Parasit Flashcards

(36 cards)

1
Q

Giardia Interstinalis Diagnosis

A
  • cysts in the faeces -duodenal fluid/ biopsy may demonstrate trophozoites
  • ELISA and IF
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Trichomonas vaginalis Diagnosis

A

-microscopic examination of genital secretions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Trypanosoma brucei gambiense Diagnosis

A

-examination of lymph node aspirates blood, bone marrow, or in late stage- CSF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Leishmania donovani Diagnosis

A
  • identification of amastigote in tissue (bone marrow, liver, spleen, lymph nodes, blood)
  • PCR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Leishmania Tropica Diagnosis

A
  • skin test and detection of anti-leishmanial antibodies by immune- fluorescence
  • PCR
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Entamoeba histolytica Diagnosis

A
  • finding trophozoites & cyst in stool
  • EIA
  • PCR (for comparative analysis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ancantamoeba spp Diagnosis

A

-examination of brain tissue, skin, cornea

examination of CSF -PCR-based techniques

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Naegleri flowleri Diagnosis

A

-examination of CSF and tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Plasmodium spp. Host

A

Definitive Host: female mosquito Intermediate Host: human

1. Sporogony- female mosquito (sexual cycle) 2. Schizogony- human (asexual cycle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Toxoplasma Gondii Host

A

Definitive Host: human Intermediate Host: cat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cryptosporidium Parvum Host

A

Definitive Host: contaminated water Intermediate Host: human

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Giardia Interstinalis Clinical Features

A

Acute giardiasis:
Incubation 5-6 days & last for 1-3 weeks Symptoms: diarrhea, abdominal pain, bloating, nausea, vomiting.
Chronic giardiasis: Symptoms are recurrent & malabsorption & debilitation may occur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Trichomonas vaginalis Clinical Features

A

In women symptomatic:
-vaginitis w. purulent discharge, small hemorrhagic spots, vaginal pH above 5, ab pain, dysuria & dyspareunia, pain when sex
In male asymptomatic: -urethral discharge, pain during urination, mild itching and burning after sex, prostatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Trypanosoma brucei gambiense Clinical Features

A

African sleeping
sickness: 3 stages -early phase > fever, headache, joint pain & itching
-2nd phase > parasite crosses blood-brain barrier & infects CNS >symptoms: Confusion, sensory disturbances, poor coordination, disturbance of sleep cycle> coma
No treatment>fatal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Leishmania donovani Clinical Features

A

2 main forms of disease: 1! cutaneous 2!visceral (kala-azar) Visceral Leishmaniasis: -incubation period varies, 1-2 weeks up to several -fever

  • weight loss
  • enlarged spleen & liver -some have swollen glands -blood tests are abnormal (low blood counts) -important opportunistic infection in areas where it coexists with HIV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Leishmania Tropica Clinical Features

A

Cutaneus Leishmaniasis:
1 or more cutaneus lesions on areas from flybit. Look like volcano & can be painful or painless. Swollen glands near the sore

17
Q

Entamoeba histolytica Clinical Features

A

Intestinal Amoebiasis
-may be asymptomatic
-ab pain, diarrhea, malaise, weight loss
-appendicitis
-dysentery
Extraintestinal Amoebiasis Secrete histolysin > help to invade submucosal tissue -invade RBC
-can be carried to liver> hepatic amoebiasis/ hepatitis -secondary!other organs may be invaded

18
Q

Ancantamoeba spp Clinical Features

A
-granulomatous
amebic encephalitis (GAE)! especially in individuals with compromised immune systems -ocular keratitis! infecting wearers of soft contact lenses- amoeba can survive in the space between the lens and the eye
19
Q

Naegleri flowleri Clinical Features

A

-Acute primary amebic meningoencephalitis (PAM) it presents with severe headache and other meningeal signs, fever, vomiting

20
Q

Giardia Interstinalis Life Cycle

A
  • ingestion of cysts from water or food
  • in small intestine>excystation> releasing trophozoites (each cyst produces 2)> multiply (longitudinal binary fission) -encystation when moving down colon -cyst in faeces
21
Q

Trichomonas vaginalis Life Cycle

A
  • resides in female genital tract or male urethra & prostate
  • binary fission
  • transmitted by sexual intercourse (humans are the only known host)
22
Q

Trypanosoma brucei gambiense Life Cycle

A
  • Parasite ingested by tsetsefly when taking a bloodmeal.
  • multiply in fly in gut & salivary glands -Takes 3 weeks
  • next bloodmeal> ing est metacyclic trypomastigotes in humans
  • multiplies by binary fission
23
Q

Leishmania donovani Life Cycle

A

-ingestion by vector of amastigote> becomes promastigote in gut, multiply by longitudinal
binary fission
-sandfly introduces promastigote in human blood when it bites -macrophages engulf the promastigote > revert to intracellular amastigote -reproduction of amastigotes by longitudinal binary fission

24
Q

Leishmania Tropica Life Cycle

A

-ingestion by vector of amastigote> becomes promastigote in gut, multiply by longitudinal
binary fission
-sandfly introduces promastigote in human blood when it bites -macrophages engulf the promastigote > revert to intracellular amastigote -reproduction of amastigotes by longitudinal binary fission

