Toxoplasmosis Flashcards

1
Q

Toxoplasmosis is caused by what parasite

What is it?

A

Toxoplasmosis Gondii

Obligate Intracellular Parasite

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2
Q

What % of UK are infected? What illness does it derive from

A

80% UK

Food borne Illness

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3
Q

What is the first stage of Toxoplasmosis

A

Oocytes released into environment

parasites via cat faeces

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4
Q

Once Oocysts are ingested, what happens?

A

Cysts rupture

Sporozoites released –> Invade gut wall

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5
Q

What do sporozoites turn into after entering gut wall?

A

Tachyzoites

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6
Q

Tachyzoites go deep into what?

What do they then turn into?

A

Deep muscle tissue/ organ

Brachyzoites (dormant cyst)

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7
Q

Name 3 routes of human infection

A

Changing kitty litter

Eating undercooked meat

Contaminated food

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8
Q

In the acute phase, what do trophozoites do?

What does this lead to in terms of immunity?

A

Trophozoites invade Mesenteric Lymph Nodes = destroy host cells

Immunity developed

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9
Q

In the sub acute phase, whats in conjunction with the parasite?

What does this lead to?

A

Bacterial / viral infection

Increased damage by trophozites = brain/heart lesions

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10
Q

When the immunity is suppressing the trophozoite production, what occurs? what phase is this?

A

Bradyzoites form in tissue

No problems + becomes self-limiting

Chronic Phase

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11
Q

If Bradyzoites turn into trophozoites, what is this a sign of? Whos at most risk?

A

Worsened immunity

IC / Pregnant / Elderly

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12
Q

For Congenital Toxoplasmosis, what diagnostics is done?

A

PCR - Amplification of parasite DNA in amniotic fluid

CT Scan - Foetus brain

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13
Q

For General Toxoplasmosis, what diagnostics is done

A

Tissue Biopsy

Serological Testing for Ig

ELISA difficult (sequestered away)

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14
Q

Infection of the uterus in the 1st trimester is called what?

why is the foetus at most risk?

A

Intrauterine infection of uterus

Foetus doesnt have developed immune system yet

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15
Q

What 4 things arise from 1st Trimester Toxoplasmosis Gondii infection

A

Intracranial Calcification

Encephalomyelitis

Retinochoroiditis

Hydrocephalus

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16
Q

2nd Trimester Infection of Toxoplasmosis is what at birth?

What clinical manifestation occurs later in life?

A

Subclinical At birth

Ocular Toxoplasmosis

17
Q

Ocular Toxoplasmosis

A

Parasite proliferates in retina = inflam of choroid = blindness

18
Q

What drugs given for Toxoplasmosis thats the same as malaria

A

Pyrimethamine w/Sulfadiazine w/folic acid

19
Q

Why is folic acid given

A

Pyrimethamine = megaloblastic anaemia

20
Q

Side effects of pyrimethamine

A

diarrhoea / vomit / rashes