PROTOZOA (Apicomplexa) Flashcards
No definite locomotory organelle (no flagella, pseudopodia but has schizogony and sporogony cycle)
Apicomplexa
Blood-borne and arthropod transmitted parasite
Apicomplexa
Most common Apicomplexa worldwide
P. vivax
Intermediate host of Apicomplexa
Man
Apicomplexa
Infective stage:
Sporozoite
Apicomplexa
Definitive Host
Mosquito (vector)
Mosquito
Infective stage:
Gametocyte
Has rings
Plasmodium vivax
Plasmodium ovale
Plasmodium falciparum
Plasmodium vivax
Trophozoite:
amoeboid; deforms the erythrocyte
Plasmodium vivax
Schizonts:
12-24 merozoites (will infect RBC)
Plasmodium vivax
Gametocyte:
Round-oval
Plasmodium ovale
Trophozoite:
compact
Plasmodium ovale
Schizonts:
6-14 merozoites. Dark pigment (rosettes)
Plasmodium ovale
Gametocyte:
Round-oval
use peripheral blood smear
Differential count – Plasmodium malariae
Plasmodium falciparum
Has rings:
double chromatin dots; accole forms; multiple infections in same red cell
Plasmodium falciparum
Trophozoite:
compact (rarely seen in peripheral blood)
Plasmodium falciparum
Gametocyte:
mature (M) and Immature form (I) (the immature form is rarely seen in peripheral blood)
Plasmodium falciparum
Schizonts:
8-24 merozoites (rarely seen in peripheral blood)
Plasmodium falcifarum
RBC inclusion:
Mauer’s Dots
Plasmodium vivax
RBC Inclusion:
Shuffner’s granules/Dot
Plasmodium malariae
RBC Inclusion:
Zieman’s dots
Plasmodium ovale
Plasmodium knowlesi
RBC Inclusion:
Shuffner’s/James’ dots
Resistant to P. falciparum
Sickle cell trait
Seen in P. vivax and P. ovale
Relapse
Resistant to P. vivax
Duffy Negative (Fy (a-,b-)
P. falciparum
RBC preference:
All sizes
RBC preference: Reticulocyte/Young (Increase in RBC/Swell)
P. vivax
P. ovale
RBC preference: Senescent/Old (Decrease/ Shrink)
P. malariae
Hypnozoite: Absent
P. falciparum
P. malariae
Hypnozoite: Present
P. vivax
P. ovale
All stages in PBS
P. vivax
P. malariae
P. ovale
Stages in PBS: Gametocyte, Ring form, Trophozoite
P. falciparum
Microgametocyte: Spherical, pale blue cytoplasm
P. falciparum
P. vivax
P. malariae
P. ovale
Spherical deep blue cytoplasm
Macrogametocyte
for rapid diagnosis, must be hemoglobinized prior to staining
Thick smear
used for identification of species, fix it by alcohol prior to staining
Thin smear
ex. stain used for thin smear
o Giemsa stain
o Wright’s
o Hematoxylin
fixation is no longer necessary since it contains alcohol
Wright’s
must be dehemoglobinized using 3% formalin with 1% acetic acid
Hematoxylin
For demonstration of malaria, blood should be collected during the peak of fever
paroxysm
chilling, high temperature, profuse sweating
paroxysm
Rule: Smear for suspicion and another smear after out of fever
Smears should be done before antimalarial treatment
Thin smear
commonly used stain when we examine malarial specimen
Giemsa
Buffered (H2O) + Fixed in Methanol
Giemsa
No fixation needed: Alcohol
Leishman Stain
hematocrit -> buffy coat
Quantitative buffy coat method
dipstick test for simple or rapid examination for P. falciparum
Para-sight F. test
IHA, IFAT, ELISA. Cannot determine current or previous infection, used only in epidemiological studies
Serological
MOT of malaria
bite
blood transfusion and transplacental transmission
Cryptozoite developed when they are on hepatic cell (liver); extracellular infection
infect red blood cell; intracellular infection trophozoite (ring form) earliest form after the invasion of rbc (ruby ring/signet stage); vegetative stage containing 1 nucleus and develop within RBC Schizonts a trophozoite in which the nucleus are divided merozoites found inside the RBC, many schizonts Hypnozoites dormant stage that persist in liver cells (P. vivax, P. ovale) gametocytes (micro and macro) can suck blood
Immature
developed when they are on hepatic cell (liver); extracellular infection -> infect red blood cell; intracellular infection
Cryptozoite
(ring form) earliest form after the invasion of rbc (ruby ring/signet stage); vegetative stage containing 1 nucleus and develop within RBC
trophozoite
a trophozoite in which the nucleus are divided -> merozoites found inside the RBC, many schizonts
Schizonts
dormant stage that persist in liver cells (P. vivax, P. ovale)
Hypnozoites
(micro and macro) -> can suck blood
gametocytes
*happens inside the body of mosquito
Mature
(cell resulting from the union of male and female gametocyte)
Gametes -> zygote
(motile zygote)
ookinetes
(encysted form of ookinetes)
oocyst
(oocyst in which the sporozoite will develop)
sporocyst
infect the salivary gland of mosquito -> human
sporozoite
happens inside the human body, known as the asexual cycle (no union of gametocyte inside the body of human)
Schizogony
develop in mosquito, sexual cycle (union of micro and macro gametocyte)
Sporogony
Due to tick bites (pulgas/Exodes)
Babesia microti
four trophozoite attached with maltese cross appearance
Merozoite
similar to malarial parasite and can be mistaken from ring forms of P. falciparum
Intraerythrocytic parasite transmitted by bites
Can be transmitted also via transfusion
Babesia microti
Disease associated in Babesia microti
Babesiosis, Piroplasmosis caused hemolytic anemia, jaundice, hepatomegaly (after 1-2 weeks of onset), fever
lacks blood pigment in the ischizenic
stage
No large growing trophozoite and gametocyte. Many ring form (4-5)
Smaller rings than malaria trophozoite is pear shaped
B. microti in ring forms