25
Entamoeba histolytica Life Cycle
- excystation in small intestine > release trophozoites > migrate to large intestine - multiply > binary fission > produce cysts (encystation) -both stages are passed in the faeces
26
Ancantamoeba spp Life Cycle
- found in soil; fresh, brackish, and sea water; sewage... - replicate by mitosis (trophozoites are infective stage) - believed to enter the body through lower respiratory tract, ulcerated skin and invade CNS -cysts and trophozoites are found in tissue
27
Naegleri flowleri Life Cycle
- has three stages, cysts, trophozoites, & flagellated forms - the trophozoites replicate by promitosis - found in fresh water, soil... - Trophozoites infect humans by entering olfactory neuroepithelium & reaching the brain! where inflammation occurs = death
28
Plasmodium spp. Life Cycle
Human- Schizogony 1. exoerythrocytic schizogony -parasites undergoes asexual multiplication in the liver -inside hepatocyte, sporozoite develops into trophozoite -after 1-2 weeks, trophozoite nucleus divides, followed by division of the cytoplasm -thousands of merozoites produced!rupture from cell!enter blood circulation! invade red blood cells 2. erythrocytic schizogony -inside erythrocyte, the merozoite grows to the early trophozoite stage- the signet ring stage -this form develops into the mature trophozoite stage!undergoes multiple fission into schizonts!produces a new generation of merozoites in each erythrocyte (gametocytes) Mosquito- Sporogony -mosquitos ingest gameotocytes during blood meal!undergo a sporogonic cycle yielding sporozoites - in p.vivax and p.ovale, a dormant stage (hypnozoites) can persist in the liver!causes relapses weeks/ years later
29
Toxoplasma Gondii Life Cycle
-oocysts are only present in the definitive host!passed in faeces!ingested by humans and other intermediate hosts -oocysts develop into tachyzoites (rapidly multiplying trophozoite form of t.gondii) -they divide rapidly in cells, causing tissue destruction and spreading the infection -tachyzoites localize to muscle tissues and the CNS where they convert to tissue cysts, or bradyzoites !animal-to-human (zoonotic) transmission !foodbourne transmission !mother-to-child (congenital) transmission
30
Cryptosporidium Parvum Life Cycle
- c.parvum and c.hominis occur in humans -cryptosporidium is found in soil, food, water, or surfaces that have been contaminated with infected human or animal faeces - a person becomes infected by swallowing cryptosporidium parasites - cryptosporidium lives in the intestine of infected humans or animals transmission: -person to person -animal to human -foodbourne -waterbourne - has three stages, cysts, trophozoites, & flagellated forms - the trophozoites replicate by promitosis - found in fresh water, soil... - Trophozoites infect humans by entering olfactory neuroepithelium & reaching the brain! where inflammation occurs = death
31
Plasmodium spp. Clinical Features
Incubation Period: 7-30 days Shorter periods!p.falciparum Longer periods!p.malariae Most frequent symptoms: -fever and chills, sweats -headache -myalgias, arthralgias -weakness -nausea and vomiting -splenomegaly -anemia, thrombocytopenia “Cold” Stage: 15-60min, cold, shivering “Hot” Stage: 2-6hrs, fever, headaches, vomiting “Sweating” Stage: 2-4hrs, sweats, temp to normal P.falciparum: -infections caused by seveer, potentially fatal forms: -CNS involvement (cerebral malaria) -acute renal failure -severe anemia -respiratory distress syndrome -hemoglobinuria cerebral malaria -parasitized RBCs in brain vessels -freq. leads to death -microvascular obstruction by thrombus formation -disseminated coagulation -coma!poor oxygen delivery to brain
32
Plasmodium spp. Laboratory Diagnosis
- microscopic identification of gametocytes, merozoites, schizonts - comparison of plasmodium species - molecular diagnosis techniques can complement microscopy, especially in species identification ! PCR - people with sickle cell anemia cannot get malaria, therefore frequencies of sickle cell carriers are high in malaria-endemic areas - no vaccine against malaria is available
33
Toxoplasma Gondii Clinical Features
-acquired infection is generally asymptomatic -10%-20% of patients with acute infection may: -develop cervical lymphadenopathy -and/or a flu-like illness -the clinical course is benign and self-limited -symptoms usually resolve within a few months to a year Acute -parasitic invasion of the mesenteric lymph nodes & liver -painful, swollen, lymph glands in the inguinal, cervical, and subclavicular regions -fever, headache, anemia, muscle pain Congenital -results from fetal transplacental infection -12% of infected infants born alive die shortly after birth -abnormalities occur in the CNS, eyes, and viscera
34
Toxoplasma Gondii Laboratory Diagnosis
- serologic testing!antibody detection - observation of parasites in patient specimens, such as bronchoalveolar lavage material or lymph node biopsy -detection of parasite genetic material by PCR, especially in detecting congenital infections in utero
35
Cryptosporidium Parvum Clinical Features
Cryptosporidiosis -some people will have no symptoms at all -most common symptom is watery diarrhea Other symptoms: -stomach cramps or pain -dehydration -nausea -vomiting -fever -weight loss
36
Cryptosporidium Parvum Laboratory Diagnosis
- microscopic diagnosis- oocysts in the stool -ELISA- antigen in the stool -immunofluorescence assay - molecular methods