Parasitic Infections Flashcards

(76 cards)

1
Q

What are Protozoa?

A

Diverse group of single celled animal-like eukaryotes

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2
Q

Where are Protozoa prevalent?

A

(Sub)tropical regions

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3
Q

What are the four classifications of Protozoa?

A

Amoeba
Flagellates
Ciliates
Apicomplexa

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4
Q

What Protozoal diseases can affect the CNS?

A

Amoeba
Malaria
Toxoplasma
Trypanosomes

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5
Q

What Protozoal diseases can affect the blood?

A

Malaria

Trypanosomes

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6
Q

What Protozoal diseases can affect the liver?

A

Entamoeba

Leishmania

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7
Q

What Protozoal diseases can affect the skin?

A

Leishmania

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8
Q

What Protozoal diseases can affect the intestine?

A

Cryptosporidium
Entamoeba
Giardia
Isospora

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9
Q

Where is malaria mainly found?

A

Africa, Asia and South America

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10
Q

What Protozoal diseases can affect the CNS?

A

Amoeba
Malaria
Toxoplasma
Trypanosomes

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11
Q

What Protozoal diseases can affect the blood?

A

Malaria

Trypanosomes

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12
Q

What Protozoal diseases can affect the liver?

A

Entamoeba

Leishmania

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13
Q

What Protozoal diseases can affect the skin?

A

Leishmania

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14
Q

What Protozoal diseases can affect the intestine?

A

Cryptosporidium
Entamoeba
Giardia
Isospora

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15
Q

How many cases of malaria are there in the U.K. per year?

A

1,500-2,000

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16
Q

What are the four causes of malaria in humans?

A

P.falciparum
P.vivax
P.ovale
P.malariae

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17
Q

What are the uncomplicated symptoms of malaria?

A
6-10 hours of:
-cold stage- shivering 
-hot stage-fever
-sweating stage
Other:headache, body aches, nausea, vomiting, weakness, enlarged spleen
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18
Q

What are the complicated symptoms of malaria?

A
Cerebral malaria- abnormal behaviour, seizures, coma
Shock
Severe anaemia
Pulmonary oedema
Liver failure 
Swelling, rupturing of spleen
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19
Q

What is the malaria ABCD?

A

Awareness of risk
Bite prevention
Chemoprophylaxis
Diagnosis and treatment

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20
Q

What malaria chemoprophylaxis should be used in areas without drug resistance?

A

Chloroquine

Proguanil

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21
Q

What malaria chemoprophylaxis should be used in areas of little chloroquine resistance?

A

Proguanil plus chloroquine

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22
Q

What malaria chemoprophylaxis should be used in areas of chloroquine resistant P.falciparum?

A

Mefloquine
Doxycycline
Atovaquone-proguanil

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23
Q

How can malaria be diagnosed?

A

Blood smears
Rapid diagnostic tests
PCR, antibody detection, mass spec

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24
Q

What is the treatment for malaria caused by P.falciparum?

A

Quinine followed by doxycycline or clindamycin

Atovaquone-proguanil

Arthemether-lumefantrine

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25
What is the treatment for malaria caused by P.vivax or P.ovale?
Chloroquine followed by primaquine
26
What is he mode of action for proguanil, pyrimethamine and sulphadoxine?
Antifolate
27
What is the mode of action for chloroquine, lumefantrine and mefloquine?
Inhibits harm detoxification
28
What is the mode of action for atovaquone?
Inhibits mitochondrial metabolism
29
How is the malaria vaccine engineered?
From parts of surface protein of P.falciparum and fused to surface antigen from hep B to boost immune response
30
what are helminths?
Multicellular with differentiated orgains
31
What parasitic infection does not have its full life cycle in humans?
helminths
32
Why are helminths difficult for the immune system to eradicate?
they have a tough cuticle
33
Name an example of an helminth which camouflages by coating with the host molecules?
Blood flukes
34
What do parasitic helminths feed on?
body fluids or intestinal contents
35
Where are helminths mainly found?
Rural villages/overcrowded cities in tropics
36
What symptom can helminths cause?
malnutrition
37
What are the three main classes of helminths that infect humans?
Nematodes (roundworm) Cestodes (Tapeworms) Trematodes (Flukes)
38
What do nematodes look like?
Cylindrical body, alimentary canal
39
What do cestodes look like?
Flat, ribbon shaped, no digestive tract
40
What do trematodes look like?
leaf-shaped, blind branched alimentary tract
41
How are large roundworm transmitted?
Fecal-oral
42
What symptoms do large roundworm give?
slows development, shortness of breath, coughing, malnutrition, blockage intestines
43
How are threadworm transmitted?
Fecal-oral
44
What symptoms do threadworm give?
mild anal itching
45
How are hookworm transmitted?
larvae in soil penetrate skin
46
what symptoms do hookworm give?
slows growth and development, anaemia
47
How are whipworm transmitted?
Fecal oral
48
What symptoms do whipworm give?
usually asymptomatic but heacy infection can cause bloody diarrhoea
49
Ascariasis is caused by what?
Roundworm
50
What are the symptoms of ascariasis?
abdominal pain, malnutrition
51
How many eggs do mature female ascariasis produce per day?
>200,000
52
Name the 7 steps of te ascariasis life cycle
1. Produce eggs 2. eggs excreted in faeces 3. eggs mature in soil 4. eggs ingested 5. larvae hatch in small intestine and penetrate wall 6. enter blood and carried to organs 7. coughing brings larvae into intestines where they mature
53
What are nematodes?
roundworms
54
What are cestodes?
Tapeworms
55
What are trematodes?
Flukes
56
What does lymphatic filariasis/ elephantiasis cause?
Enlargement of body parts
57
What does onchocerciasus/river blindness cause?
inflammation of the eye leading to blindness
58
What does loiasis cause?
Inflammation in the skin and eye
59
What usually causes tapeworm?
ingestion of cust from undercooked meat/fish
60
What do trematodes cause?
Progressive damage to vital orgains
61
What do trematodes use as their intermediate host?
Snail
62
What are lung fluke caused by?
Eating infected crab and crayfish
63
What are liver fluke caused by?
Freshwater fish
64
What is the 2nd greatest economic impact of parasitic diseases?
Schistosomiasis
65
What are Schistosomiasis caused by?
blood flukes through infected water
66
What are the symptoms of Schistosomiasis?
Rash 1-2 months: fever, chills, cough, muscle aches organ damage
67
What is the lifecycle of Schistosomiasis?
``` Larvae in water infect snail Snail forms larvae Larva penetrate skin of human Migrate to liver Mature and form male:female pairs to final destination ```
68
How many eggs do femal Schistosomiasis produce per day?
300
69
How are intestinal nematodes/cestodes diagnosed?
Eggs detected in faeces
70
How are Schistosomas diagnosed?
eggs in faecal sample or urine
71
How are tissue nematodes diagnosed?
Adults in tissue, microfilaria in blood
72
What is Ivermectin used to treat and what's its MoA?
Filarial nematodes | Blocks ion channels in neurons, leading to paralysis
73
What are albendazole & mebendazole used to treat and MoA?
Intestinal nematodes | Blocks microtubulin assembly, inhibits glucose uptake
74
What is niclosamide used to treat and its MoA?
Tapeworms | Uncouples oxidative phosphorylation
75
What is piperazine used to treat and its MoA?
Roundworms, threadworms | Blocks neurotransmitter-paralysis, often used with sennosied
76
What is praziquantel used to treat and its MoA?
Flukes, tapeworms | Alters calcium permeability, paralysis