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Flashcards covering morphology, hosts/vectors, epidemiology, pathogenesis, clinical symptoms, and immune responses for protozoa, helminths, and fungi from the lecture notes.
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What is the morphology of Entamoeba histolytica?
Trophozoite (RBCs inside); cyst (4 nuclei)
What are the hosts/vectors of Entamoeba histolytica?
Humans; flies, cockroaches
What is the epidemiology of Entamoeba histolytica?
Tropics; contaminated food/water
What is the pathogenesis of Entamoeba histolytica?
Flask-shaped ulcers, liver abscess
What are the symptoms of Entamoeba histolytica?
Bloody/mucus diarrhea, RUQ pain, anchovy paste abscess
What is the immune response to Entamoeba histolytica?
Intact immunity → asymptomatic; weak immunity → invasion
What is the morphology of Giardia duodenalis?
Pear-shaped “owl’s face”; sucking disk
What are the hosts/vectors of Giardia duodenalis?
Humans only
What is the epidemiology of Giardia duodenalis?
Worldwide; hikers, daycare, MSM
What is the pathogenesis of Giardia duodenalis?
Adheres to villi → malabsorption
What are the symptoms of Giardia duodenalis?
Foul-smelling fatty diarrhea, bloating, flatulence
What is the immune response to Giardia duodenalis?
IgA + microbiota protect; IgA deficiency → chronic infection
What is the morphology of Cryptosporidium parvum?
Acid-fast oocyst (4 sporozoites)
What are the hosts/vectors of Cryptosporidium parvum?
Humans only
What is the epidemiology of Cryptosporidium parvum?
Pools, daycares; severe in AIDS
What is the pathogenesis of Cryptosporidium parvum?
Brush border damage → malabsorption
What are the symptoms of Cryptosporidium parvum?
Watery diarrhea (chronic in AIDS)
What is the immune response to Cryptosporidium parvum?
CD4+ T cells critical; AIDS → severe disease
What is the morphology of Trichomonas vaginalis?
Trophozoite only (flagellated; no cyst)
What are the hosts/vectors of Trichomonas vaginalis?
Humans only (STD)
What is the epidemiology of Trichomonas vaginalis?
Worldwide; common STI
What is the pathogenesis of Trichomonas vaginalis?
Vaginal/urethral colonization; ↓ pH
What are the symptoms of Trichomonas vaginalis?
Frothy green discharge, strawberry cervix, pruritus
What is the immune response to Trichomonas vaginalis?
Neutrophils active; doesn’t clear fully
What is the morphology of Babesia microti?
Maltese cross in RBCs
What are the hosts/vectors of Babesia microti?
Reservoir = rodents; Vector = Ixodes tick
What is the epidemiology of Babesia microti?
NE U.S., transfusions
What is the pathogenesis of Babesia microti?
RBC lysis → hemolysis
What are the symptoms of Babesia microti?
Flu-like, hemolytic anemia; severe in asplenic
What is the immune response to Babesia microti?
Spleen clears; asplenic → severe
What is the morphology of Plasmodium spp.?
Ring forms, schizonts, gametocytes
What are the hosts/vectors of Plasmodium spp.?
Definitive = mosquito; Intermediate = human
What is the epidemiology of Plasmodium spp.?
Tropics (Africa, Asia, S. America)
What is the pathogenesis of Plasmodium spp.?
Cyclical RBC lysis → anemia, splenomegaly
What are the symptoms of Plasmodium spp.?
Malaria: paroxysmal fevers, anemia, HSM
What is the immune response to Plasmodium spp.?
Partial immunity w/ exposure; sickle trait protective
What is the morphology of Toxoplasma gondii?
Crescent trophozoite; tissue cysts
What are the hosts/vectors of Toxoplasma gondii?
Definitive = cats; Intermediate = humans/rodents
What is the epidemiology of Toxoplasma gondii?
Worldwide; raw meat, cat feces
What is the pathogenesis of Toxoplasma gondii?
Tissue cysts in brain, muscle, eyes
What are the symptoms of Toxoplasma gondii?
Mono-like; congenital triad (chorioretinitis, hydrocephalus, calcifications)
What is the immune response to Toxoplasma gondii?
CD8+ critical; cysts persist lifelong
What is the morphology of Leishmania spp.?
Promastigote (sandfly), Amastigote (macrophages)
What are the hosts/vectors of Leishmania spp.?
Reservoir = dogs/rodents; Vector = sandfly
What is the epidemiology of Leishmania spp.?
Tropics, Middle East, India
What is the pathogenesis of Leishmania spp.?
Macrophage infection → tissue destruction
What are the symptoms of Leishmania spp.?
