(O) 30: Parasitology II Flashcards

1
Q

Flagellates

A

have one or more whiplike flagella
- sometimes has an undulating membrane

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2
Q

Amebae

A

use pseudopodia or protoplasmic flow to move

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3
Q

Sporozoa

A

undergo a complex life cycle w/ alternating sexual + asexual reproduction

move by GLIDING

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4
Q

Ciliates

A

have cilia distributed in rows or patches

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5
Q

Trypanosoma

A

Flagellate w/ intermediate + definitive host

  • unicellular parasitic flagellate protozoa
  • most are HETEOXENOUS and transmitted via a VECTOR

Some diseases they cause are:
- African trypanosomiasis (aka African Sleeping Sickness) caused by Trypanosoma brucei - vector is Tsetse fly
- American trypanosomiasis (aka Chagas disease) caused by Trypanosoma cruzi

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6
Q

African Trypanosomiasis

A

there are two types - East and West African
- BOTH are transmitted by the tsetse fly
- both are eventually fatal if not treated

East African trypanosomiasis is caused by Trypanosoma brucei RHODESIENE

West African trypanosomiasis is caused by Trypanosoma brucei GAMBIENSE

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7
Q

Tsetse fly and disease burden

A

Tsetse flies get nutrition from bloodmeal - reproductive cycles in their own body + eggs are laid in soil

Animals can host the human pathogen of Trypanosoma genus

T brucei brucei infects CATTLE in both West and East Africa - disease is Nagana

Trypanosomiasis in animals, especially cattle, is a major obstacle for economic devlopment

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8
Q

Trypanosoma life cycle

A
  1. infected tsetse fly ingests blood and injects parasites
  2. primary chancre develops at bite wound, in lymph
  3. trypomastigotes invade bloodstream (use our glucose + spreads asexually)
  4. humans are INTERMEDIATE hosts. tsetse fly bites + acquires infection
  5. undergoes sexual reproduction IN fly - tsetse fly is DEFINITIVE host
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9
Q

Signs and Symptoms of Trypanosoma infection

A
  • Winterbottom’s sign (early onset): swollen lymph nodes at back
  • perivascular cuffing in brain (late onset)
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10
Q

Antigenic Switching

A

T. brucei cell surface is covered by a variant surface glycoprotein (VSG)

if they switch, immune system can’t identify it fast enough to eradicate it

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11
Q

West vs East African Sleeping Sickness Symptoms

A

Both infections occur in 2 stages (initial hemolymphatic stage then CNS involvement)
- second stage symptoms: reversal of sleep-wake cycle, motor, sensory, mental + neurological disturbances

Main difference is time of symptom appearance + progression

West (T. brucei GAMBIENSE)
- symptoms develop over MONTHS post bite (headache, weakness, fevers)
- progress to 2nd stage in 300-500 days

East (T. brucei RHODESIENE)
- symptoms develop 1-3 WEEKS post bite
- progress to 2nd stage in 30-60 days

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12
Q

Diagnosis and Treatment of Sleeping Sickness

A
  • no vaccine or drug for prophylaxis (can’t prevent)
  • treatment depends on type of infection and stage

Staging is done by microscopic exam of CSF
- parasite in CSF = progressed to 2nd stage (if not, parasite in blood)

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13
Q

Giardia Lamblia

A

Flagellate, strict anaerobe = thrives in GI TRACT of humans

  • infections by FECAL-ORAL route thru contaminated water
  • giardiasis is frequent in travellers and immunocompromised ppl

G. lamblia is common in domestic animals - many infected ppl remain undiagnosed

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14
Q

Giardiasis Symptoms

A

Some ppl have no symptoms at all

Usually develop 1-2 weeks after infection: (all GI related)
- diarrhea
- gas
- foul-smelling, greasy stools
- stomach cramps or pain
- upset stomach or nausea
- vomiting
- dehydration

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15
Q

Treatment of Giardiasis

A

If you have diarrhea, drink lots of fluid to avoid dehydration

Effective pharmaceutical treatments exist

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16
Q

Entamoeba Histolytica

A

Amoeba, anaerobic

Causes AMOEBIC DYSENTRY (bloody diarrhea) in humans

  • many members of this genus live in human large intestine but ONLY E. histolytica is clearly pathogenic

Transmitted via FECAL-ORAL route

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17
Q

Amoebiasis

A

Most exposed ppl are ASYMPTOMATIC but some may be chronic carriers
- most common symptom is DIARRHEA

Symptomatic amoebiasis is considered invasive so treatment agent is active achainst tissue invasive forms = METRONIDAZOLE is drug of choice for intestinal and extra-intestinal infection

18
Q

Treatment of Amoebiasis

A

METRONIDAZOLE

Symptomatic amoebiasis is considered invasive so treatment agent is active against tissue invasive forms

19
Q

Balantidium coli

A

Ciliate protozoan
- ONLY known PARASITIC ciliate

  • infects GI tract/large intestine where it causes DYSENTRY
  • transmitted via FECAL-ORAL route by contaminated food/water
  • Balantidiasis is mostly ASYMPTOMATIC but ppl w/ other sicknesses can have persistent diarrhea, abdominal pain + sometimes a perforated colon
20
Q

Parasitic metazoa

A

Metazoan parasites are MULTICELLULAR organisms w/ BOTH ecto- (insects) and endoparasitic (worms, helminths) lifestyles

