Protozoan Parasites Quiz
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Questions and Answers

What is the primary habitat of Coccidia and Microspora?

  • Circulatory system
  • Digestive tract (correct)
  • Nervous system
  • Respiratory system
  • Which family does the genus Toxoplasma belong to?

  • Babesiidae
  • Eimeriidae
  • Plasmodiidae
  • Sarcocystidae (correct)
  • What triggers the transmission of Coccidia and Microspora from host to host?

  • Airborne particles from an infected host
  • Encysted stages passed in feces (correct)
  • Consumption of undercooked meat
  • Direct contact with infected blood
  • Which genus is part of the family Cryptosporididae?

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

    Which phylum do Microspora belong to?

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

    What distinguishes C. cayetanensis from other similar protozoa in terms of its life cycle?

    <p>It requires a 5-6 day maturation period for oocysts.</p> Signup and view all the answers

    What is the primary treatment for cyclosporiasis?

    <p>Trimethoprim/sulfamethoxazole</p> Signup and view all the answers

    How long do unsporulated oocysts of Isospora belli take to mature into sporulated oocysts?

    <p>4-5 days</p> Signup and view all the answers

    What characteristic shape do oocysts of Isospora belli have?

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

    Which of the following is a significant microsporidian species that affects humans?

    <p>Enterocytozoon bieneusi</p> Signup and view all the answers

    What is the size range of the oocysts of Isospora belli?

    <p>20-30 x 10-20 micrometers</p> Signup and view all the answers

    What component do microsporidian spores inject into their host?

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

    Which type of patients is primarily affected by Microspora species, particularly Enterocytozoon bieneusi?

    <p>Patients with AIDS</p> Signup and view all the answers

    How does the wall structure of Isospora belli oocysts appear?

    <p>Thin and clear</p> Signup and view all the answers

    What is the typical pattern of infection observed in immunocompromised patients due to Isospora belli?

    <p>Chronic watery diarrhea</p> Signup and view all the answers

    Which species of Cryptosporidium is primarily responsible for infecting humans?

    <p>C.hominis</p> Signup and view all the answers

    What is the primary host for Cyclospora cayetanensis?

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

    What distinguishes the thick-walled oocyst of Cryptosporidium from the thin-walled oocyst?

    <p>Thin-walled oocyst is responsible for autoinfection.</p> Signup and view all the answers

    What is the average size of sporulated oocysts of Cyclospora cayetanensis?

    <p>7.7-9.9 micrometers</p> Signup and view all the answers

    Which method is NOT commonly used to diagnose Cryptosporidium infections?

    <p>Magnetic resonance imaging</p> Signup and view all the answers

    What is the size range of unsporulated oocysts of Cyclospora cayetanensis?

    <p>6-8 micrometers</p> Signup and view all the answers

    Which of the following pathogens is primarily associated with severe diarrhea in immunocompromised patients?

    <p>Cryptosporidium parvum</p> Signup and view all the answers

    Which cryptosporidium species is primarily associated with rodents?

    <p>C.muris</p> Signup and view all the answers

    How are sporozoites released from thick-walled oocysts of Cryptosporidium?

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

    Which of the following statements about the life cycle of Cryptosporidium is true?

    <p>Merogony occurs inside epithelial cells.</p> Signup and view all the answers

    What is a common symptom of Cyclospora cayetanensis infection?

    <p>Weight loss</p> Signup and view all the answers

    Which factor is NOT associated with an increased risk of cryptosporidiosis according to the case-control studies?

    <p>Consuming well-cooked food</p> Signup and view all the answers

    How does the zygote of Cryptosporidium typically develop post-fertilization?

    <p>Into a thick-walled oocyst</p> Signup and view all the answers

    Which genera of Coccidia are primarily significant in veterinary medicine?

    <p>Eimeria, Isospora, Cryptosporidium</p> Signup and view all the answers

    What is the process through which Eimeria undergoes asexual reproduction?

