General- parasites Flashcards

(45 cards)

1
Q

What are Sarcodina?

A

Ameba (protozoa)

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2
Q

What are Mastigophora?

A

Flagellates (protozoa)

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3
Q

What are Ciliophora?

A

Ciliates (protozoa)

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4
Q

What are Sporozoa?

A

Protozoa that are nonmotile in adult stage

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5
Q

What are the categories of helminths?

A
  • Flat worms/platylhelminths (trematodes and cestodes)
  • Thorny-headed worms/acanthocephalins
  • Roundworms (nematodes)
  • Segmented worms (annelids)
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6
Q

What are ectoparasites?

A

Blood-sucking ectoparasites, fleas, ticks, lice, mites, etc. that burrow into skin and remain for a long time. May serve as vectors of other pathogens.

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7
Q

Which parasites can be cultured? What do they usually cause?

A

Acanthamoeba species and Naegleria fowleri; CNS and ocular infections

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8
Q

Common causes of acanthamoeba

A

Eye contact contamination causing ocular infection (e.g. dirty hands)

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9
Q

Which parasite may be seen in routine bacterial culture?

A

Strongyloides (note: not cultured this way)

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10
Q

Which parasite can cause CNS infection by Gram-negative rods? How?

A

Strongyloides; tissue invasion may bring GI flora into bloodstream (note: Gram-negative rods may cause meningitis in neonates and children without Strongyloides infection)

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11
Q

How is a Giemsa stain performed?

A

Drop of blood is hemolyzed for visualization of intracellular organisms. in thick smear. Thin smear is not hemolyzed, but morphology is preserved.

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12
Q

How many specimens are needed to check for parasites in a stool O&P?

A

3 specimens on 3 separate days.

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13
Q

Which parasites cannot be identified on stool O&P?

A
  • Cryptosporidium
  • Cyclospora
  • Cystoisospora
  • Microsporidia
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14
Q

Which stain is used if cryptosporidium is suspected?

A

Acid-fast stain (EIA or DFA can also be used)

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15
Q

When is stool antigen testing the optimal choice?

A

Giardia, Cryptosporidium, and Entamoeba (antigen testing also available for Plasmodium species)

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16
Q

Which parasites can be detected by serology?

A

Strongyloides, Entamoeba histolytica (disseminated only)

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17
Q

Loa loa (microfilariae)- Presentation

A

Swelling in skin; worm in conjunctiva

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18
Q

Loa loa (microfilariae)- Labs

A

Blood smear/Giemsa

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19
Q

Entamoeba histolytica- Presentation

A

Inflammatory diarrhea, liver abscess with ‘anchovy paste’ smell

20
Q

Entamoeba histolytica- Labs

A

Stool O&P, antigen test, serology

21
Q

Acanthamoeba- Presentation

A

Ocular and CNS infections

22
Q

Acanthamoeba- Labs

A

Culture, stain, PCR

23
Q

Pediculus humanus- Presentation

A

Head and body lice

24
Q

Pediculus humanus- Diagnosis

A

Ectoparasite exam

25
Enterobius vermicularis- Presentation
Pinworm (itchy butt)
26
Enterobius vermicularis- Diagnosis
Scotch tape prep
27
Trypanasoma brucei- Presentation
African Sleeping Sickness
28
Trypanasoma cruzi- Presentation
Chagas disease
29
Trypanasoma- Labs
Blood smear/Giemsa stain
30
Strongyloides stercoralis- Presentation
Intestinal or disseminated infection
31
Strongyloides stercoralis- Labs
Stool O&P, serology
32
Babesia- Presentation
Hemolytic anemia and fever
33
Babesia- Labs
Blood smear/Giemsa stain or PCR; "Maltese Cross" distinguishes it from Plasmodium
34
Taenia/tapeworm- Presentation
Taenia solium/saginatum, cysticercosis
35
Taenia/tapeworm- Diagnosis
Stool O&P, imaging
36
Giardia- Presentation
Camper's/Hiker's diarrhea (steatorrhea)
37
Giardia- Diagnosis
Stool O&P (at least 3), antigen test; "Face" distinguishes it from other trophozoites
38
Echinococcus- Presentation
Hydatid cysts
39
Echinococcus- Labs
Stool O&P, imaging, serology
40
Trichomonas- Presentation
STI/vaginitis (yellow-green discharge)
41
Trichomonas- Diagnosis
Wet mount, molecular test
42
Scabies- Diagnosis
Skin scraping of leading edge
43
Schistosoma- Diagnosis
O&P of stool or urine
44
Plasmodium falciparum- Presentation
Malaria
45
Plasmodium falciparum- Diagnosis
Blood smear/Giemsa stain, antigen test