  • macroscopic, multi-cellular organisms
  • includes helminths and arthropods
21
Q

Classification of helminths

A
  • nematodes
  • cestodes
  • trematodes
22
Q

Nematodes

A

aka ROUNDWORMS

non-segmented roundworms
- fluid-filled body cavity

23
Q

Cestodes

A

aka TAPEWORMS

segmented flat worms
- rings around body
- very long

24
Q

Trematodes

A

aka FLUKES

non-segmented flatworms
- leaf-like shape

25
Q

Mechanisms of entry and niche selection w/ helminths

A

Transmission
- fecal-oral (cyst - larva - adult worm)
- transdermal (cyst - larva - adult worm)
- verctor-borne (larva - adult worm)
- predator-prey (egg - larva - adult worm)

26
Q

Helminth reproduction

A
  • male and female reproduce by mating followed by egg production
  • most trematode and cestode parasites contain male AND female sex organs but often need another worm to exchange sperm w/ before egg production
  • some species produce both sperm and eggs and self-fertilizing (are HEMAPHRODITIC)
27
Q

Mechanisms of helminth survival

A

Immune evasion strategies
- incorporation of host serum proteins on surface - hide from immune response
- inhibition of complement system
- secretion of anti-inflammatory molecules

Non-immune evasion strategies
- avoiding direct contact w/ host tissue (ex. living in lumen of small intestine)
- PAUSING LIFE CYCLE when host develops resistance

28
Q

Ascariasis

A

Nematode/roundworm

Main specie that infects humans is A. lumbricoides

  • a soil-transmitted helminth (geohelminth)
  • very large nematodes that parasitize the human intestine

Ascariasis is the most COMMON helminth infection in the world and HUMANS are the DEFINITIVE host

29
Q

Ascariasis life cycle

A
  1. Eggs are ingested - go into stomach
  2. Larvae hatch in small intestine, enter bloodstream + go to liver
  3. Larvae migrate to heart - start to mature in tissues
  4. Larvae reach lung capillaries
  5. Larvae enter alveolar spaces
  6. Larvae migrate up trachea + are swallowed down into esophagus then back into stomach and small intestine
  7. Adults mature in small intestine
  8. Eggs pass out in feces + embryonate in soil
30
Q

Symptoms of Ascariasis

A
  • parasitic infection occurs thru ingestion of eggs via fecal contamination of soil, food or water
  • mostly ASYMPTOMATIC (could have mild abdominal discomfort)
  • problems when it is untreated or other factors = high worm burden
31
Q

Treatment of Ascariasis

A

ANTHELMINTIC medications (drugs that remove parasitic worms from the body) like
- albendazole
- mebendazole

32
Q

Taenias

A

Cestodes/tapeworms

  • humans are DEFINITIVE hosts for different types of Taenia
  • humans pass the tapeworm segments/eggs in feces and contaminate soil
  • Taenia eggs can survive in MOIST environment and remain infective for days to months
  • can form cysts in muscle tissue
  • humans can be infected w/ tapeworms when they eat raw or undercooked beef or pork
33
Q

Types of Taenias

A

Taenia saginata (beef tapeworm)
Taenia solium (pork tapeworm)
Taenia asiatica (Asian tapeworm)

34
Q

Taenias Life Cycle

A
  1. Cysticerci are ingested w/ raw or undercooked beef/pork
  2. Cysticerci are released from muscle in stomach
  3. Worms mature + live in SMALL INTESTINE
  4. Scolex contains four suckers
  5. Proglottids (male + female characteristics needed to produce) pass in feces
  6. Cow ingests embryonated eggs, then oncospheres migrate to tissues and develop to cysticerci

back to #1

35
Q

Symptoms + Treatment of Taenias

A
  • most ppl w/ tapeworms have NO or mild symptoms
  • most common treatment are ORAL medications that are toxic to the adult tapeworm
36
Q

Schistosomiasis

A

Trematode parasite

  • infection occurs transcutaneously when skin comes in contact w/ contaminated freshwater in which certain types of snails (INTERMEDIATE host) that carry the parasite are living
  • freshwater becomes contaminated by schistosome eggs when infected ppl URINATE or DEFECATE in the water

humans are DEFINITIVE host
- snails are intermediate host in water to keep larva

37
Q

Symptoms + Treatment of Schistosomiasis

A

Most ppl have no symptoms when first infected
- within days after, they may get a RASH or ITCHY SKIN
- within 1-2 months of infection, they might get fever, chills, cough and muscle aches

Can develop into chronic schistosomiasis

Treated w/ PRAZIQUANTEL for 1-2 days to treat infection

38
Q

oChronic Schistosomiasis

A

repeated infection or not being treated

Symptoms include
- abdominal pain
- enlarged liver
- blood in stool or urine
- problems passing urine

can also lead to increased risk of LIVER FIBROSIS or BLADDER CANCER

39
Q

Anti-parasitic measures

A
  • clean water
  • better sanitation
  • better hygiene
  • vector control
40
Q

Vector control

A
  • reduction of areas where vectors breed (especially mosquitoes)
  • access to bed nets
  • treatment of areas w/ pesticide
  • introduction of genetically modified mosquitoes (offspring w/ natural mosquitoes are STERILE)