Protozoa - Tryp., Leish., Giardia, Trichom., Histo. Flashcards
Which diagnostic methods are used to detect the presence of trypanosomes in
dried blood smears?
A: Gram-staining
B: Giemsa staining
C: Lugol-solution
D: PAS-reaction
B: Giemsa staining
What is found in giardiasis?
A: Trypomastigotes
B: Promastigotes
C: Oocytes
D: Others
D: Others
What is the main difference for detection of intestinal Trichomonas or Giardia
infection?
A: Giardia turn to cyst, Trichomonas not
B: No important difference
C: Trichomonas turn to cyst, Giardia not
D: Giardia much smaller
A: Giardia turn to cyst, Trichomonas not
What is an adequate method to detect Giardia cysts in the fresh feces?
A: Impossible
B: Sedimentation
C: Baermann´s method D: Flotation
D: Flotation
Which forms of Thrichomonas can be found in the outer environment?
A: Cyst
B: Flagellated
C: Ameboid
D: Not any forms
D: Not any forms
Which is the non-cyclic Trypanosoma species among the next ones?
A: T. evansi
B: T. congolense
C: T. vivax
D: T. brucei brucei
A: T. evansi
Which morphological form of the Leishmania can be found in the vertebrate?
A: Promastigote
B: Trypomastigote
C: Amastigote
D: Epimastigote
C: Amastigote
What are the morphs of leishmanias that appear in macrophages?
A: Trypomastigotes
B: Amastigotes
C: Promastigotes
D: Epimastigotes
B: Amastigotes
What species are susceptible for the disease of “mal de caderas”?
A: Ruminants
B: Camel and dog
C: Horse and donkey D: Man and dog
C: Horse and donkey
What is the Trypanosoma that infects host without vectors?
A: T. evansi
B: T. congolense
C: T. equiperdum
D: T. brucei brucei
C: T. equiperdum
How many flagellums does a Giardia trophozite have?
A: Four
B: Eight
C: Three
D: Two pairs
B: Eight
Which method of staining can be applied to detect Histomonas in tissues?
A: PAS
B: Giemsa
C: Gram
D: Hematoxylin-eosin
A: PAS
Which has the largest among the causative agents of Nagana?
A: T. vivax
B: T. brucei brucei
C: T.congolense
D: T. brucei evansi
B: T. brucei brucei
What is the most frequent cause of death in Nagana?
A: Heart failure
B: Renal failure
C: Pneumonia
D: Spleen rupture
A: Heart failure
Which species does the causative agent of dourine belong to?
A: T. brucei
B: T. equiperdum
C: T. evansi
D: T.equinum
B: T. Equiperdum
Name of parasite found in closely related species
Stenoxenous
Which has cutaneous and visceral forms?
Leishmaniasis
What is the animal obligatory for the completion of life cycle?
Definitive host
Parasite of cycle involves one species?
Monoxenous
Which does not cause nagana?
T. equiperdum
which cysts can be found in the faeces of the animal?
Giardiasis
Which is monomorphic?
T. vivax
How do the clinical signs of Dourine follow each other?
Genital, skin, nerves
Which host is not needed to complete life cycle?
Paratenic host
Test used in dourine?
Complement fixation test
Which animal species have the general form of histomonosis?
Guinea fowl
What is the name of the Trichomoniasis species found in cattle?
Tritrichomonas foetus
Parasite can only be established in one host:
Stenoxenous
Can be detected in giardiasis?
Trophozoites
Which is not zoonotic?
Histomonosis
Flagellate form can be found in the caecal lumen?
Histomonosis
Who is pleomorphic?
T. brucei
In which faecal sample can you find cysts?
Giardiasis
What can you find in the blood smear of dourine?
Trypomastigotes
Which of these parasites can infect more than one host?
Euryxenous
Which species is found in old/new world America?
T. vivax
What is the vector of leishmaniasis?
Sandfly
What is the vector of nagana?
Tsetse fly
What is the number of nuclei in infected cysts, of entamoebosis?
4
What can be detected in leishmaniasis?
Amastigotes
Which form of Histomonas is found in the caecum?
Flagellate
Which Trypanosoma needs a mechanical vector?
