MIDTERM LEC: Trypanosoma Flashcards

(49 cards)

1
Q

● Located in the BLOOD AND TISSUE of humans
and other vertebrate hosts, and in the GUT of
insect vectors
● Digenetic and involves complex, pleomorphic
life cycles
● Transmission: via bite of an arthropod vector
● Main reservoir: humans
● Intermediate host: arthropod vector

A

HEMOFLAGELLATES

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2
Q

HEMOFLAGELLATES Two genera:

A
  1. Trypanosoma
  2. Leishmania
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3
Q

Vectors of hemoflagellates found in PH
○ T. cruzi:

A

Triatoma and Rhodnius bugs

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4
Q

Vectors of hemoflagellates found in PH
Leishmania spp:

A

Phlebotomus spp

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5
Q

MORPHOLOGICAL STAGES OF HEMOFLAGELLATES:
- A specialized region of the mitochondria consisting of a network of circular DNA (kDNA) that contains
many copies of the mitochondrial genome
- Crucial for replication and segregation of kDNA circles
- Consist of a deeply staining PARABASAL BODY and adjacent dotlike BLEPHAROPLAST

A

KINETOPLAST

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6
Q

MORPHOLOGICAL STAGES OF HEMOFLAGELLATES:
- Portion that is inside the body of the parasite and extends from blepharoplast to surface of the body

A

AXONEME

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7
Q
  • FREE FLAGELLUM at the anterior end that traverses on the surface
  • A SINUS EXTENSION of the cytoplasmic membrane which helps in movement by performing a vigorous, wavelike, reversible movements
A

UNDULATING MEMBRANE

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8
Q

Thin, hairlike structure which originates from the blepharoplast

A

FLAGELLUM

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9
Q

DEVELOPMENTAL STAGES
- Roundish-oval
- Size: 5 by 3 um
- Nucleus: large single, off-center
- No external flagellum
- ROUTINELY FOUND IN HUMANS
- Found primarily in tissues, as well as CNS
within macrophages, where they multiply
- Found intracellularly in vertebrate hosts of
T. cruzi and Leishmania spp.

A

AMASTIGOTE STAGE

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10
Q
  • Long and slender
  • Size: 9-15 um
  • Nucleus: one, located in or near center
  • Kinetoplast: anterior to nucleus; at anterior
    end of cell
  • NO UNDULATING MEMBRANE
  • INFECTIVE STAGE of Leishmania in the midgut
    and proboscis of the insect vector
  • May only be seen if blood sample is collected
    immediately after transmission to individual
A

PROMASTIGOTE STAGE

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11
Q
  • Long and slightly wider than promastigote form
  • Size: 9-15 um
  • Nucleus: one, located in posterior end
  • Kinetoplast: close to the nucleus than
    promasitgote
  • Flagellum: runs alongside the body as a
    short undulating membrane
  • T. gambiense and T. rhodesiense occur:
    salivary glands of the vector tsetse fly
  • T. cruzi: midgut of the vector reduviid bug
  • NOTE: ALL SPECIES OF Trypanosoma
    that infects humans assume an epimastigote
    stage in the insect vector or in culture
A

EPIMASTIGOTE

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12
Q
  • Long, slender
  • Size: 12-35 um long by 2-4 um wide
  • Assume the shape of the letters C, S, or U in
    stained blood films
  • Nucleus: single large, anterior to kinetoplast
  • Routinely found in human specimens along
    with the amastigote stage
  • Flagellum: runs alongside the entire long of
    the cell forming a long undulating membrane
  • Infective stage of Trypanosoma found in
    the arthropod vector
  • Stage found in the blood of the infected
    invertebrate
A

TRYPOMASTIGOTE

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13
Q

From the Greek words trypano (borer) and
soma (body)
● Causes Chagas disease and Human
African Trypanosomiasis
● MOT: bites of infected Tsetse flies
● Definitive host: mammals
● Intermediate host: arthropod vector
● Known to invade the CNS, blood and tissues
causing acute and chronic protozoal diseases

A

Trypanosoma spp.

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14
Q

Chagas disease or American trypanosomiasis is cause by?

A

Trypanosoma cruzi (trypanosome group Stercoraria)

Carlos Chagas - found that the trypanosomes he dissected from the intestine of a triatomid bug were the same parasites found in the blood of a child suffering from fever and enlargement of the lymph nodes.

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15
Q

Human African Trypanosomiasis (HAT) is caused by?

A

Trypanosoma rhodisiense

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16
Q

morphological stages of Trypanosoma spp.

A

Amastigotes, promastigotes, epimastigotes, and
trypomastigotes

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17
Q

Two modes of development in the vector of Trypanosoma spp.

