Entamoeba Histolytica Infection
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Questions and Answers

What is the diameter range of Giardia lamblia?

8-12 mm

What is the mode of infection of Giardia lamblia?

Ingestion of cysts in contaminated water, food, or by the fecal-oral route.

What is the process by which Giardia lamblia trophozoites multiply?

Longitudinal binary fission

What is the stage of Giardia lamblia most commonly found in nondiarrheal faeces?

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

What is the process by which Giardia lamblia trophozoites form cysts?

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

What is the characteristic of trophozoites in E.histolytica?

<p>Ingested RBC are usually found in the E.histolytica trophozoites.</p> Signup and view all the answers

What is the characteristic of the nucleus in mature cyst of E.histolytica?

<p>The number of nucleus found in mature cyst of E.histolytica is 4.</p> Signup and view all the answers

What is the name of the parasitic form that is sensitive to environmental changes and disintegrates rapidly upon release from the body?

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

What are the morphological forms of Naegleria fowleri?

<p>Amoebic, flagellate, and cystic</p> Signup and view all the answers

What are the diseases caused by Acanthamoeba spp?

<p>Keratitis and Granulomatous Amoebic Encephalitis (GAE)</p> Signup and view all the answers

What is the main purpose of examining triple fecal test in diagnosing Giardia lamblia?

<p>To detect trophozoites in stool specimens, as they firmly attach to the mucous membrane and may not be present in every fecal specimen.</p> Signup and view all the answers

What is the characteristic motility of Giardia lamblia?

<p>Graceful falling-leaf motility</p> Signup and view all the answers

What is the typical shape of Trichomonas vaginalis?

<p>Pear-shaped, round anterior, and pointy posterior</p> Signup and view all the answers

What is the primary mode of transmission of Trichomonas vaginalis?

<p>Sexual contact</p> Signup and view all the answers

What is the optimal pH range for the growth of Trichomonas vaginalis?

<p>pH 5.5-6.0</p> Signup and view all the answers

What is the name of the only ciliate protozoan parasite of humans?

<p>Balantidium coli</p> Signup and view all the answers

What is the method of diagnosis for Balantidium coli infection?

<p>Stool examination, biopsy of intestinal ulcers, and cultures</p> Signup and view all the answers

What is the treatment for Balantidium coli infection?

<p>Tetracycline, metronidazole, and nitroimidazote</p> Signup and view all the answers

What is the mode of reproduction of Balantidium coli?

<p>Transverse binary fission (asexual) and conjugation (sexual)</p> Signup and view all the answers

What is the natural host of Balantidium coli?

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

What is the classification of Entamoeba histolytica?

<p>Intestinal amoeba</p> Signup and view all the answers

Which protozoa is known to infect the blood and tissues of humans?

<p>Plasmodium spp. and Leishmania spp.</p> Signup and view all the answers

What is the classification of Naegleria fowleri?

<p>Free living amoeba</p> Signup and view all the answers

Which protozoa is known to infect the intestines and atria of humans?

<p>Giardia lamblia and Dientamoeba fragilis</p> Signup and view all the answers

What is the classification of Acanthamoeba spp.?

<p>Free living amoeba</p> Signup and view all the answers

Study Notes

Intestinal Amoeba

  • Entamoeba histolytica: has 8 nucleus in mature cyst, ingested RBCs are found in trophozoites, and asymptomatic individuals with documented infection should be treated.
  • Entamoeba coli: has 4 nucleus in mature cyst.
  • Endolimax nana: a type of intestinal amoeba.
  • Iodamoeba butschlii: a type of intestinal amoeba.
  • Blastocystis hominis: a type of intestinal amoeba.

Free Living Amoeba

  • Naegleria fowleri: has 3 morphological forms (amboebae, flagellates, and cysts).
  • Acanthamoeba spp.: causes diseases such as keratitis and encephalitis.

Intestinal and Atrial Flagellates and Ciliates

  • Giardia lamblia:
    • Oval and lightly bile-stained, with a diameter of 8-12 mm.
    • Has 4 nucleus in mature cyst, with a small eccentric karyosome.
    • Clear space beneath the thin cyst wall.
    • Infection occurs through ingestion of cysts in contaminated water, food, or via the fecal-oral route.
    • Excystation releases trophozoites in the small intestine, which multiply by longitudinal binary fission.
    • Encystation occurs as the parasites transit towards the colon.
    • Cysts are infectious when passed in the stool or shortly afterward, making person-to-person transmission possible.
    • Treatment options include quinacrine, metronidazole, and furazolidone for children.
    • Prevention involves avoiding contaminated food and water, proper disposal of feces, good personal hygiene, and proper storage of food and water.
  • Trichomonas vaginalis:
    • Genital flagellate, found in the vagina and urethra.
    • Has 3-5 anterior flagella and one undulating membrane.
    • Distribution is worldwide, and transmission occurs through sexual contact, contaminated towels, and contaminated examination equipment.
    • Infection causes trichomoniasis, which is usually asymptomatic in males but can cause urethritis with a thin, white urethral discharge.
    • In females, infection causes vaginitis with an offensive yellowish discharge, and grows optimally at pH 5.5-6.0.
    • Diagnosis involves microscopic examination, detection of motile trophozoites in a wet preparation of vaginal or urethral discharge.
    • Treatment options are not specified.
  • Dientamoeba fragilis:
    • Has a pear-shaped trophozoite with a length of 10-30 mm and a width of 5-20 mm.
    • Has an ovoid nucleus at the anterior, 4 anterior flagella, and an undulating membrane from the anterior to the middle of the body.
    • Axostyle runs from the anterior to the posterior and ends like a tail.
    • Infection occurs through contaminated food and water, and causes diarrhea.
    • Diagnosis involves microscopic examination, and treatment options are not specified.
  • Balantidium coli:
    • Only ciliate protozoan parasite of humans, and the largest protozoan.
    • Distribution is worldwide, and natural hosts are pigs, with accidental hosts being humans.
    • Reservoirs include monkeys, pigs, and rats.
    • Site of infection is the large intestine.
    • Trophozoite has a large kidney-shaped macronucleus and a small micronucleus.
    • Cyst has a thick and transparent double-layered wall.
    • Pathogenesis involves mucosal ulcers and submucosal abscesses.
    • Diagnosis involves stool examination, biopsy, and cultures.
    • Treatment options include tetracycline, metronidazole, and nitroimidazote.

Life Cycle of Protozoa

  • Giardia lamblia: excystation releases trophozoites, which multiply by longitudinal binary fission, and encystation occurs as the parasites transit towards the colon.
  • Trichomonas vaginalis: transmitted by sexual contact, and multiplies by longitudinal binary fission.
  • Dientamoeba fragilis: no life cycle mentioned.
  • Balantidium coli: trophozoite multiplies by transverse binary fission, and conjugation occurs.

Blood and Tissue Flagellates

  • Leishmania spp.: causes diseases such as kala-azar, cutaneous leishmaniasis, and mucocutaneous leishmaniasis.
  • Trypanosoma spp.: causes diseases such as African trypanosomiasis and Chagas disease.

Blood and Tissue Sporozoa

  • Plasmodium vivax: causes vivax malaria.
  • Plasmodium ovale: causes ovale malaria.
  • Plasmodium malariae: causes malariae malaria.

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