T. evansi
What species is primarily affected by Histomonas meleagridis?
Turkey
Which parasite species causes Black head?
Histomonas meleagridis
Which is the clinical form of leishmaniasis in dogs?
Cutaneous form
How do you detect leishmaniasis?
Smear with Giemsa staining. Detection of amastigotes
Which test can you use to detect Dourine?
Complement fixation test x2 with 3-week interval
Cellular organelle of leishmaniasis consists of?
Nucleus, kinetoplast, axoneme, or basal body
Which species is primarily affected by Histomonas meleagridis?
3-12 week old turkeys
Which parasites are pleomorphic?
T. brucei, Histomonas meleagridis
What can we detect in giardiasis?
Trophozoites (vegetative form) in the faecal smear
Cysts (infectious form) in faecal smear
Which cells carry leishmaniasis?
Macrophages
Which trypanosome is not involved in nagana?
T. cruzei, T. evansi
Which cellular organelle is present in Trypanosoma?
Kinetoplast
Which parasite release cysts into the faeces of animals?
Giardia duodenalis
What is the mechanical vector of nagana?
Stomoxys and Tabanu
Trypanosoma spp. having undulating membrane
T. brucei brucei, T. congolense
T. vivax – Inconspicuous undulating membrane’
Stages of Tryponosoma spp. having undulating membrane:
Trypomastigote
Epimastigote
Which trypanosome stage is intracellular?
Amastigote
Which has flagellum, but no undulating membrane?
Promastigote
Which does not have flagellum? (Trypanosoma)
Amastigote
Which phenotype of trypanosomes has the kinetoplast anteriorly next to the nucleus, and is also provided with short undulating membrane?
Epimastigote
Which cells do Trypanosomes invade?
WBCs, macrophages
Trypanosoma found in old world and new world.
Trypanosoma vivax (South America only)
For how long does Trypanosoma have…?
Many years
Salivaria vs. Stercocaira; which occur in South America?
Both. These are the Trypanosomes group.
What is the size range of trypanosomes?
8-39um
Name of the cutaneous inflammation after an infection / infiltration with Trypanosoma:
Chancre
Nagana caused by:
Trypanosoma vivax, T. congolense, T. brucei
Spp. not effected by Nagana:
Wild animals (reservoir role) and certain breeds of cattle (N’Dama, zebu are resistant. Ru. Eq. Sus. Ca. effected
Which is the largest among the causative agents of Nagana?
T.brucei brucei (15-39 um)
Largest Trypanosoma from the following:
Trypanosoma brucie brucie (15-39 um)
Which Trypomastigote has a large undulating membrane?
Tryponosoma brucei brucei
What is the most frequent cause of death in Nagana?
Congestive heart failure
Which region of Africa does the acute, more rapid form of sleeping sickness (T. rhodensiense) occur?
Eastern
Trypanosoma evansi causes:
Mal de caderas / Surra
The causative agent of Surra (mal de caderas):
Has broad host spectrum – Horse, dog, camel, elephant, humans.
Which host has asymptomatic Trypanosoma evansi infection?
Cattle
Surra caused by which parasite?
Trypanosoma evansi
Surra is found where in the world?
North Africa, Asia, Central and South America
The vector of T. brucei evansi plays a role as:
Mechanical vector
Mal de Caderas symptoms
Oedema of limbs
Which animal has asymptomatic T. brucei evansi infection:
Cattle, water pig (since these are reservoirs)
Trypanosoma cruzi causes:
Chagas’ disease
The amastigote of Trypanosoma cruzi occurs?
In mesenchymal cells
Amastigote (mesenchymal cells) – Infected cells rupture, disintegrating amasitgotes elicit an inflammatory response - Epimastigote – Trpomastigote (infect new cells and tissues, muscle, nerves)
How can dogs be infected with Trypanosoma cruzi?
Eating bugs
The amastigote of Trypanosoma cruzi occurs where?
Mesenchymal cells
Which phenotype is not characteristic of Trypanosoma cruszi?
Promastigote
See amastigote, epimastigote, and (in the blood stream) trypomastigote.
What is not caused by Trypanosoma cruzi?
