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Flashcards based on lecture notes about Protozoa, Hemoflagellates, Leishmania, Trypanosomes, Malaria, Plasmodium, Babesia, Coccidia, and other parasites.
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What areas can Hemoflagellates infect?
Infect the blood, lymph nodes, muscles and RES
What are the four morphologies or stages of Hemoflagellates?
Amastigote, Promastigote, Epimastigote, Trypomastigote
What is the most probable parasite in the Clinical Mystery Case?
Leishmania mexicana complex (New World Cutaneous Leishmaniasis)
What is the vector and reservoir host in the Clinical Mystery Case?
Vector - Lutzomyia sandfly; Reservoir host - forest rodents
What is the appearance of the Amastigote form?
Round to oval and no flagella
What is the appearance of the Promastigote form?
Long and slender, one nucleus located in or near the center, kinetoplast located in anterior end
What is the appearance of the Epimastigote form?
Long and slightly wider than promastigote form, one nucleus located in posterior end, kinetoplast located anterior to the nucleus
What is the appearance of the Trypomastigote form?
C, S, or U shape often seen in stained blood films, single free flagellum extending from anterior end, undulating membrane, kinetoplast located in the posterior end
Infection with Leishmania spp. can result in what diseases depending on the species involved?
Cutaneous, diffuse cutaneous, mucocutaneous, or visceral disease
What is the diagnostic stage of Leishmania spp.?
Amastigotes
What is the infective stage of Leishmania spp.?
Promastigotes
What is the vector of Leishmania braziliensis complex?
Lutzomyia
What are the modes of transmission of Leishmania?
Insect vector, congenitally, blood transfusion, contamination of bite wounds, direct contact with contaminated specimens
What are other names for Mucocutaneous Leishmania?
Espundia, Forest Yaws, Pian Bois, Uta
What is the vector of Leishmania mexicana complex?
Lutzomiya
What is the reservoir host of Leishmania mexicana complex?
Dogs and forest rodents
What is the pathology of Leishmania mexicana complex?
Edema and secondary bacterial infections combined with numerous mucosal lesions, may cause disfigurement of the patient's face and death (usually attributed to a secondary bacterial infection).
What is the vector for Leishmania tropica complex?
Phlebotomus spp.
What is the reservoir host of Leishmania tropica complex?
Rock hyrax, Dogs, Gerbils
What are other names for Old World Cutaneous Leishmaniasis?
Oriental sores, Delhi boils, Baghdad boils, Aleppo button, Jericho boil
What is the vector for Leishmania donovani complex?
Phlebotomus and Lutzomyia sandflies
What is the reservoir host of Leishmania donovani complex?
Dogs, cats, foxes, jackals, porcupines, other rodents
What are other names for the disease associated with Leishmania donovani complex?
Visceral Leishmaniasis, Kala-azar, Dumdum fever
What is the vector of East African Sleeping Sickness?
Glossina palpatis
What characterizes African Sleeping Sickness?
Acute phase in which peripheral blood and lymph nodes are invaded, followed by a chronic phase in which the CNS is invaded, resulting in meningoencephalitis
What are symptoms of Trypanosoma brucei complex?
Winterbottom's sign and Kerandel’s sign
What is the vector of Trypanosoma cruzi?
Triatoma (Kissing bugs, Reduviid bugs, Assassin bugs, Conenose bugs)
What is the mode of transmission of Trypanosoma cruzi?
Contamination of the bite wound with the feces from the Reduviid bug
What are the pathologies of Trypanosoma cruzi?
Myocarditis, megacolon, megaesophagus, hepatosplenomegaly, cardiomegaly
What is the mosquito vector for malaria in the Philippines?
Anopheles minimus var. flavirostris
Plasmodium spp. belongs to what phylum?
Phylum Apicomplexa
What is the definitive host for Plasmodium spp.?
Female Anopheles mosquito
What is the intermediate host for Plasmodium spp.?
Man
What characterizes Plasmodium vivax (Benign Tertian Malaria)?
Schuffner's dot (condensed hemoglobin) in red cells and only reticulocyte invaded (young RBCs)
What is the cause of recurrent fever, chills and sweating in malaria?
Synchronized rupture on red blood cells
What causes Cerebral Malaria?
Red cells, organisms, and pigment block brain vessels
What causes Blackwater Fever?
Sudden massive intravascular hemolysis resulting to hemoglobinuria
What characterizes Plasmodium malariae?
Ziemann's dots and infects old RBCs (mature RBCs)
What characterizes Plasmodium ovale?
Single, compact ring James' dots/Schuffner's dots, infects young RBCs, infected RBCs: Larger than normal; serrated and fimbriated
What characterizes Plasmodium falciparum?
Small ring forms (1/6 diameter red cell), applique forms/accole/marginal, double nuclear dots, Maurer's dots and infects all stages of RBCs
What stages of Plasmodium knowlesi are seen in peripheral blood?
All stages
Which blood film is used for screening?
Thick blood film
Which blood film is used for identification?
Thin blood film
What are other names for Babesia spp.?
Texas Cattle Fever/Red Water Fever/Tick Fever/Nantucket Fever
What is the vector of Babesia spp.?
Ticks
What is the definitive host for Babesia Spp.?
Ixodes Spp
What characterizes Coccidia?
Unicellular protozoa; live intracellularly at least during a part of their life cycle
What is the definitive host for Isospora belli?
Man
What is the infective stage of Cyclospora cayatanensis?
Sporulated oocyst
What is the infective stage of Cyrptosporidium Spp.?
Unizoite cysts
What is the mode of transmission of Sarcocystis spp.?
Ingestion of infective mature (also known as sporulated) oocysts in contaminated food or water; autoinfection
What causes external transmission in Blastocystic hominis?
Thick-walled cysts
What is the most common form of Blastocystic hominis?
Central vacuole form
What is the mode of transmission of Pneumocystic jiroveci?
Inhalation of thick-walled mature cysts and direct person-to-person contact
What stains are used in the lab diagnosis of Microsporidia?
Trichrome and acid-fast stain, Gram staining (+), Periodic acid Schiff
What is the definitive host of Toxoplasma gondii?
Cats
What is the intermediate host of Toxoplasma gondii?
Man and other mammals
How does Toxoplasma gondii infect humans?
Oocyst in feces
What diagnostic tests can be used for Cerebral Toxoplasmosis?
Polymerase chain reaction (PCR), biopsy, buffy coat cells, CSF, tissue culture