Exam 2 Flashcards
(82 cards)
Parasites are split into 2 groups: ___ and ___
Protozoans (single cell)
Heminths (worms)
Parasites, viruses, and prions Can/Can Not grow in food. They enter food by infected handler, infected harvester, contaminated irrigation water/rinse water
Can NOT
Name the 5 protozoans
- Cryptosporidium (GI)
- Cyclospora (GI)
- Toxoplasma
- Giardia (GI)
- Entamoeba histolitica (GI)
Cryptosporidium (GI)
Transmission: RTE foods, salads, fruits, unpasteurized apple cider
Symptoms: severe diarrhea (25-50 stools/day) for 2-3 weeks
Tx: control diarrhea replace electrolytes (fluids), antibiotics may work
Additional facts: caused largest waterborne outbreak in US hx, resistant to chlorine, immunocompromised are high risk
Cyclospora (GI)
Transmission: grapes, berries, raw vegetables, leafy greens
Onset: contaminated irrigation/rinse water
Symptoms: severe diarrhea (1 month), cramps, loss of appetite, nausea (CAN)
Tx: antibiotics may work
Additional facts: commonly found in Guatemala and Chile, 20,000 cases/yr
Toxoplasma
Transmission: consuming infected undercooked meat, cat sheds organism in feces –> litter box emptied
Symptoms: acute) chills, fever, headache, and fatigue. chronic) hepatitis, heart damage, brain inflammation. Disease often chronic
Tx: antibiotics
Additional facts: brain, heart, skeletal muscle and eye affected. Immunocompromised are high risk - cancer/transplant pts, aids, elderly, fatal in fetuses but if not fatal can cause mental retardation and blindness due to serious toxoplasma infections
Giardia (GI)
Transmission: contaminated water, RTE foods, salads, fresh vegetables, fruits
Onset: contaminated food handler/water
Symptoms: foul diarrhea, mostly affects diapered children in daycare
Tx: anti-parasiticals
Additional facts: most common parasite in US, flagellate comes in 2 forms: 1) in GI tract –> trophozoite (active form) attaches to wall of small intestine 2) in stool –> cyst form (resting stage) very resistant to environment
Entamoeba histolitica (GI)
Transmission: RTE foods, salads, contaminated water
Symptoms: chronic diarrhea lasting months
Tx: anti-parasiticals
Additional facts: very common in developing countries, attaches to wall of large intestine (mucosa), commonly seen in nursing homes and prisons, in stool –> forms cyst –> resistant to environment, left untreated will form amoebic dissentary
Name the 3 types of helminths
- Nematodes (roundworms)
- Trichinella and Ascaris
- Cestodes (tapeworms)
- Trematodes (flute worms)
Nematodes (roundworms)
- Trichinella
Transmission: meat of polar bears, seals, and walruses (Alaska), used to be common w/ undercooked pork in southern US
Morphology: Adult form –> worms, Immature form –> larvae, larvae hatches in stomach and enters muscle an organ tissue
Symptoms: small amount = painful but will survive, large amount (>5000) = fatal, can experience severe allergic rx
Prevention: freezing meat for 1 month, cooking meat properly
Additional facts: brain and heart affected
Nematodes (roundworms)
- Ascaris
Transmission: fecal/oral, dogs
Morphology: adult female lays eggs –> eggs hatch and larvae enter lungs –. coughing sends them to GI tract (feces)
Symptoms: low # = asymptomatic, high # = may plug GI tract, can cause allergic rx
Additional facts: 1 mil cases (pigs) in north america
Cestodes (tapeworms)
Transmission: undercooked pork, beef, fish
Onset: fecal/oral
Morphology: segmented worm –> head (scalix), tail (proglottid). Absorbs nutrients from intestine, can grow between 25 - 30 ft long
Symptoms: low # = asymptomatic, high # = malnutrition, abdominal discomfort, and vitamin deficiencies
Tx: anti-parasiticals
Trematodes (flute worms)
Affects GI and urinary tract
Name the 4 types of viruses
- Hepatitis A
- Hepatitis E
- Hepatitis B
- Norovirus
Hepatitis A
Transmission: fecal/oral from infected food handlers
Symptoms: Liver inflammation, often with jaundice lasting 2-4 weeks
Prevention: vaccine
Additional facts: Long incubation period of 10-50 days, no carrier state
Hepatitis E
Transmission: fecal/oral from contaminated water, raw foods
Symptoms: Liver inflammation
Prevention: proper cooking, no vaccine
Additional facts: very common in developing countries, Long incubation period of 10-50 days, no carrier state, 20% fatality rate of pregnant mothers and fetus
Hepatitis B
Transmission: bodily fluids, mother to child
Symptoms: similar to Hep A/E
Prevention: vaccine
Additional facts: 20% fatality rate in pregnant women, common in developing countries
Norovirus “barf bug”
Transmission: fecal/oral from food handler, Infects mucosal cells of the small intestine, kills them and spreads through GI tract
Symptoms: Vomiting and diarrhea lasting 1-2 days
Additional facts: Common in schools and residential institutions, stays viable in environment for long periods, No long-lasting immunity, Low infectious dose (1 viruses)
Prions
- Infectious proteins
- Highly resistant to disinfectants and heat and aren’t
destroyed by cooking - Converts normal proteins into beta-pleated sheets
Name the 5 types of prion diseases
- Scrapie
- Kuru
- Mad cow disease
- CJ disease
- Chronic wasting disease
Scrapie
- Disease of sheep
- Unusual activity, lose balance and death
Kuru
- In New Guinea natives that were cannibals
- Mainly women and children affected
- Causes holes in brain
Mad cow disease
- Appeared in adult cattle in the 1980’s
- AKA bovine spongiform encephalopathy
- Fatal
variant CJ disease
- Infections in humans appeared in the 1990’s
- Transmitted during a transplant or from eating contaminated meat
- Same symptoms and outcome (death) as mad cow disease