Megalomania
Which has the biggest kinetoplast or soma from the 4 Trypanosoma?
T. Cruzi
How can the kissing bugs inoculate Trypanosoma cruzi in a host?
With their faeces
Trypanosoma brucei equiperdum causes
Dourine (exanthema coitale paralyticum
Which trypanosoma species causes asymptomatic infection in dogs?
T.equiperdum (does not effect dogs)
Which species does the causative agent of Dourine belong to?
T.brucei
In scientific terms, what is a dollar spot?
Uritricia
Which ocular problem does Dourine not cause?
Nystagmus (strabism), lachrymation, mydriasis
Dourine caused by:
Trypanosome brucei subsp. Equiperdum
Dourine has been found where in the EU in the last 10 years?
Italy
What is the main sign seen towards the end of Dourine?
Paralysis, mainly in hindlimbs
Genitals → Skin → Nerves
Geographic locations and symptoms of following Trypanosoma diseases:
Nagana: Central Africa, south of the Sahara region - Haemorrhages on mucosal surfaces, inflammatory-necrotic changes, death due to congestive heart failure
Sleeping Sickness: Africa - Leptomeningitis followed by cerebritis
Surra / Mal de caderas: EU, North Africa, Asia, Central and South America - Oedema, neurological (Horse) and ocular (Dog) signs, etc.
Chagas’ disease: South and Central America - “mega signs” like cardiomegaly, mega-oesophagus, megacolon
Dourine: Third world countries, Italy - “dollar spots” Genitals – Skin – Nerves
Which of the following is detected by Giemsa staining of blood smear? MCQ
Theileria
Trypanosoma
What type of biological vector does Salivaria-type Trypanosoma have?
Biological vector - Glossina spp. (Tsetse flies)
Mechanical vector – Stomoxys and Tabanus spp. (blood-sucking flies)
Which phenotype/form is possible for the pathogenesis of Leishmania?
Amastigote
Amastigote host; intra-cellular in macrophages. Promastigote sand-fly; vector
Leishmania develops from:
Amastigote
Incubation period of Leishmania?
Several years
After an incubation period of 3 months to 7 years, chronic outcome.
Leishmaniosis vector is:
Sandfly (Phleobotomus)
The sandflies can be the vector of the pathogens of which disease?
Leishmaniosis
How can host be infected by Leishmania?
Female sand-fly. Vector disease. Via biting.
Leishmania transmission can be:
All
Vector borne. Trans-placental. Sand-fly.
What is/are characteristic of pathogenesis of leishmaniosis? (MCQ)
MPS killing amastigotes
Hyper-globulinemia
Visceral form of Leishmania?
Distended intestines, melena, conjunctiva problems, hyperaemic spleen, PU, PD
Symptoms of Leishmania?
Cutaneous form – Hair loss, hyper-keratosis, desquamation, seborrhoea, small papules, ulcers, crusts, excessive long clawa (onychogryphosis)
Visceral form – Lymph nodes spleen and liver enlarge, fever, anaemia, emaciation, muscle atrophy, ataxia, somnolence, lethargy, anorexia, vomit, diarrhoea, cachexia, PU, PD, ocular signs, rhinitis, coughing, epistaxis, melena
Cause of death in Leishmania?
Renal insufficiency/failure (kidney insufficiency)
Which country lacks autochthonous cases (indigenous, native) of Leishmaniosis?
Germany
What is the approximate size of Giardia:
Trophozoite – 11-17 um
Cyst - 10-20um
How do humans get giardia?
Swimming, contaminated drinking water, washing food with water, surfaces
How do chickens get Giardiasis?
Infection per os. Infected water. Water-borne infection.
How Giardia infects?
Via contaminated water (swimming, drinking water, washing food), food, surfaces, caprophagy
Where can we find Giardia extra-intestinally?
Bile and pancreatic ducts; liver and pancreas
Giardia cyst location?
Environment (infectious form)
Giardia trophozoite location?
Host (vegetative form). In intestine, bile duct, pancreatic duct.
Which Giardia duodenalis occurs in dog?
Genotypes A-D (ABCD) (A-G genotypes exist)
Difference between Trichomonas and Tritrichomonas?
