PROTOZOAN Flashcards
Kindom Protozoa:
- Phylum Amoebazoa
- Phylum Metamonada
- Phylum Euglenozoa
- Phylum Ciliophora
- Phylum Apicomplexa
Under Phylum Amoebazoa:
- Entamoeba histolytica
- E. coli
- E. hartmanni
- Iodamoeba bütschlii
- Endolimax nana
- Naegleria fowleri
- Acanthamoeba spp.
Under Phylum Metamonada:
- Giardia lamblia
- Dientamoeba fragilis
- Chilomastix mesnili
- Trichomonas vaginalis
- T. tenax
Under Phylum Euglenozoa:
- Leishmania spp.
- Trypanosomes
Under Phylum Ciliophora:
- Balantidium coli
Under Phylum Apicomplexa:
- Babesia spp.
- Plasmodium spp.
- Toxoplasma gondii
Characterized by the presence of hyaline foot-like extrusions from the ectoplasm
Amoeba
All amoeba are intestine dwellers except: _________
Entamoeba gingivalis
All amoeba are commensals except: _________
Entamoeba histolytica
In amoebas, Cyst is the infective stage except: _________
Entamoeba gingivalis
Amoebas are under Phylum Sarcomastigophora before, now ___________
Phylum
Amoebazoa
Amoeba
4 Stages in the life cycle
- Trophozoite
- *Pre-cystic stage
- Cystic stage
- Metacystic stage
Cyst stage that has the max number of nuclei
Cystic stage
process when trophozoite transforms into a cyst
Encystation
process when a cyst transforms into a trophozoite
Excystation
For the movement of ameoba
Pseudopodium
Max nucleus of trophozoites of amoebas
1
Seen in immature amoeba cysts
chromatid bodies
Common in people who live in tropical areas with poor sanitary
conditions
Entamoeba histolytica
Most pathogenic amoeba; true pathogen
Entamoeba histolytica
Pathogenicity of Entamoeba histolytica is reflected in its ability to cause__________ and _____________
- invasive intestinal amoebiasis
- extraintestinal amoebic infections
Habitat of Entamoeba histolytica
Large intestines
Infective Stage of Entamoeba histolytica
Cyst
Final Host of Entamoeba histolytica
Man
Virulent Stage of Entamoeba histolytica
Trophozoite
MOT of Entamoeba histolytica
Ingestion of mature cyst
Max nucleus of mature cyst of Entamoeba histolytica
“tetra/ quadrinucleated”
Shape of E. histolytica
cyst
Round with thin cell wall
The cyst of E. histolytica have a evenly distributed _________
peripheral chromatin
Shape of the chromatoidal bar of E. histolytica cyst
cigar shape
Location of karyosome of the cyst of E. histolytica
centrally located
Size of E. histolytica cyst
10-20um (usually,
12-15 um)
E. histolytica is similar in morphology with:
- E. moshkovskii
- E. hartmanni
- E. dispar
motolity of E. histolytica trophozoites
Progressive aggressive/rapid directional
The characteristic of E. histolytica trophozoites of swallowing RBCs
Hematophagia
Vegetative/feeding stage
Trophozoites
Cytoplasm of E. histolytica trophozoites appearance
finely granular, “ground-glass appearance
E. histolytica trophozoites have a nucleus with evenly distributed _______________
peripheral chromatin
Size of E. histolytica trophozoites
12-60um (usually, 15-20 um)
Diagnosis for E. histolytica
- Direct fecal smear
- Concentration Technique
- Culture Media
- Stains
- Serological tests
Non-pathogenic ameoba lumen dweller
Entamoeba coli
Entamoeba coli MOT
ingestion of cysts from contaminated water or
food
Shape of E. coli cyst
Spherical/oval
Appearance of the peripheral cromatin of
E. coli cyst
coarsely granular/clumped
unevenly distributed
Shape of E. coli cyst chromatoidal body
splinter shaped with rough, pointed ends
E. coli cyst size
10-35 um (usually, 15-25um)
Appearance of pseudopodia of E. histolytica
hyaline, fingerlike pseudopodia
Appearance of pseudopodia of E. coli
blunt and
granular pseudopodia
Movement of E. coli
Sluggish, nondirectional
Location of karyosome of E. coli trophozoite
