Toxoplasma Flashcards

1
Q

diagnosis of toxoplasma in DH? - type of technique

A
  • flotation technique
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2
Q

diagnosis of Toxoplasma in IH - serology?

A
  • Sabin-Feldmann dye test
  • CFR
  • IFAT
  • ELISA
  • Latex agglutination test.
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3
Q

diagnosis of Toxoplasma in general

A
  • DH
  • IH
  • biological assay - mice, cat
  • PCR
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4
Q

Toxoplasma gondii - definite host:

A
  • domestic cat, wild felids
  • found in the SI - schizogony, gamogony
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5
Q

Intermediate host of Toxoplasma gondii is?

A
  • mammals
  • birds
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6
Q

Source of infection of Toxoplasma gondii - what stage and where is it found:

A
  • Tachyzoites – raw goat milk (very rare)
  • Tissue cysts – raw meat and meat products
  • more than 50% infections in humans
  • sporulated oocysts – soil (vegetables), contaminated water
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7
Q

Toxoplasmosis in which humans:

A
  • Immunocompetent individuals:
  • Immunocompromised patients (HIV, organ transplants):
  • Pregnant women:
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8
Q

Toxoplasmosis in animals:

A
  • Sheep, goats – reproduction problems
  • Pallas cats, marsupials, lemurs, New world apes, brown hare – acute fatal toxoplasmosis
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9
Q

genotyping of Toxoplasma gondii

A
  • genotypes I., II., III.,
  • recombinant and atypical genotypes
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10
Q

Toxoplasma gondii characteristics:

A
  • Non-sporulated oocyst: shed by felids into environment
  • sporulated oocyst in environment
  • Tachyzoites in various tissues (in pseudocysts)
  • Vertical (transplacental) transmission
  • Tissue cysts (bradyzoites): myocard, CNS, skeletal muscles
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11
Q

what type of transmission is used by Toxoplasma?

A
  • Vertical (transplacental) transmission
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12
Q

Tissue cysts AKA … of toxoplsama is found in what tissues?

A
  • bradyzoites
  • myocardium, CNS, skeletal muscles
  • raw meat and meat products - source of infection
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13
Q

Non-sporulated oocyst of Toxoplasma gondii is found where?

A
  • shed by felids into environment
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14
Q

Sporulated oocyst of Toxoplasma gondii is found where?

A
  • sporulated oocyst in external environment
  • soil (vegetables), contaminated water - source of infection
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15
Q

Where is Tachyzoites of Toxoplasma gondii found?

A
  • in various tissues (in pseudocysts)
  • visceral organs
  • raw goat milk (very rare) - source of infection
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16
Q

Toxoplasma gondii picture:

A
17
Q

Diagnosis of Toxoplasma gondii:

A
  • Flotation technique:
  • Necropsy:
  • Impression smear:
  • Histological examination:
  • Immunology:
  • Serological examination:
  • biological assay:
  • Molecular techniques:
18
Q

molecular techniques of Toxoplasma gondii:

A
  • detection of T. gondii DNA
  • PCR: conventional, real-time
  • genotyping
19
Q

Biological assay of Toxoplasma gondii:

A

golden standard:

  • Mice – tissue cysts detection
  • Cat – sporulated oocysts detection
20
Q

Histological examination of T. gondii

A
21
Q

Serological examination of Toxoplasma gondii:

A

detection of antibodies against T. gondii:

  • IgM: acute phase – within one week post infection, peak concentration 3-6 weeks post infection, disappear after one year
  • IgG: 3 weeks post infection, peak concentration 2-3 months post infection, lifetime last in lower titres
  • Antibody titers dynamic !!!
  • Qualitative tests: LAT – total antibodies
  • Quantitative tests: IFAT
  • IgG and IgM differentiation, antibody titres detection
  • Suitable for individual samples
  • ELISA
  • ODR value = optical density
  • Automatical method, suitable for large amount of samples, meat juice
22
Q

necropsy of Toxoplasma gondii:

A

acute toxoplasmosis in sensitive animal species

  • Systemic disease affecting multiple organs – pneumonia, enteritis, meningoencephalitis, hepatomegaly, splenomegaly
  • European brown hare (Lepus europeaus)
23
Q

Impression Smear of Toxoplasma gondii:

A
  • Diff-Quick or Hemacolor staining
  • in Pallas cat
24
Q

Flotation technique of Toxoplasma gondii - is used for/characteristics of the parasite:

A
  • detection of oocysts
  • Sporulated oocysts: 12x10 μm, 2 sporocysts & 4 sporozoites each
  • Sporulation in the environment – up to 21 days (1-5 days)
  • Cats are shedding oocysts only during the primoinfection up to 21 days!!!!!
  • Misdiagnosed with Hammondia hammondi oocysts
25
Q

During flotation technique the oocyst of Toxoplasma gondii can be misdiagnosed with:

A
  • Hammondia hammondi oocysts
26
Q

Toxoplasma gondii oocysts: decribe the picture

A
  • An unsporulated oocyst (blue arrow) and a sporulated oocyst (red arrow) seen at high power (40 X)
  • (A) Unsporulated oocyst. Note the central mass (sporont) occupying most of the oocyst.
  • (B) Sporulated oocyst with two sporocysts. Four sporozoites (arrows) are visible in one of the sporocysts.
  • (C) Transmission electron micrograph of a sporulated oocyst. Note the thin oocyst wall (large arrow), two sporocysts (arrowheads), and sporozoites, one of which is cut longitudinally (small arrows)
27
Q

Which animals is affected by toxoplasmosis:

A
  • humans
  • sheep
  • goat
  • Pallas cats
  • marsupials
  • lemurs
  • New world apes
  • brown hare
28
Q

which animals is affected by acute fatal toxoplasmosis?

A
  • Pallas cats
  • marsupials
  • lemurs
  • New world apes
  • brown hare
29
Q

Which animals is affceted by reproduction problems caused by Toxoplasma gondii?

A
  • sheep
  • goat
30
Q

how is pregnant women affected by Toxoplasmosis

A
  • abortus
  • hydrocephalus
  • uveitis
31
Q

which humans are affcted by Toxoplasmosis?

A
  • pregnant women
  • immunocompetent individuals
  • immunocompromised patients - HIV, organ transplants
32
Q

In Immunocompromised patients with Toxoplasmosis we see these symtoms/damages:

A
  • encephalitis
  • pneumonia
  • vision problems
33
Q

Toxoplasmosis in immunocompetent individuals is seen as:

A
  • asymptomatic
  • lymphadenopathy
34
Q

what is the percentage of human infections by Toxoplasma gondii?

A
  • more than 50% infections in humans
35
Q

Immunocompromised patients are those with:

A
  • HIV
  • organ transplants