Giardia duodenalis & Spironucleus meleagridis Flashcards
(24 cards)
Giardia and spironucleus geography
worldwide
Giardia species
G. duodenalis
G. muris - rodent, bird, reptile
G. agilis - amphibians, bird, reptile
final host of giardia duodenalis
mammals, birds, reptiles
Location of giardia duodenalis
- small intestine - duodenum, jejunum
Morphology of Giardia duodenalis
Trophozoite:
- Pear-shaped, adhesion disc in anterior part
- Double organs
- 2 nuclei, 4 pairs of flagella
- Mitosomes & hydrogenosomes
- In duodenum, jejunum
Cyst:
- Oval, consist of 2 trophozoites with 4 nuclei
- Protect the trophozoites
- Infective stage - in feces
Reproduction of Giardia duodenalis
binary fission
Transmission of Giardia duodenalis
- Mainly waterborne, but food / grass aswell
- Fecal-oral transfer
Pathogenesis of Giardia duodenalis
Epithelial damage - villous atrophy, crypt cell hypertrophy
- Attach to epithelial cells in duodenum & jejunum using ventral adhesive disc; Disrupt normal epithelial function
Malabsorption - not able to absorb essential fat
- Due to villus atrophy and enzyme dysruption.
- Leads to steatorrhea, carbohydrate malabsorption, weight loss, nutrient deficiency, failure to thrive.
Enzyme deficiencies - lactase
- Damage to brush border microvilli decrease levels of disaccharidases (esp lactase) causing secondary lactose intoleranse, and other enzyme impairments.
Possible mechanisms:
- Immune & inflammatory response - increased intraepithelial lymphocytes, mast cell activation and cytokine release.
- Enterocyte apoptosis & cell turnover –> mucosal damage and impaired barrier integrity
- Secretory diarrhoea - may induce chloride secretion and intestinal motility changes contributing to diarrhoea.
called beaver fever - hikers drink water inhabited by beavers
Life cycle of Giardia duodenalis
Direct:
1) Oral uptake of cysts after faecal contamination of food or water
2) Trophozoites excyst from the cyst in small intestine and may divide by binary fission
3) Trophozoites are attached to the surface of the intestinal wall
4) Free trophozoites encyst in the intestine and passed in the feces as cysts
Clinical signs of Giardia duodenalis
- Serous diarrhoea with a lot of fat
- Abdominal distension, nausea, weight loss and vomitting.
- Catarrhal gastroenteritis in young especially, short villi.
- Acute infection has 5-6 days incubation, last 1-3 weeks.
- Chronic is recurrent and leads to malabsorption
Diagnosis of Giardia duodenalis
- Fecal flotation (faust)
- PCR
Treatment of Giardia duodenalis
- Fenbendazole
- Febantel
- Metronidazole
Repeat for at least 3 days
Examination of feces of individuals post-treated
Control of Giardia duodenalis
- Zoo hygienic measures
- Do not let dog drink muddy water
- Protein supresses giardia - support immune system
Spironucleus spp:
- S. meleagridis
- S. columbae - pigeons
- S. muris - mice, rats, voles, hornets
- S. salmonis, S. torosa - fish
Final host of spironucelus meleagridis
Turkeys, pheasants, quails, some fish
Morphology of spironucleus meleagridis
- Trophozoites binucleate
- 8 pairs of flagella
- Absent ventral adhesive disc is absent.
1 week incubation.
Reproduction of spironucleus meleagridis
- Longitudinal division - binary fission
- In intestine
Life cycle of spironucleus meleagridis
1) Oral uptake of cysts after faecal contamination of food or water
2) Trophozoites excyst from the cyst in small intestine and may divide by binary fission
3) Trophozoites are attached to the surface of the intestinal wall
4) Free trophozoites encyst in the intestine and passed in the feces as cysts
Pathogenesis of spironucleus meleagridis
- Affects young birds; adults are asymptomatic
- duodenitis, enteritis - catarrhal inflammation of SI with a lot of fluid.
Clinical signs of spironucleus meleagridis
- Diarrhoea, enteritis, weight loss, death
- Outgoing feathers, dehydration
Diagnosis of spironucleus meleagridis
- Giemza staining: find trophozoites & cysts in intestinal content.
- Necropsy: catarrhal inflammation of SI with a lot of fluid.
Treatment of spironucleus meleagridis
not known
Control of spironucleus meleagridis
hygiene, nutrition, separate breeding of young birds
Location of Spironucleus meleagridis
- Lieberkühn crypts of SI
- caecum