eccentric
Octonucleated with eccentric & large karyosome
E. coli cyst
Appearance of E. coli trophozoite peripheral
chromatin
Unevenly arranged and clumped peripheral
chromatin
Appearance of E. coli trophozoite cytoplasm
Granular cytoplasm usually vacuolated,
contains debris
Size of E. coli trophozoite
15-50 um (usually, 20-25um)
Spherical shape
Other intestinal protozoa cyst
Entamoeba hartmanni cyst
4 nuclei
Other intestinal protozoa cyst
- Entamoeba hartmanni (common 2 nuclei)
- Endolimax nana cysts
Evenly distributed, difficult to
observe Peripheral chromatin
Other intestinal protozoa cyst
Entamoeba hartmanni cyst
Small centrally located Karyosome
Other intestinal protozoa cyst
Entamoeba hartmanni cyst
Chromatoidal bodies with blunt, round, smooth edges
Other intestinal protozoa cyst
Entamoeba hartmanni
cyst
5-10 um in size
Other intestinal protozoa cyst
- Entamoeba hartmanni
- Endolimax nana
cyst
Oval or spherical shape
Other intestinal protozoa cyst
- Endolimax nana
- Iodamoeba butschlii
cyst
1 nucleus
Other intestinal protozoa cyst
Iodamoeba butschlii
cyst
No peripheral chromatin
Other intestinal protozoa cyst
- Endolimax nana
- Iodamoeba butschlii
cyst
Smaller then karyosome in trophozoites
Other intestinal protozoa cyst
Endolimax nana
cyst
Large usually eccentric
refractile granules may be
on one side (“basket
nucleus”)
Other intestinal protozoa cyst
Iodamoeba butschlii
cyst
Chromatoidal bodies are rarely present/ fine linear faintly visible in stained smears
Other intestinal protozoa cyst
Endolimax nana
cyst
No chromatoidal bodies
With Large compact, welldefined mass (reddish brown if stained with iodine)
Other intestinal protozoa cyst
Iodamoeba butschlii
cyst
5-10 um in size
Other intestinal protozoa cyst
- Entamoeba hartmanni
- Endolimax nana cyst
5-20 um in size
Other intestinal protozoa cyst
Iodamoeba butschlii
cyst
Non progressive
Other intestinal protozoa trophozoite
Entamoeba hartmanni
trophozoite
Sluggish usually non progressive
Other intestinal protozoa trophozoite
- Endolimax nana
trophozoite - Iodamoeba butschlii
trophozoite
Mononucleated
Other intestinal protozoa trophozoite
- Entamoeba hartmanni
trophozoite - Endolimax nana trophozoite
- Iodamoeba butschlii trophozoite
Peripheral chromatin is Same with E. histolytica/E. dispar
Other intestinal protozoa trophozoite
Entamoeba hartmanni
trophozoite
Usually no peripheral chromatin
Other intestinal protozoa trophozoite
-Endolimax nana
trophozoite
- Iodamoeba butschlii
trophozoite
Small, may be centrally located or eccentric Karyosome
Other intestinal protozoa trophozoite
Entamoeba hartmanni
trophozoite
Large, irregularly shaped; blotlike appearance Karyosome
Other intestinal protozoa trophozoite
Endolimax nana
trophozoite
Large, may be surrounded
by refractile granules that
are difficult to see (“basket
nucleus”) Karyosome
Other intestinal protozoa trophozoite
Iodamoeba butschlii
trophozoite
Cytoplasm is Finely granular may contain
bacteria
Other intestinal protozoa trophozoite
Entamoeba hartmanni
trophozoite
Cytoplasm has bacteria
Other intestinal protozoa trophozoite
Endolimax nana
trophozoite
Cytoplasm is Granular and heavily vacuolated w/ bacteria
Other intestinal protozoa trophozoite
Iodamoeba butschlii
trophozoite
5-12 um in size
Other intestinal protozoa trophozoite
Entamoeba hartmanni
trophozoite
8-20 um in size
Other intestinal protozoa trophozoite
Iodamoeba butschlii
trophozoite
6-12 um in size
Other intestinal protozoa trophozoite
Endolimax nana
trophozoite
These are protozoans characterized by the presence of whiplike locomotory organ
Flagellates
Flagellates are under what phylum?
