Protozoan Infections Flashcards
acanthamoebic keratitis caused by
acanthamoeba castellani
non arthropod amoeba
epi acanthamoebic keratitis
worldwide air soil water
accidental human infection
life cycle acanthamoeba castellani
in fresh water it multiplies as amoebas forming cysts which can revert back to amoebas in soil
which part of cycle damages humans of acanthamoeba castellani
and what does it damage
both amoebic and cystic forms
- lungs eyes skin uterus following exposure to soil swimming how tubs OR CONTACT LENSES
how does acanthamoeba castellani damage eyes
it has to enter through a DAMAGE in the eye tissue, like chlorinated pool/ eye infection
it loves pseudomonas! which is often found in contact solution
acanthamoebic path
what plays a role in infection
characteristic***
bacterial confection (pseudomonas)
enzymes released by amoebas causes a characteristic stromal infiltrate in the shape of a ring within the eye**
acanthamoebic immunity?
antibody dependent dependent cellular rxn (lymphokines and opsonization of amoeba by antibody)
no partial immunity
s/s acanthamoebic immunity
what do you have to keep in mind
uveitis, optic neuritis corneal keratitis
can lead to granulomatous amoebic encephalitis in immunosuppressed patient!
skin lesions present as ulcers, nodules or accesses
dx acanthamoebic*
amoebas or star like cysts in tissue exudates
tx acanthamoebic
propamidine
trichomoniasis cause by? description
trichomonas vaginallis
non arthropod flagellated protozoan
trichomoniasis reservoir
humans only
its the only definitive host
bad thing about trichomonas
they can survive 1-2 hours on moist surfaces
viable up to 24 hours in urine or semen
life cycle of trichomonas
transmitted by sexual contact OR droplets on contaminated fomites
no cyst stage*
can live in vagina and prostate of humans and are passed directly to uninfected person
path trichomonas
damage is caused by the proliferation of colonies in vagina or Urinary tract
it c causes destruction of epithelial cells causing infiltration inflammation vaginitis
s.s trichomoniasis
vaginitis with frothy green yellow vaginal secretions
foul odor and intense irritation
urethritis and petechiae
male- urethritis, prostatitis or sterility
(1/2 are asymptomatic)
dx trichomoniasis
pyriform flagellated moline trophozoites in vaginal or wet preparations
tx trichomoniasis
metronidazole
tx all sex partners
but 3-4 weeks it self cures