protozoa Flashcards
(46 cards)
Parasites are divided to
- Protozoa
2. Helminthes
Protozoa infections are divided to
- GI infections
- CNS infections
- Hematologic infections
- other infections (visceral infections and STD)
Protozoa GI infections - bugs and diseases
- Giardia lamblia - giardiasis
- Entamoeba histolytica - amebiasis
- Cryptosporidium - diarrhea
Giardia lamblia - disease and symptoms / seen in
Giardiasis: 1. bloating 2. flatulence
3. foul smelling, fatty diarrhea
campers + hikers
Giardia lamblia - transmission / diagnosis / treatment
cysts in water
multinucleated trophozoites or cysts in stool
treatment: metronidazole
Entamoeba histolytica - disease and symptoms
Amebasis: 1. bloody diarrhea (dysentery)
- liver abscess (anchovy paste exudate)
- RUG pain
Entamoeba histolytica - transmission / treatment
cysts in water
treatment: metronidazole
or iodoquinol for asymptomatic cyst passers
- a luminal agent, eg. paromomycin) is also recommended to eradicate intestinal colonizationcyst
- drainage is not recommended
Entamoeba histolytica infection - diagnosis
- serology and/or
- trophozoites with RBCs in the cytoplasm
or cysts with up to 4 nuclei in stool
Cryptosporidium - disease and symptoms
severe nonbloody diarrhea in AIDS Mild disease (watery diarrhea) in immunocompoment
Cryptosporidium - transmission / diagnosis
oocysts in water
diagnosis: oocysts on acid-fast stain
Cryptosporidium - treatment/prevention
prevention by filtering city water supplies
notazoxamide in immunocompetent hosts
no clear treatment for AIDS patient
Protozoa - CNS infection - bugs and diseases
Toxoplasma gondi - toxoplasmosis
Naegleria fowleri - rapidly fatal meningoencephalitis
Trypanosoma brucei - African sleeping diseas
Toxoplasma gondi infection and symptoms
- Congenital toxoplasmosis –> classic triad of chorioretinitis, hydrocephalus, intracranial calcification
- reactivation in aids –> brain abscess
Toxoplasma gondi transmission
cysts in undercooked meat (MC)
oocysts in cat feces
crosses placenta
Toxoplasma gondi - diagnosis
serology
biopsy (tachyzoite)
CT/MIR ring-enhancing lesion
Trypanosoma brucei - disease and symptoms
African sleeping disease: 1. enlarged lymph nodes
2. recurring fever 3. somnolence 4. Coma
African sleeping disease - transmission / diagnosis
Tsetse fly, a painful bit
diagnosis: Trypomastigote in blood smear
African sleeping disease - treatment
suramin for blood-borne disease
melarsoprol for CNS penetration
Naegleria fowleri - diagnosis
amoebas in spinal fluid
Malaria - fever according to bug
P. vivax/ovale –> 48hr cycle (tertian: fever on first day and third day, thus fever are actually 48hr apart)
P. falciparum –> severe. irregular fever pattern
P. malariae –> 72 hr cycle (quartan)
other complications of malaria, beside general symptoms
occlude capillaries in brain (cerebral malaria), kidney, lung (esp with P. Falciparum)
Malaria - relapse vs recrudescence
Relapse occurs in P. vivax and P. ovale infection ressults from hypnozoites –> reactivation of hypnozoites in liver
Recrudescence occurs in P. malariae and P. falciparum infections and results from incomplete eradication of the parasites
Malaria - diagnosis
- Blood smear: trophozoites ring within RBCs, schizont containing merozoites
- Red granules (Schuffner stippling) through RBC cytoplasm seen with P. vivax/ovale
Malaria - treatment for every situation
- Chloroquine (for sensitive species)
- Mefloquine or atovaquone/proquanil (for resistant)
- IV quinidine or artesunate (If life threatening) –> test for G6PD
- P. vivax/ovale add primaquine for hypnozoite –> test for G6PD