A

salivaria & stercoraria

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18
Q

trypanosomes migrate to the MOUTH PARTS of the vector so that the infection is transmitted via their
bite (inoculative transmission)

A

Salivaria

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19
Q

trypanosomes migrate to the HINDGUT and are passed in the feces. Acquired by rubbing the feces
of the vector into the wound caused by its bite

A

Stercoraria

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20
Q

● Etiologic agent of Chagas Disease or
American trypanosomiasis
● Only parasite that was discovered and
studied before it was known to cause a
disease
● Belongs to the trypanosome group
Stercoraria

A

Trypanosoma cruzi

21
Q

Trypanosoma cruzi become a Major Food-borne Disease in _____________ (due orally acquired
ACD (Acute Chagas Disease) in Acre
(Forest Community of Seringal
Miraflores–Affecting 13 individuals who
shared pulp of Acai Berries

A

Brazilian Amazona

22
Q

LESS COMMON ROUTES FOR THE
TRANSMISSION OF T. CRUZI:

A

● Blood Transfusion
● Organ transplantation
● Transplacental transmission
● Foodborne transmission

23
Q

● AKA Trypanosoma Herpetosoma due to its subgenus that is transferred by Reduviid Bug
● Was first found as, Trypanosoma cruzi
● Common Associated Disease and Condition:
NOT KNOWN
● Infections are generally ASYMPTOMATIC
and DOES NOT TEND TO SHOW NO
PATHOLOGIC CHANGES or SIGN OF
DISEASES

A

Trypanosoma rangeli

24
Q

T. cruzi and T. rangeli are found regions of SOUTH and CENTRAL AMERICA RARE in NORTH AMERICA) particularly:

A

● Brazil
● Venezuela
● Colombia
● Panama
● El Salvador
● Costa Rica
● Honduras
● Guatemala

25
Trypanosoma cruzi ● FIRST ISOLATED in
Panstrongylus megistus
26
Furuncle-like lesions associated with induration, central edema and regional lymphadenopathy ❖ Appears on the site of entry of parasite
Chagoma
27
EYELID SWELLING; may form if the parasite penetrates through the conjunctiva
Romaña’s sign
28
Specimen choice detection of Trypomastigotes
Giemsa-stain blood slides
29
reveal amastigotes
Lymph Node Biopsy Giemsa-stained Slides & Blood Culture
30
seen in the peripheral blood smear throughout the course of the illness.
Trypomastigotes
31
- Cause TRYPANOSOMIASIS (general term used to refer to human disease caused by hemoflagellates of genus trypanosoma)
Trypanosoma brucei COMPLEX
32
Scottish pathologist; identified Trypanosoma brucei as the CA of the trypanosomal diseases known as nagana (a form of the disease often found in cattle) and sleeping sickness
David Bruce (1895
33
Described Trypanosoma brucei rhodesiense
Stephens and Fantham (1910)
34
3 SUBSPECIES/ Trypanosoma brucei COMPLEX:
● Trypanosoma brucei gambiense ● Trypanosoma brucei rhodesiense ● Trypanosoma brucei bruceI
35
● Blood, Lymph, tissue space and various organs (brain and spinal cord) and CNS ● POLYMORPHIC ○ Short stumpy forms ○ Typical slender forms ● SHAPE: Flattened, fusiform ○ Often assumes the S shape in stained blood films ● Body tapers anteriorly, blunt posteriorly ● LENGTH: 14 to 33 µm(Belizario) OR 12-35 um (Zeibig) ● WIDTH: 1.5 to 3.5 µm / 2-4 um ● NUCLEUS: CENTRAL ● KARYOSOME: Large, Centra
TRYPOMASTIGOTE
36
Responsible for the chronic type of sleeping sickness in Central and WEST Africa. ○ Cause 95% of all HAT cases. ○ Sleeping sickness Manifest months or years after initial infection.
Trypanosoma brucei gambiense
37
- Responsible for a more acute and rapidly fatal form of HAT in EAST and Southern Africa. ● Cause 5% of all HAT cases. ● Symptoms may appear just weeks after infection.
Trypanosoma brucei rhodesiense
38
● DOES NOT INFECT HUMANS ● Causes “NAGANA” In domestic and wild animals
Trypanosoma brucei brucei
39
caused by Trypanosoma brucei rhodiense - Manifest few weeks after the exposure to the vector.
Acute HAT
40
caused by Trypanosoma brucei gambiense - Manifest months or years after the exposure to the vector.
Chronic HAT
41
Local, painful, pruritic, erythematous chancre located at the bite site progressing into eschar that spontaneously resolves within 2-3 weeks. ● First sign that can be detected.
Trypanosomal Chancre (Initial Lesion)
42
enlarged, nontender, rubbery posterior CERVICAL LYMPHADENOPATHY
WINTER BOTTOM SIGN (T. bruceigambiense
43
- may manifest as a deep, delayed HYPERESTHESIA after a slight blow on a bony projection of the body. ● In later stages, alterations in circadian rhythm leading to daytime somnolence manifests, followed by coma then death. ● Affected areas: frontal lobes, pons, medulla, perivascular areas.
Kerandel’s Sign (T. brucei rhodisiense
44
The ability of the trypomastigote to CONTINUOUSLY CHANGE ITS SURFACE COAT, composed of variant surface glycoproteins, so that the host’s antibodies cannot recognize the parasite.
antigenic variation.
45
TREATMENT FOR FIRST STAGE
1. IV suramin sodium 2. Intramuscular pentamidine
46
TREATMENT FOR LATE STAGE
1. IV melarsoprol 2. Usually co-administered with corticosteroids 3. Nitrofurazone 4. Nitrofurazone + Eflornithine
47
First documented cases of sleeping sickness
Africa (1734)
48
● DOES NOT INFECT HUMANS ● Causes “NAGANA” In domestic and wild animals.
Trypanosoma brucei brucei
49
Trypanosoma brucei brucei INFECT:
● Deer ● Cow ● Horse