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

    Which species is primarily responsible for caecal coccidiosis in chickens?

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

    What is a common symptom of intestinal coccidiosis in chickens?

    <p>Hemorrhagic diarrhea</p> Signup and view all the answers

    Isospora species commonly found in dogs include which of the following?

    <p>Isospora ohioensis</p> Signup and view all the answers

    Which symptom is NOT typically associated with coccidiosis in sheep?

    <p>Respiratory distress</p> Signup and view all the answers

    Which species of Eimeria is notably found in rabbits?

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

    What kind of oocyst does Isospora contain?

    <p>Two sporocysts with four sporozoites each</p> Signup and view all the answers

    What diagnostic test is commonly used for identifying coccidiosis in animals?

    <p>Fecal examination for oocysts</p> Signup and view all the answers

    Which Coccidia species is usually linked to severe symptoms in pigs?

    <p>Isospora suis</p> Signup and view all the answers

    What differentiates the life cycle of Isospora from that of Eimeria?

    <p>The presence of extraintestinal stages</p> Signup and view all the answers

    Among the listed Eimeria species, which one causes the least severe symptoms in chickens?

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

    Coccidiosis severity in cattle is most commonly caused by which species?

    <p>Eimeria bovis</p> Signup and view all the answers

    What is the clinical significance of coccidiosis in rabbits?

    <p>Most severe in weaning age rabbits</p> Signup and view all the answers

    Study Notes

    Phylum Apicomplexa

    • Coccidia and Microspora are obligate intracellular protozoa, commonly found in the digestive tract
    • Coccidia are transmitted through encysted stages passed in feces
    • Microspora are also transmitted through encysted stages passed in feces
    • Coccidia and Microspora have seen an increase in recognition and clinical encounters since the AIDS epidemic

    Coccidia

    • Key genera in veterinary medicine are: Eimeria, Isospora, Cryptosporidium
    • Coccidia are primarily intracellular parasites of intestinal epithelium
    • Schizogony and gametogony processes occur within the host's intestines
    • Sporulation occurs outside the host

    Eimeria

    • Hosts include birds, cattle, goats, sheep, pigs, horses, and rabbits
    • Typically found in the epithelial cells of the intestines, with two exceptions:
      • E. truncata found in the kidneys
      • E. stiedae found in the liver
    • Found worldwide

    Important Eimeria Species

    • Poultry:
      • E. tenella
      • E. necatrix
      • E. brunetti
      • E. maxima
      • E. mitis
      • E. acervulina
    • Turkey:
      • E. meleagrimitis
      • E. adenoeides
    • Goose:
      • E. anseris
      • E. nocens
      • E. truncata (kidneys)
    • Cattle:
      • E. zuernii
      • E. bovis
      • E. alabamensis
    • Sheep:
      • E. crandallis
      • E. ovinoidalis
      • E. bakuensis
    • Goats:
      • E. arloingi
      • E. ninakohlyakimovae
    • Pigs:
      • E. debliecki
    • Horses:
      • E. leuckarti
    • Rabbits:
      • E. flavescens
      • E. intestinalis
      • E. stiedae (liver)

    Eimeria Life Cycle

    • Asexual Reproduction:
      • Sporulated oocyst
      • Sporozoite
      • Trophozoite
      • Schizogony
      • Schizont
      • Merozoite
    • Sexual Reproduction:
      • Some merozoites become gametocytes (macrogametocytes and microgametocytes)
      • Macrogamete and microgamete
      • Fertilization
      • Zygote
      • Unsporulated oocyst
    • Sporogony
      • Unsporulated oocyst
      • Sporulated oocyst (containing 4 sporocysts, each containing 2 sporozoites)

    Diagnosing Eimeria

    • Examine feces for oocysts
    • Scrape or biopsy intestinal tissue for coccidia
    • Identify oocysts based on shape, size, and location
    • Analyze schizont location, size, and number of merozoites for further identification