Phylum
Metamonada
Flagellates are under of Phylum Sarcomastigophora before, now ________
Phylum
Metamonada
Flagellates with no cyst stage:
- Trichomonas vaginalis
- Trichomonas hominis
- Before: Dientamoeba fragilis*
- Found on surfaces or in soil, food, or water that has been contaminated with feces
(poop) from infected humans or animals
Giardia duodenalis
Giardia duodenalis old name
Giardia Lambia
Foul-smelling diarrhea with increased amount of fat and mucus but no blood
Giardiasis
Host of Giardia duodenalis
Humans and other mammals, birds and
reptiles
Reproduction of Giardia duodenalis
Binary fission
Habitat of Giardia duodenalis
Intestine
size of G. duodenalis cyst
8-19 um x 11– 14 um (LW)
shape of G. duodenalis cyst
Oval, ellipsoidal
Max nuclei of G. duodenalis cyst
4
shape of G. duodenalis trophozoite
Pear/Spoon shaped/teardrop (pointed posterior)
Size of G. duodenalis trophozoite
10-20um x 5-15um
Motility of G. duodenalis trophozoite
Falling leaf
Max nuclei of G. duodenalis trophozoite
2
How many pairs of Flagella of G. duodenalis trophozoite
4
Location of pairs of flagella in G. duodenalis trophozoite
- anterior
- posterior
- ventral
- lateral
Shape of median bodies of G. duodenalis trophozoite
Claw-hammer-shaped
occupies ½ - ¾ of ventral surface of G. duodenalis trophozoite
Sucking disk
Pathology of G. duodenalis:
- Similar to amebiasis and bacterial diarrhea
- Traveler’s diarrhea
- gay bowel syndrome
- Epigastric pain
- flatulence
- fat malabsorption
Aka string test
Entero-Test
Diagnosis of G. duodenalis:
- Routine stool examination
- Entero-Test
- Duodenal aspirate examination
- Immunoassays
- Tissue biopsy
- Molecular Testing
Parts of G. DUODENALIS trophozoites
- nuclei
- median (parabasal) bodies
- Flagella
- axostyle
- axonemes
Flagellates that are originally described as ameba
Dientamoeba fragilis
Max nuclei of Dientamoeba fragilis Trophozoite and cyst
1 or 2 nuclei
MOT of Dientamoeba fragilis
- fecal-oral route
- Ingestion of trophozoites and/or cysts (person to person)
Nuclear membrane of Dientamoeba fragilis Trophozoite and cyst has no _______________
peripheral chromatin
Karyosome of Dientamoeba fragilis Trophozoite and cyst has 4-6 ___________
discrete
granules
May be conveyed in helminth eggs (Enterobius vermicularis infection)
Dientamoeba fragilis
Usually asymptomatic
Dientamoeba fragilis
Dientamoeba fragilis Common symptoms:
intermittent diarrhea w/ excess mucus
Dientamoeba fragilis
is not detected by ___________
concentration techniques
Diagnosis of Dientamoeba fragilis:
- DFS
- Prompt fixation of fresh stool
w/ PVA fixative or
Schaudinn’s fixative has
been helpful.
