Parasitic Infections of the Intestine
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Questions and Answers

Which of the following helminths is prevalent in cold and temperate climates but rare in the tropics?

  • Enterobius (pinworm or threadworm) (correct)
  • Trichuris (whipworm)
  • Ascaris (roundworm)
  • Ancylostoma and Necator (hookworms)
  • What is the primary mode of transmission of Ascaris (roundworm)?

  • Direct contact with infected individuals
  • Faecal-oral route (correct)
  • Airborne transmission
  • Vector-borne transmission
  • Which of the following parasites is a major cause of anaemia in the tropics?

  • Trichuris (whipworm)
  • Enterobius (pinworm or threadworm)
  • Ancylostoma and Necator (hookworms) (correct)
  • Ascaris (roundworm)
  • What is the primary mode of transmission of Onchocerca volvulus?

    <p>Vector-borne transmission by the simulium black fly</p> Signup and view all the answers

    What is the primary species of Taenia that causes cysticercosis?

    <p>Taenia solium</p> Signup and view all the answers

    What is the primary cause of visceral larva migrans (VLM)?

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

    What is the primary disease caused by the larvae of Echinococcus granulosus and Echinococcus multilocularis?

    <p>Hydatid disease</p> Signup and view all the answers

    What is the primary location of adult Ascaris worms in the human body?

    <p>Small intestine</p> Signup and view all the answers

    Which parasite is transmitted by the ingestion of oocysts from cat faeces and can lead to ocular problems?

    <p>Toxoplasma gondi</p> Signup and view all the answers

    What is the name of the disease caused by Trypanosoma in South America?

    <p>Chagas disease</p> Signup and view all the answers

    Which parasite causes bloody diarrhea and ameobic liver abscess?

    <p>Entamoeba histolytica</p> Signup and view all the answers

    Which microsporidian parasite is more common in the immunocompromised and is detected in the blood?

    <p>E.bienusi</p> Signup and view all the answers

    What is the name of the parasite that parasitises the small intestinal mucosa and can cause diarrhea for several weeks?

    <p>Cyclospora cyatenensis</p> Signup and view all the answers

    Which parasite is transmitted by sand flies and can lead to visceral, cutaneous and mucocutaneous leishmaniasis?

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

    Study Notes

    Protozoa

    • Giardia lambia: worldwide distribution, lives in the small intestine, causes malabsorption and diarrhea
    • Entamoeba histolytica: infects the colon, causes bloody diarrhea (amoebic dysentery) and amoebic liver abscess
    • Cryptosporidium parvum: more prevalent in immunocompromised individuals, causes diarrhea
    • Cyclospora cyatenensis: parasitizes the small intestinal mucosa, causes diarrhea for several weeks
    • E.bienusi: microsporidian that parasitizes the small intestine, more common in immunocompromised individuals, detected in the blood
    • Plasmodium: causes malaria, four species infect humans: P.falciparum, P.vivax, P.ovale, and P.malariae

    Helminths

    Nematodes

    • B.coli: large motile ciliated parasite, lives in the colon of pigs, humans, and rodents, causes colonic ulceration
    • Strongyloides: inhabits the small bowel, infection more severe in immunosuppressed people (e.g. HIV/AIDS, malnutrition, intercurrent disease)
    • Enterobius (pinworm or threadworm): prevalent in cold and temperate climates, found mainly in children
    • Trichuris (whipworm): soil-transmitted helminth, prevalent in warm, humid conditions, causes diarrhea, rectal prolapse, and anemia in heavily-infected people
    • Ancylostoma and Necator (hookworms): major cause of anemia in the tropics
    • Ascaris (roundworm): found worldwide in conditions of poor hygiene, transmitted by the fecal-oral route, adult worms live in the small intestine, causes eosinophilia
    • Filariasis:
      • Onchocerca volvulus: transmitted by the simulium black fly, causes visual impairment, blindness, and severe itching of the skin
      • Wuchereria bancrofti: major causative agent of lymphatic filariasis
      • Brugia malayi: causes lymphatic filariasis
    • Toxocara: world-wide infection of dogs and cats, human infection occurs by ingesting embryonated eggs from dog or cat feces, common in children, causes visceral larva migrans (VLM)

    Cestodes

    • Taenia saginata: acquired by ingestion of contaminated, uncooked beef, worldwide, causes minimal symptoms
    • Taenia solium: acquired by ingestion of contaminated, uncooked pork, worldwide, causes cysticercosis (systemic disease where cysticerci encyst in muscles and the brain), may lead to epilepsy
    • Echinococcus granulosus (dog tapeworm) and Echinococcus multilocularis (rodent tapeworm): cause hydatid disease when ingested, larvae develop in human host, causing space-occupying lesions in several organs (e.g. liver, brain)

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    Description

    This quiz covers various parasitic infections that affect the intestine, including Giardia lambia, Entamoeba histolytica, Cryptosporidium parvum, Cyclospora cyatenensis, and B.coli.

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