    Isospora

    • Important Species:
      • I. suis (pigs)
      • I. canis and I. ohioensis (dogs)
      • I. felis and I. rivolta (cats)
      • I. belli (humans)

    Isospora Life Cycle

    • Sporulated oocyst contains 2 sporocysts, each with 4 sporozoites
    • Extraintestinal stages can occur in the spleen, liver, and lymph nodes of pigs
    • These extraintestinal stages can re-enter the intestines, potentially causing recurrent intestinal coccidiosis
    • Rabbits eating oocysts from dogs and cats can exhibit symptoms, acting as reservoirs for the disease

    Coccidiosis in Poultry

    • Caecal Coccidiosis:
      • E. tenella is the most important cause
      • Commonly seen in chickens aged 3-7 weeks
      • Prepatent period: approximately 7 days
      • Symptoms include:
        • Depression
        • Drooping wings
        • Ruffled feathers
        • Watery diarrhea with blood
      • Subclinical infection:
        • Reduced weight gain
        • Decreased feed conversion rate
    • Intestinal Coccidiosis:
      • E. necatrix is the most severe
      • E. brunetti, E. acervulina, E. maxima, E. mitis, and E. praecox also cause intestinal coccidiosis
      • Prepatent period: 4-7 days
      • Symptoms:
        • Similar to caecal coccidiosis, but E. necatrix and E. brunetti can cause severe symptoms, potentially leading to blood in the feces.
      • Subclinical infection:
        • Reduced feed conversion rate
        • Decreased or poor egg production
    • Coccidiosis Severity and Location:
      • E. tenella: Caeca, severe hemorrhages, white spots, thickened walls, blood in stool
      • E. necatrix: Small intestine, severe hemorrhages, thickened walls, white spots, coagulative necrosis, blood in stool.
      • E. brunetti: Lower small intestine, slight hemorrhages, watery exudates, white transverse bands, blood in stool.
      • E. acervulina: Upper small intestine, watery exudates, white transverse bands, no blood in stool.
      • E. maxima: Mid small intestine, salmon pink exudates, thickened walls, hemorrhages with heavy infection, no blood in stool.
      • E. mitis: Lower small intestine, no visible lesions.

    Diagnosing Coccidiosis in Poultry

    • Necropsy reveals site and type of lesions
    • Feces examination for oocysts, but note:
      • Severe symptoms often precede oocyst production
      • Oocyst quantity in feces doesn't always correlate to intestinal lesion severity

    Coccidiosis in Cattle

    • Common in calves under 1 year old, but can affect older cattle
    • 13 species can cause coccidiosis, but E. bovis and E. zuernii are most common.
    • Severe enteritis and diarrhea occur with heavy infection.

    Coccidiosis in Goats and Sheep

    • 11 species can cause coccidiosis in lambs under 1 year old, but E. crandallis and E. ovinoidalis are most severe.
    • Symptoms include severe diarrhea, potentially with blood
    • In E. ovinoidalis infections, visible white spots (giant schizonts) may occur
    • Coccidiosis in goats is not well-researched

    Coccidiosis in Pigs

    • Multiple species can cause coccidiosis, including E. debliecki and I. suis
    • The role and significance of coccidiosis in pigs remain unclear
    • Diagnosis is difficult, except during necropsy, as diarrhea occurs before oocysts are excreted in feces

    Coccidiosis in Horses

    • E. leuckarti in the small intestine of horses and donkeys has been indicated as a cause of intermittent diarrhea.
    • Diagnosis is challenging, and treatment information is limited.

    Coccidiosis in Rabbits

    • Important species include E. stiedae, E. flavescens, and E. intestinalis
    • Most prevalent in weanlings
    • Diagnosis is through necropsy

    Coccidiosis in Dogs and Cats

    • I. canis and I. ohioensis are commonly found in dogs, but usually don't cause primary disease.
    • I. felis and I. rivolta commonly found in cats, causing mild disease except in young kittens, where severe diarrhea can occur.

