ch23 Flashcards
(210 cards)
definitive n intermediate hosts
Parasitic infections often involve several hosts—a definitive
host in which mature (often sexual) forms of the parasite are
present and usually reproducing and, with many parasites, one
or more intermediate hosts in which immature parasites undergo
various stages of maturation.
In general, parasites infect
human hosts in one of three major ways
by being ingested, through vector-borne transmission, or via direct contact and
penetration of the skin or mucous membranes
protozoa
unicellular eukaryota diverse
group defined by three characteristics: They are eukaryotic, are
unicellular, and lack a cell wall.
Among the many protozoa that enter the body via __,
most have two morphological forms:
ingestion; A feeding and reproducing
stage called a trophozoite, which lives within the host,
and a dormant cyst stage, which can survive in the environment
and is infective to new hosts.
excystment
Once ingested by a host,
cysts undergo excystment and develop into new trophozoites, which resume feeding and reproducing.
encystment
In most cases, trophozoites
undergo encystment before leaving the host in the feces,
becoming available to infect other hosts.
parasitic diseases
Many protozoan and helminthic parasites exist
worldwide, especially in the tropics and subtropics, and particularly
among people living in rural, undeveloped, or overcrowded
places. Parasitic diseases are also emerging as serious
threats among developed nations in nontropical regions.
ciliates
Ciliates (sil´e@ats) are protozoa that in their trophozoite stages
use cilia for locomotion, for acquiring food, or both. Balantidium
coli is the only
ciliate known to cause disease in humans.
B coli detection
Paradoxically, cysts are few and usually cannot be recovered
from stool (fecal) samples, although they are the infective
stage. Noninfective trophozoites, by contrast, can be detected,
and their presence is diagnostic for the disease. Fresh stool
samples must be used for diagnostic purposes because the
trophozoites do not survive long outside the intestinal tract.
balantidiasis
In healthy adults, B. coli infection is generally asymptomatic.
For those in poor health, however, balantidiasis
occurs. Persistent diarrhea, abdominal pain,
and weight loss characterize the disease. Severe infections produce
dysentery (frequent and painful diarrhea, often containing
blood and mucus) and possibly ulceration and bleeding
b coli cycl
Following ingestion, excystment occurs in the small intestine,
releasing trophozoites that use their cilia to attach to (and then
burrow through) the mucosal epithelium lining the intestine.
Eventually, some trophozoites undergo encystment, and both
cysts and trophozoites are shed in feces. Trophozoites die
outside the body, but cysts are hardy and infective.
b coli host
Pigs are its most common
host, but it is also found in rodents and nonhuman primates
b coli trasmission
Humans become infected by consuming food or water
contaminated with feces containing cysts.
balantidiasis
Prevention of balantidiasis relies on good personal hygiene,
especially for those who live around or work with pigs. Additionally,
efficient water sanitation is necessary to kill cysts or remove
them from drinking water.
amoebae
protozoa
that have no truly defined shape and that move and acquire food
through the use of pseudopods. Although amoebae are abundant
throughout the world in freshwater, seawater, and moist
soil, few cause disease. The most important amoebic pathogen
is Entamoeba.
types of amebiasis
Depending on the health of the host and the virulence
of the particular infecting strain, three types of amebiasis can result
1. luminal
2 amebic
3. invasive extraintestinal
emtamoeba transmission
Infection occurs most commonly through the drinking of
water contaminated with feces that contain cysts. The parasite
can also be ingested following fecal contamination of hands or
food or during oral-anal intercourse.
entameboa cycle
Excystment in the small intestine releases trophozoites that
migrate to the large intestine and multiply. The organism uses
pseudopods to attach to the intestinal mucosa, where it feeds
and reproduces via binary fission. Both trophozoites and cysts
are shed into the environment in feces, but the trophozoites die
quickly, leaving infective cysts.
lumial amebiasis
The least severe form, luminal amebiasis,
occurs in otherwise healthy individuals. Infections are asymptomatic;
trophozoites remain in the lumen of the intestine,
where they do little tissue damage.
amebic dysentery
Invasive amebic dysentery
is a more serious and more common form of infection characterized
by severe diarrhea, colitis (inflammation of the colon),
appendicitis, and ulceration of the intestinal mucosa. Bloody,
mucus-containing stools and pain are characteristic of amebic
dysentery, which affects about 500 million people worldwide.
invasive extraintestinal amebiasis
In the most serious disease, invasive extraintestinal amebiasis,
trophozoites invade the peritoneal cavity and the bloodstream,
which carries them throughout the body. Lesions of dead cells
formed by the trophozoites occur most commonly in the liver
but can also be found in the lungs, spleen, kidneys, and brain.
Amebic dysentery and invasive extraintestinal amebiasis can be
fatal, especially without adequate treatment.
emtamoeba prevntion
Several preventive measures interrupt the transmission
of Entamoeba. Discontinuing the use of human wastes as fertilizer
reduces the transmission of amebiasis. Normal methods
of treating wastewater and drinking water are helpful
but not completely effective because the infectious cysts are
hardy. Effective processing of water requires extra chemical
treatment, filtration, or extensive boiling to eliminate all
cysts. Good personal hygiene can eliminate transmission via
intimate contact.
emtamoeba prevntion
Several preventive measures interrupt the transmission
of Entamoeba. Discontinuing the use of human wastes as fertilizer
reduces the transmission of amebiasis. Normal methods
of treating wastewater and drinking water are helpful
but not completely effective because the infectious cysts are
hardy. Effective processing of water requires extra chemical
treatment, filtration, or extensive boiling to eliminate all
cysts. Good personal hygiene can eliminate transmission via
intimate contact.
2 other amoebae
Acanthamoeba and Naegleria cause rare and usually fatal infections
of the brain