Lecture 28 - Intro to parasitology Flashcards

(40 cards)

1
Q

what are protozoa?

A

single celled eukaryotes

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2
Q

are protozoa more like us or bacteria and fungi?

A

us

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3
Q

true or false, there are a lot of protozoal diseases

A

false, there arent many when compared to bacteria

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4
Q

describe Giardia lamblia

A

infects the gut of animals that drank contaminated water
surface infection of enterocytes called giardiasis

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5
Q

what are the symptoms of giardia lamblia infection?

A

watery diarrhoea, minimal systemic upset (no fever or lethargy)

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6
Q

true or false, giardia lamblia infects the inside of the enterocytes

A

false, it causes a surface infection of the enterocytes, so not inside the cell

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7
Q

how does giardia lamblia infect the surface of enterocytes

A

they are ingested as a cyst, sheds the cyst, trophozoites graze on the microvilli in the gut and are excreted in feces and forms a cyst again for protection

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8
Q

true or false, giardia lamblia infect the large intestine and cause diarrhoea

A

false, they only work in the small intestine

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9
Q

what is the diagnosis treatment for giardia?

A

diagnosis: observation of cysts in a stained sample under microscope
treatment: metronidazole at 500mg orally for 7 days normally clears infection

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10
Q

true or false, antibiotics are given to people infected with giardia lamblia

A

true, such as metronidazole

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11
Q

describe toxoplasma gondii

A

source: oocysts excreted in cat feces (all cat types, lions)
transmission: ingestion of feces or tissues (muscle) with bradyzoites or tachyzoites
cause tissue infection with bradyzoites and tachyzoites

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12
Q

how do cats get infected with toxoplasma gondii

A

by eating tissues with bradyzoites or tachyzoites

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13
Q

why do expeecting mothers have to be aware of toxoplasma gondii?

A

because it is one of the few infections that the tachyzoites can cross the placenta and infect the fetus in the uterus

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14
Q

when is a mother more likely to infect her fetus with toxoplasma gondii?

A

when she has never encountered toxoplasma gondii before, so more is circulating in blood

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15
Q

describe the toxoplasmosis disease

A

30% of people infected, usually acquired in childhood, minor symptoms, ends up as a persistent asymptomatic lifelong infection

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16
Q

when can toxoplasmosis cause severe infection

A

in fetus if the mothers primary maternal infection is during pregnancy

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17
Q

true or false, toxoplasma gondii can reactivate and cause illness when there is immunosupression

A

true, such as toxoplasma brain abscesses in people with AIDS

18
Q

what is retinal toxoplasmosis?

A

from a congenital infection of toxoplasma gondii, where there is scarred retinal tissue from a toxoplasma gondii infection during pregnancy

19
Q

how do we diagnose toxoplasmosis?

A

serology showing IgM or IgG antibodies positive for toxoplasma gondii
- PCR for DNA in CSF
- radiology
- Opthalmoscopy appearances

20
Q

what does it mean if we are diagnosing toxoplasmosis and the patient binds either IgM or IgG

A

IgM = acute infection
IgG = chronic infection

21
Q

what is the treatment for toxoplasmosis of a healthy person?

A

none for an acute infection

22
Q

what is the treatment for toxoplasmosis brain abscesses in AIDS?

A

sulphadiazine + pyramethamine

23
Q

when are mothers at most risk of passing toxoplasma gondii onto their children?

A

when there is an acute infection, so IgM presence in her blood.
- new infection

24
Q

what is the most problematic protozoa in the world?

A

plasmodium falciparum
plasmodium vivax
- causes malaria

25
which type of mosquitoes transmit malaria and where are they found?
Anopheles mosquitoes - used to be found worldwide but not mostly in developing countries
26
where is malaria most common?
sub-saharan africa
27
why did the amount of malaria worldwide reduce?
as countries developed, destruction of anopheles mozzies habitat and less malaria
28
how is malaria transmitted?
a female anopheles mosquito feeds on blood and injects saliva containing plasmodium. The plasmodium invades the liver cells and replicate before invading erythrocytes, replicating in them, then rupturing them, which causes fever
29
how many parasites are present in liver before release into the bloodstream?
100,000 to 1 million
30
how many parasites are release from each RBC in malaria?
10
31
how do we diagnose malaria?
- residence in malarious area at least 10 days ago - blood film examination - antigen detection in blood (rat test)
32
what are the symptoms of malaria?
fever, repeating episodes of shivering (rigors) then sweating (build up in cells, then released, then repeat), malaise, headache, coma
33
how does someone go into a coma due to malaria?
sticky RBCs cause a blockage in the capillaries of the brain, causing coma
34
symptoms only happen for malaria when?
when the RBCs burst and release the parasites
35
describe P. falciparum
high parasite load (>1% of RBCs) sequesteration of RBCs in capillaries especially in brain and kidneys
36
describe P. vivax
low parasite load, only infects young RBCs, so <1% RBCs infected - relapse from liver parasites
37
why is P. falciparum more dangerous?
because it can infect RBCs of any age, and it can sequester RBCs.
38
what are the treatments for P. falciparum?
- quinine from the chinchona tree - doxycycline - artemether
39
what are the treatments for P. vivax?
chloroquine to kill parasites in RBCs, and primaquine to kill parasites in liver
40
how do we prevent malaria?
insect repellent in many forms prophylaxis of doxycyline