Clinical Parasitology: Hemoflagellates & Ciliates
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Questions and Answers

Which of the following genera of hemoflagellates infects humans?

  • Trypanosoma (correct)
  • Entamoeba
  • Cryptosporidium
  • Toxoplasma
  • What are the morphological forms observed in Leishmania species?

  • Promastigote and Amastigote (correct)
  • Promastigote and Epimastigote
  • Amastigote and Trypomastigote
  • Epimastigote and Trypomastigote
  • Which hemoflagellate has distinct forms based on the location of its kinetoplast?

  • Leishmania
  • Entamoeba
  • Trypanosoma (correct)
  • Trichomonas
  • In what type of fluids are hemoflagellates primarily found?

    <p>Blood and cerebrospinal fluid</p> Signup and view all the answers

    Which of these is NOT a species of Trypanosoma associated with human infection?

    <p>Trypanosoma cruzi saccarinii</p> Signup and view all the answers

    What is the infective stage of Trypanosoma spp.?

    <p>Trypomastigote</p> Signup and view all the answers

    How are vector-borne parasites primarily transmitted?

    <p>Through the bite of an infected vector</p> Signup and view all the answers

    Which species's morphological forms include both Promastigote and Amastigote?

    <p>Leishmania species</p> Signup and view all the answers

    What condition is caused by Leishmania braziliensis?

    <p>New World Leishmaniasis</p> Signup and view all the answers

    Which part of the Leishmania organism serves as the reproductive structure?

    <p>Micronucleus</p> Signup and view all the answers

    Which vector is responsible for transmitting Leishmania braziliensis?

    <p>Phlebotomus verrucarum sandfly</p> Signup and view all the answers

    What is the primary habitat of Leishmania braziliensis within the human body?

    <p>Mucocutaneous junctions</p> Signup and view all the answers

    Which structure of the Leishmania organism is responsible for osmoregulation?

    <p>Contractile vacuoles</p> Signup and view all the answers

    Which stage of Trypanosoma is characterized by an undulating membrane covering the entire body?

    <p>Trypomastigote</p> Signup and view all the answers

    What is the primary vector for Trypanosoma cruzi?

    <p>Female Reduviid bug</p> Signup and view all the answers

    In which phase of Chaga's Disease are severe cardiac and neurologic symptoms most prominent?

    <p>Acute phase</p> Signup and view all the answers

    Which Trypanosoma species is responsible for causing Chaga's Disease?

    <p>Trypanosoma cruzi</p> Signup and view all the answers

    What is the primary method used for diagnosing Trypanosoma species through animal vectors?

    <p>Xenodiagnosis</p> Signup and view all the answers

    During the chronic phase of Chaga's Disease, which symptom is commonly associated?

    <p>Systemic symptoms</p> Signup and view all the answers

    What type of medium is used for culturing Trypanosoma species?

    <p>Novy-MacNeal-Nicolle (NMN)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the Amastigote stage?

    <p>Presence of an undulating membrane</p> Signup and view all the answers

    What is Romana's sign associated with?

    <p>Periorbital swelling</p> Signup and view all the answers

    Which Trypanosoma genus includes both pathogenic and non-pathogenic species?

    <p>Trypanosoma</p> Signup and view all the answers

    What is commonly absent during the infection caused by T. rangeli?

    <p>Amastigote</p> Signup and view all the answers

    Which of the following represents a clinical manifestation of Trypanosoma brucei infection?

    <p>Meningoencephalitis</p> Signup and view all the answers

    Which vector is primarily associated with the transmission of the Trypanosoma brucei complex?

    <p>Tsetse fly</p> Signup and view all the answers

    What is the common name for the signs of posterior triangle cervical lymphadenopathy in Trypanosoma brucei infections?

    <p>Winterbottom’s sign</p> Signup and view all the answers

    What is the most notable effect of the invasion of the central nervous system by the Trypanosoma brucei?

    <p>Sleep disorders</p> Signup and view all the answers

    Which of the following tryptomastigotes can be recovered from both blood and cerebrospinal fluid?

    <p>T. brucei gambiense</p> Signup and view all the answers

    What type of leishmaniasis is caused by Leishmania tropica?

    <p>Old World Leishmaniasis</p> Signup and view all the answers

    Which symptom is NOT typically associated with the haematolymphatic phase of Trypanosoma infection?