Trichomonas 4 flagella Birds
Tritrichomonas 3 flagella Cattle
If the following are present, more susceptible to Trichomonas: MCQ
Vitamin A deficiency
How do pigeons acquire Trichomonas?
Young pigeons (squabs) – Via feeding of regurgitated feed content Pigeons – Via kissing or from contaminated drinking water
General feature of Trichomonas in pigeons?
Penguin-like posture (birds stand upright with head high and neck straight)
What is the characteristic lesion in the hepatic form of pigeon Trichomonosis?
Pea-size necrosis
What is/are the worst consequences in Trichomonosis in Cows?
Early abortion (1st trimester, before 4th month) – Early abortion in 6-16th week via absorption or elimination Pyometra – Greyish-white, odourless fluid swarming with Trichomonas
Age when bulls are susceptible to Trichomonas spp.:
Above 3 years
How does Trichomonas gallinae reach the liver in birds?
From navel
Hepatic form – Through navel of squabs into the liver – Greyish-yellow, pea-sized necrotic foci
Geographical region with Tritrichomonas problems?
Certain states of America (e.g. Florida, Nevada, California, etc.)
How does Tritrichomonas foetus live in the genital tract?
Epi-cellularly
Which can be found in earthworms?
Histomonas meleagridis – Heterakis earthworm as a transport host.
Predisposing factor of Histomonosis:
Turkeys kept together with chickens (asymptomatic carriers, frequently Heterakis infected)
Liver of Histomonas infection pathologically seen as:
Dry cut surface
Characteristic, greyish-yellow, circular, deep/sunken, necrotic foci 1-2cm or more in diameter. The border of the lesions shows sharp demarcation, and the dry-cut surface shows concentric structures due to expanding necrosis of the hepatocytes on the periphery. Pathognomic lesions!
Characteristics of Histomonosis disease in birds
Cyanosis of the head (blueish colour)
Also, weakness, dropping of wings, drowsiness, yellow diarrhoea, death within days
Which clinical sign is not characteristic of turkey Histomonosis?
Head cyanosis (no cyanosis of head not wattles in turkey)
Entamoeba histolytica morphology:
4 nuclei, 8-20 um Trophozoite Amoeboid form, in mucosa and tissues, ring-like nucleus, endosomes (karysome), RBCs in cytoplasm, no mitochondria (mitosome instead, pseudopodia for movement). 10-20um Cyst Round (cf to Giardia which is oval!), 4 nuclei, blunt chromatidal bars. 8-10um
Which of the following is/are characteristic of Entamoeba histolytica trophoziotes? MCQ
Eccentric endosome
Phagocytised RBCs
What causes anosmia (loss of smell)?
Entamoeba histolytica
Entamoeba attacks:
RBCs
Where does the skin abscess of Entamoeba come from?
Abscess in liver
Peritonits, pleuritis (if abscesses rupture). Skin: Erythema, alopecia, hyper-keratosis (desquamation)
Chronic granulomatosus encephalitis is caused by:
Acanthamoeba castellani
What is chronic granulomatous amoebic encephalitis (GAE) in humans caused by?
Acanthamoeba castellani
How can a dog become infected with Acanthamoeba castellani?
Dog - From water, contact with still water, through skin lesion. Opportunism if dog with Distemper.
Horse – Via inhalation, through skin lesion.
Naegleria morphology:
10-12 um, rounded
Trophozoite < 20 um, with a single amoebostome
Biflagellar form Swim large distances in water
Cyst 10-12 um, uni-nucleated, round, ostiolum (tiny opening for excystation)
What is shape and size of Naegleria cyst?
Uni-nucleated, osteolum, rounded, 10-12 um
What is the form Naegleria fowleri does not have?
Provided with one flagellum
N. fowleri has biflagellar form
What is the acute primary amoebic meningoencephalitis (PAM) in humans caused by?
Naegleria fowleri
What disease does Naegleria fowleri cause?
Primary amoeboid meningoencephalitis
What is true for infection with Amoeba? (?)
Large nucleus. Large cyst.
Specific for opportunist amoebas? (?)
Big nucleus