protozoan Flashcards
Protozoans are under Phylum __
Sarcomastigophora
Protozoans are classified as __, __, __, __
intestinal / lumen-dwelling amoeba, free-living amoeba, atrial flagellates, hemoflagellates
Amoebae are under Sub-phylum __
sarcodina
Flagellates are under Sub-phylum __
mastigophora
Amoebae are characterized by presence of foot-like projections called __
pseudopodia
Flagellates are characterized by presence of __
whip-like flagella
pseudopodia of amoebae serves as __
locomotory structure
important amoebae(s) in humans
entamoeba, naegleria, acanthamoeba
commensals of amoeba
e. coli, e. dispar, e. gingivalis, e. hartmanni, e. moshkovskii
pathogenic amoeba
e. histolytica
species of genus entamoeba capable of infecting man
e. histolytica, e. coli, e. dispar, e. gingivalis, e. hartmani, e. moshkovskii
zoonotic protozoan of pigs and monkeys
e. polecki
t/f
e. polecki infections are symptomatic and seldom may cause diarrhea
f (asymptomatic)
free-living protozoans found mainly in freshwater
naegleria, acanthamoeba
entamoeba(s) that are hard to differentiate with each other
e. histolytica, e. dispar, e. moshkovski, e. hartmanni
small race of e. histolytica
e. hartmanni
all entamoeba are lumen-dwelling (intestinal) except __
e. gingivalis (mouth)
all entamoeba are non-pathogenic except __
e. histolytica
infective stage of most entamoeba
cyst (except e. gingivalis)
first to describe e. histolytica
losch
species-complex amoeba considered to cause amoebic dysentery and liver abscess
e. histolytica
parasite of PAM (brain, meninges)
naegleria fowleri
parasite of GAM (lungs, skin, brain)
Acanthamoeba spp and Balamuthia mandrillaris
parasite of acantamoeba keratitis (eyes, cornea)
acantamoeba spp
parasite of amoebiasis (liver, lungs)
e. histolytica
parasite of giardiasis (bile duct, gallbladder)
giardia duodenalis
parasite of trichomoniasis (prostate, seminal vesicles)
trichomonas vaginalis
[e histolytica]
diameter
troph:
cyst:
12-60; 10-20
[e histolytica: t]
motility
active, rapid, progressive, unidirectional;
[e histolytica]
karyosome
troph:
cyst:
small, central; small, eccentric
[e histolytica]
permanent stain
troph:
cyst:
trichrome stain & iron hematoxylin; iron hematoxylin
[e histolytica: t]
characteristics with iron hematoxylin stain
cytoplasm: grayish
nuclear structures: bluish black
erythrocytes: similar stain
RBC: progressively paler
[e histolytica: t]
characteristics with trichrome stain
cytoplasm: green (occasionally light pink)
nuclear structures: dark red
erythrocytes: cherry red or green
presence of ingested RBC in e. histolytica trophozoites is called __
hematophagous trophozoite
[e histolytica]
pre-cyst characteristics
single rounded nucleus, absence of ingested material, lack of cyst wall
dead or degenerated parasite has a ___ appearance
swiss cheese
t/f
structures of amoeba change when kept too long at room temperature
true
t/f
phagocytic stomata are not present in e. histolytica
false (presence of 2 stomatas: small endocytic - phagocytosis & larger stomata - pinocytosis)
immature cysts are found in what stage
pre-cystic
characteristics of an immature cyst
yellow stained glycogen mass (reddish brown w/ iodine stain)
highly refractile chromatoidal bars (rounded edges)
chromatoidal shape of e. histolytica
rod-like / cigar-shaped
[e. histolytica]
most common form of infection
intestinal amoebiasis (asymptomatic)
cycle of e. histolytica
ingestion
excystation (cyst to trophozoite; small intestine)
binary fission (large intestine)
encystation (trophozoite to cyst; intestinal tract)
“round up” (resistant cyst stage)
susceptibility of humans to e. histolytica is associated with __
specific alleles of HLA complex
[e histolytica]
determining factors of the degree of invasion
number of ingested cysts
pathogenic capacity of strain
host immunity
presence of enteric bacteria
patient supplemented with __ and those __ patients may provoke amoebic colitis
corticosteroid; severely burned
[e. histolytica]
symptomatic intestinal amoebiasis with presentation of blood and mucus in stools
amoebic dysentery
[e. histolytica]
symptomatic intestinal infection / inflammation
amoebic colitis
mortality cases are high among __ women in relation with the amoebic severity and __ stress
pregnant; maternal
degrades of host proteins; enables attachment to the gut; degrades mucus and debris; stimulates host cell proteolytic cascades
cysteine proteinases
responsible for cellular adherence, contact-dependent toxicity, resistance to host complement, and cell endocytosis
gal/galNAc-binding lectin
forms ion channels in the phagocytized bacteria and eukaryotic cells
amoebapores
trophozoites of a virulent strain of e. histolytica kills normal human polumorphonuclear neutrophils, monocytes, and macrophages in vitro
cytophagocytosis
symptomatic infections of e. histolytica
intestinal amoebiasis
- dysenteric
- nondysenteric colitis
extraintestinal amoebiasis
- hepatic (acute nonsuppurative & liver abscess)
- pulmonary
- other faci na rare
painful spasms of anal sphincter; sign of rectal ulceration
tenesmus
penetration of muscularis mucosae into the submucosa; flask-shaped ulceration
amoeba penetration
used to differentiate amoebic from bacillary dysentery
sigmoidoscopic examination
laboratory diagnosis of e. histolytica infection should be substantiated by
presence of RBC in the stool
serum antibody titer
stool e. histolytica antigen titer
routine diagnosis of e. histolytica / amoebiasis
microscopic examination
best way to diagnose e. histolytica is by a combination of __ and __
stool antigen detection; serology
serologic techniques
iha
elisa
eia
pcr
staining used to locate organisms within the tissues
periodic-acid shift (PAS)
allows accurate morphological demonstration of trophozoites
hematoxylin and eosin staining
countries where e. histolytica is most prevalent
SE Asia, SE and W Africa, Central and South America