    <p>Ulcer formation</p> Signup and view all the answers

    What is a significant component seen in tissue biopsies for diagnosing Trypanosoma infections?

    <p>Amastigote</p> Signup and view all the answers

    Which statement about Trypanosoma brucei complex is true?

    <p>It primarily affects cattle.</p> Signup and view all the answers

    What is the primary causative agent of Rhodesian Sleeping Sickness?

    <p>T.brucei rhodesiense</p> Signup and view all the answers

    How does Gambian Sleeping Sickness differ from Rhodesian Sleeping Sickness?

    <p>Gambian is chronic and progresses slowly.</p> Signup and view all the answers

    What is the habitat of Leishmania donovani?

    <p>Endothelial cells</p> Signup and view all the answers

    Which vector is responsible for transmitting Visceral Leishmaniasis?

    <p>Phlebotomus argentipes</p> Signup and view all the answers

    What is the primary mode of transmission for Leishmania donovani?

    <p>Blood transfusion</p> Signup and view all the answers

    What is a characteristic morphological feature of Balantidium coli?

    <p>Presence of cysts as an infective stage</p> Signup and view all the answers

    Which of the following is a common symptom associated with Visceral Leishmaniasis?

    <p>Hepatosplenomegaly</p> Signup and view all the answers

    Which feature distinguishes Balantidium coli as a protozoan?

    <p>It has a macronucleus.</p> Signup and view all the answers

    Study Notes

    HemoFlagellates

    • HemoFlagellates are flagellated protozoans found in blood, cerebrospinal fluid, and tissues.
    • Key genera: Trypanosoma and Leishmania, which are capable of infecting humans.
    • Clinical significance due to transmission via vector-borne methods, primarily through bites of infected vectors.

    Morphological Forms

    • Four distinct morphological forms for Trypanosoma:
      • Trypomastigote: infective stage; resembles a long, slender form with an undulating membrane.
      • Epimastigote: found in some stages; characterized by partial undulating membrane.
      • Promastigote: spindle-shaped without undulating membrane.
      • Amastigote: small ovoid shape, adapted for intracellular existence mainly found in tissues.

    Trypanosoma cruzi

    • Transmitted by the Reduviid bug or kissing bug.
    • Infection leads to Chaga’s Disease characterized by:
      • Acute Phase: often asymptomatic with nonspecific symptoms; severe cases in immunocompromised individuals.
      • Chronic Phase: more systemic issues including megaesophagus, cardiomegaly, and increased amastigotes in smooth muscles.

    Laboratory Diagnosis for T. cruzi

    • Diagnosis includes identification of Trypomastigotes or Amastigotes in blood or cerebrospinal fluid.
    • Techniques include xenodiagnosis, culture in Novy-MacNeal-Nicolle medium, and serological methods.

    Trypanosoma brucei Complex

    • Comprised of three subspecies:
      • Trypanosoma brucei brucei: affects animals, causing Nagana Disease.
      • Trypanosoma brucei rhodesiense: causes acute syndrome in humans.
      • Trypanosoma brucei gambiense: more chronic form resulting in Gambian Sleeping Sickness.
    • Transmitted by the Tsetse fly; characteristic symptoms include Trypanosomal chancre and symptoms indicative of central nervous system invasion.

    Leishmania Genus

    • Leishmania tropica: causes Old World Cutaneous Leishmaniasis, primarily affecting the skin and associated with phlebotomine sandflies.
    • Leishmania donovani: causes Visceral Leishmaniasis (Kala-Azar), severe systemic involvement, transmitted through multiple routes including blood transfusion.
    • Leishmania braziliensis: associated with New World leishmaniasis, causes mucocutaneous lesions.

    Ciliates

    • Balantidium coli is the only ciliate parasite that infects humans, primarily through ingestion of cysts.
    • Largest known protozoan pathogen; resides in the colon and linked to pigs as reservoir hosts.
    • Morphological characteristics:
      • Cilia for movement, a macronucleus for vegetative functions, and a micronucleus for reproduction.
      • Features include a cytostome (mouth) and contractile vacuoles for osmoregulation.

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    Description

    Explore key concepts in clinical parasitology focusing on hemoflagellates and ciliates. This quiz is part of the BMLS III course for the academic year 2024-2025, led by instructor Kate Darlene Soriano. Test your knowledge on the survival mechanisms and characteristics of these parasites.

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