite: active, feeding, motile stage
  • Promastigote: single anterior flagellum
  • Amastigote: non-flagellated intracellular stage
92
Q

Giardia what are the 6 steps in the lifecycle

A

1) Trophozoites pass through colon they encyst to become cysts
2) Cysts then shed in the faeces into environment
- These cysts become quadrinucleate via nuclear division
3) Once ingested they excyst in small intestine releasing trophozoites
4) Replication in the gut (binary fission)
5) Trophozoites sticks on intestinal wall (sucking nutrients across cell wall)
- immune response leading to diarrhoea
6) Forms a cyst then is passed through the faeces

93
Q

Giardia what are distinguishing features, hosts and how transmitted

A
  • Flagellated protozoan of small intestine that has two nuclei
  • Infects a wide range of mammals
  • Cyst transmitted by faecal-oral route
    ○ Directly or
    ○ Contaminated food and water
94
Q

Giardia pathogenesis how attach to cell, effect on host and immunity

A
  • Extracellular
    ○ Attach via ventral adhesive or sucking disc to intestinal mucosa
  • Villous atrophy and malabsorption
    ○ Mechanisms not clear “carpeting”?
    ○ Sloughing off of the mucus part of the epithelium -> yellowing diarrhoea
    ○ Increase in intestinal permeability - diarrhoea
  • Most sub-clinically infected
  • Strong exposure related immunity but not absolute
    ○ Older humans / animals asymptomatic shedders
95
Q

Giardia what are the 2 typical presentations

A
1) Acute / chronic diarrhoea
○ Watery or steatorrhoea (fatty) 
§ 4-6 days after infections and stays around for a few weeks
○ Flatulence
§ Chronic irritable bowel syndrome 
○ Vomiting
○ Young animal or traveller (“Bali belly”)
OR
2) Asymptomatic - level of immunity but not complete (carriers) 
○ Australia dogs – 10%
○ Dogs in Cambodia – 8%
○ Humans India/ Thailand – 20-30%
96
Q

What are the 7 diagnosis techniques for giardia

A
  1. Visualization of motile binucleated trophozoites in fresh faecal smear:
    ○ Differentiate trichomonads in rodents / cats
  2. Visualisation of cysts
    ○ Zinc sulfate (S.G. 1,18): media of choice
  3. 3 consecutive faecal samples as intermittent cyst shedding
  4. In-house ELISA - SNAP tests (Idexx)
    ○ Detects antigen of cyst wall protein
    ○ Band for control and then another for the positive test response
  5. PCR for species ID
  6. Faecal smear on fresh sample
    ○ Intermittent cyst excretion
    § multiple faecal samples at different times
  7. Flotation for cyst stages
    ○ sometimes trophozoites
97
Q

List 5 treatment and control methods for Giardia and what is important to ensure

A

1) Supportive care
○ Fluids, anti-emetics
2) Metronidazole for 5-7 days
3) Febantel (in Drontal*, Bayer) for 3 days
4) Fenbendazole for 5 day
5) Hygiene, reduce overcrowding and stress
○ Ammonia based cleaners (not bleach), then drying them out
Need to ensure animals are no longer excreting cysts (can be excreted even after clinical signs have gone) when take out of quarantine

98
Q

Coccidia what stage is disease occuring

A

SCHIZOGONY