Cutaneous ulcers; Kala-azar (fever, HSM, pancytopenia)
What is the immune response to Leishmania spp.?
Th1 = protection; Th2 = dissemination
What is the morphology of Trichuris trichiura?
Whip-like worm; barrel-shaped eggs
What are the hosts/vectors of Trichuris trichiura?
Humans only
What is the epidemiology of Trichuris trichiura?
Tropics; soil-contaminated food/hands
What is the pathogenesis of Trichuris trichiura?
Burrow in colon mucosa
What are the symptoms of Trichuris trichiura?
Often asymptomatic; diarrhea, abdominal pain, rectal prolapse, growth delay
What is the immune response to Trichuris trichiura?
Eosinophilia, IgE
What is the morphology of Ancylostoma/Necator?
Small curved worms; teeth/cutting plates
What are the hosts/vectors of Ancylostoma/Necator?
Humans (definitive)
What is the epidemiology of Ancylostoma/Necator?
Tropics; barefoot exposure
What is the pathogenesis of Ancylostoma/Necator?
Attach to SI wall → blood loss
What are the symptoms of Ancylostoma/Necator?
Ground itch, cough, GI cramps, iron deficiency anemia
What is the immune response to Ancylostoma/Necator?
Th2 + eosinophils
What is the morphology of Ascaris lumbricoides?
Largest nematode (20–35 cm)
What are the hosts/vectors of Ascaris lumbricoides?
Humans; pigs reservoir
What is the epidemiology of Ascaris lumbricoides?
Worldwide; most common helminth
What is the pathogenesis of Ascaris lumbricoides?
Mass effect; migration
What are the symptoms of Ascaris lumbricoides?
Abdominal pain, obstruction, biliary blockage
What is the immune response to Ascaris lumbricoides?
Th2 + eosinophilia
What is the morphology of Enterobius vermicularis?
Small thin worms; eggs flat on one side
What are the hosts/vectors of Enterobius vermicularis?
Humans only
What is the epidemiology of Enterobius vermicularis?
Worldwide; especially children
What is the pathogenesis of Enterobius vermicularis?
Perianal egg-laying
What are the symptoms of Enterobius vermicularis?
Nocturnal perianal pruritus, disturbed sleep
What is the immune response to Enterobius vermicularis?
Eosinophils, IgE
What is the morphology of Trichinella spiralis?
Encysted larvae in muscle
What are the hosts/vectors of Trichinella spiralis?
Humans accidental; pigs/bears definitive
What is the epidemiology of Trichinella spiralis?
Hunters (bear meat), worldwide
What is the pathogenesis of Trichinella spiralis?
Larvae in striated muscle
What are the symptoms of Trichinella spiralis?
GI upset; periorbital edema, myalgia, splinter hemorrhages, myocarditis
What is the immune response to Trichinella spiralis?
Eosinophilia; inflammation around cysts
What is the morphology of Wuchereria bancrofti?
Thread-like worms
What are the hosts/vectors of Wuchereria bancrofti?
Humans only; mosquito
What is the epidemiology of Wuchereria bancrofti?
Tropics
What is the pathogenesis of Wuchereria bancrofti?
Lymphatic vessel destruction → obstruction
What are the symptoms of Wuchereria bancrofti?
Asymptomatic for years → lymphedema/elephantiasis
What is the immune response to Wuchereria bancrofti?
Eosinophils, fibrosis
What is the morphology of Brugia malayi?
Smaller filaria
What are the hosts/vectors of Brugia malayi?
Humans; mosquito
What is the epidemiology of Brugia malayi?
SE Asia
What is the pathogenesis of Brugia malayi?
Lymphatic damage
What are the symptoms of Brugia malayi?
Lymphedema → elephantiasis (legs/genitals)
What is the immune response to Brugia malayi?
Eosinophilia
What is the morphology of Onchocerca volvulus?
Adult worms in nodules
What are the hosts/vectors of Onchocerca volvulus?
Humans; Simulium blackfly
What is the epidemiology of Onchocerca volvulus?
Sub-Saharan Africa, Yemen, Americas
What is the pathogenesis of Onchocerca volvulus?
Inflammation to dying larvae
What are the symptoms of Onchocerca volvulus?
River blindness, pruritus, “leopard skin”
What is the immune response to Onchocerca volvulus?
Wolbachia endosymbiont triggers inflammation
What is the morphology of Fasciolopsis buski?
Large leaf-shaped worm
What are the hosts/vectors of Fasciolopsis buski?
Definitive = humans/pigs; Intermediate = snails
What is the epidemiology of Fasciolopsis buski?
Asia; aquatic plants eaten raw
What is the pathogenesis of Fasciolopsis buski?
Attach to duodenal wall