Trichomonas vaginalis
stages
- Pseudocystic stages
- Trophozoites
Shape of Trichomonas vaginalis
Pear-shaped/pyriform
Shape of Trichomonas vaginalis Pseudocyst
round
size of Trichomonas vaginalis Trophozoites
7-23um x 5-15um
Shape of Trichomonas vaginalis Trophozoites
Flagellate and ameboid – pear shaped
Motility of Trichomonas vaginalis Trophozoites
jerky, rapid, non-directional
Location of flagella of Trichomonas vaginalis Trophozoites
3-5 anterior 1 posterior
With undulating membrane
Trichomonas vaginalis
Transmission of Trichomonas vaginalis:
- sexual intercourse
- infant delivery
- use of contaminated towels & underwater
Habitat of Trichomonas vaginalis in males
prostate gland
contaminated towels & underwater
fomites
Trichomonas vaginalis
is found usually in what specimen
urine
Habitat of Trichomonas vaginalis in females
Vagina/cervix
Diagnosis of Trichomonas vaginalis:
- Urinalysis*
- Vaginal discharge, vaginal scrapings examination
- Cervical smear*
- Seminal, prostatic fluid examination
- Fluorescent staining
- Culture
- Immunoassays
- Molecular testing
Non-pathogenic Flagellates
- Pentatrichomonas (Trichomonas) hominis
- Trichomonas tenax
- Chilomastix mesnili
SAMPLE USED
FOR DIAGNOSIS of T.
hominis:
Fecal contamination
Size range of T.
hominis trophozoites
7-20 um x 5 - 18 um
SAMPLE USED
FOR DIAGNOSIS of T.
tenax:
- oral pathogen
- peridental disease
Size range of T. tenax trophozoite
5 - 14 um
Chilomastix mesnili Cyst size
6-10um
Mononucleated with distinct anterior protuberance
Chilomastix mesnili Cyst
Size of Chilomastix mesnili Trophozoite
10-20 x 3-10um
With anterior hyaline knob
Chilomastix mesnili Cyst
Shape of Chilomastix mesnili Cyst
“Lemon shaped/nipple shaped”
With shepherd’s crook-like cytostome/spiral groove
Chilomastix mesnili Trophozoite
Motility of Chilomastix mesnili Trophozoite
corkscrew
Location of Chilomastix mesnili Trophozoite flagella
3 anterior, 1 in cytostome
Max nucleus of Chilomastix mesnili Trophozoite
1
Prominent cytostome extending 1/3–1/2 length of body
Chilomastix mesnili Trophozoite
Spiral groove across ventral surface
Chilomastix mesnili Trophozoite
Balantidium coli infection is mostly ___________
asymptomatic
Only pathogenic ciliate and the largest of the protozoan
that parasitize humans
Balantidium coli
Balantidium coli is Common cause of infection on ___
pigs
Definitive host of Balantidium coli
pigs
Accidental host of Balantidium coli
humans
Habitat of Balantidium coli
large intestine
Virulence factor of Balantidium coli
hyaluronidase
Pathology of Balantidium coli:
⮚ Balantidiasis/ balantidial dysentery
⮚ Intestinal perforation
⮚ Colonic Ulcerations*
an enzyme capable of digesting hyaluronic acid present
in the epithelial tissues causing ulcerations
hyaluronidase
Diagnosis of Balantidium coli:
- DFS
- Pulmonary specimen wet preparations
- Concentration Techniques
- Biopsy
shape of Balantidium coli cyst
Spherical or oval
Size of Balantidium coli cyst
50 – 70um x 50-55um
size of Balantidium coli trophozoite
50–100 μm x 40–70 μm
shape of Balantidium coli trophozoite
Ovoid with tapering anterior end
motility of of Balantidium coli trophozoite
Motile Ciliates: rotary, boring; may
be rapid
in older cysts,
internal structure appears granular;
Balantidium coli cyst
Macronucleus and contractile vacuole are
visible in young cysts
Balantidium coli cyst
Body covered with cilia, which tend to be longer near cytostome; cytoplasm may be vacuolated
Balantidium coli trophozoite
cilia difficult to see within the cyst wall
Balantidium coli cyst