Protozoa (Intestinal and Genital Flagellates) Flashcards
Four common species of Intestinal flagellates
Giardia lamblia
Chilomatix mesnili
Dientamoeba fragilis
Enteromonas hominis
A flagella that lives in the duodenum jejunum and upper ileum of humans
Giardia lamblia
Two genital flagellates
Trichomonas vaginalis
Trichomonas tenax
Only pathogenic intestinal flagellates
Giardia lamblia
Only protozoa with sucking disc for attachment.
Giardia lamblia
True or False: Chilomastix mesnili has been shown to be related to “gay bowel syndrome”
False. G. lamblia has been shown to be related to “gay bowel syndrome”
Causative agent of Giardiasis/Lambiasis
G. lamblia
Pear-shaped or teardrop-shaped organism
Giardia lamblia
Flagellate trophozoites that has “ jerky, falling leaf, kite-like” motion
Giardia lamblia
Old man with eyeglasses, smiling face trophozoite
Giardia lamblia
Infective stage of G. lamblia
Cysts
Pathology of G. lamblia
- Intense inflammation –attachment of parasite in the intestinal mucosa
- steatorrhea
- passage of foul smelling and bulky stools
Diagnostic stage of G. lamblia
Cysts and trophozoites
Diagnosis of G. lamblia
- Direct fecal Smear: Trophozoite characterized by “floating-leaf like motility”
- Cyst: spotty shedding requires 3 examination
- Duodenal aspiration or biopsy may be done
- Entero-test:demonstration of trophozoites
- ELISA
Treatment for G. lamblia infection
Metronidazole and Tinidazole
Epidemiology of G. lamblia
Worldwide