    Coccidiosis in Humans

    • Caused by various protozoa including:
      • Cryptosporidium spp.
      • Cyclospora cayetanensis
      • Isospora belli
      • Toxoplasma gondii
      • Sarcocystis spp.

    Cryptosporidium

    • Worldwide distribution
    • C. parvum infects humans and most mammals
    • 6 Important Species (out of 20)
      • C. muris (rodents)
      • C. nasorum (fish)
      • C. meleagridis and C. bailey (avian)
      • C. parvum (humans, cattle, sheep, goats, deer, horses, buffalo, cats, and non-mammalian)
      • C. hominis (humans)

    Important Cryptosporidium Species and Hosts

    • C. hominis: Humans, Sea Cows (Manatees), sheep, cattle
    • C. parvum: Cattle, buffalo, goats, sheep, humans, deer, mice, pigs
    • C. muris: Rodents, Humans, mountain goats
    • C. suis: Pigs, Humans
    • C. felis: Cats, Humans, Cattle
    • C. canis: Dogs, Humans
    • C. meleagridis: Turkeys, Humans, Guinea Fowls
    • C. wrairi: Guinea Pigs
    • C. bovis: Cattle, Sheep
    • C. andersoni: Cattle, Camels, Sheep
    • C. baileyi: Poultry, Quail, Ducks
    • C. galli: Finches, Chickens
    • C. serpentis: Lizards, Snakes
    • C. saurophilum: Lizards, Snakes
    • C. scophthalmi: Fish
    • C. molnari: Fish

    Cryptosporidium Life Cycle

    • Thick-walled oocyst
    • Excystation
    • Sporozoites
    • Invasion of epithelial cells (intracellular, extracytoplasmic)
    • Merogony (Type I and Type II meronts)
    • Type II meront produces 4 merozoites
    • Development into macrogametocytes or microgametocytes
    • Macrogamete or microgamete
    • Fertilization
    • Zygote
    • Thick-walled oocyst or Thin-walled oocyst
    • Sporulation
    • Sporulated oocyst
    • Autoinfection

    Cryptosporidium Life Cycle Explained

    • Sporozoites from oocysts infect epithelial cells in the digestive tract, becoming intracellular trophozoites
    • Trophozoites divide asexually through merogony, producing Type I meronts, each with 6-8 nuclei, eventually creating Type I merozoites
    • Type I merozoites are released into the intestinal lumen, infecting nearby epithelial cells, continuing the merogony cycle
    • Some type I merozoites develop into Type II meronts, containing only 4 merozoites
    • Type II merozoites infect epithelial cells, transforming into macrogametocytes or microgametocytes, creating macrogametes and microgametes
    • Fertilization between gametes produces zygotes
    • Most zygotes develop into thick-walled oocysts undergoing sporogony, forming sporulated oocysts containing 4 sporozoites. These are excreted in feces.
    • About 20% of zygotes develop into thin-walled oocysts, which cause autoinfection in the host's digestive tract.
    • Thin-walled oocysts and leftover meronts in the host's intestine can persist, allowing for reinfection and causing severe disease in immunocompromised individuals without requiring further infection.

    Diagnosing Cryptosporidium Infections

    • Histopathology
    • Serology
    • Concentration methods:
      • Modified acid-fast staining
      • Negative staining
      • Auramine-rhodamine staining
      • Auramine-carbolfuchsin staining
      • Acridine orange staining

    Cryptosporidium Sporulated Oocyst Morphology

    • Round shape
    • Size: approximately 4-5 micrometers
    • Contains 4 sporozoites, crescent-shaped

    Cryptosporidiosis Risk Factors: Case-Control Studies in Developed Countries since 1990

    • Robertson et al., 2002 (Melbourne):
      • Swimming in public pools: OR 2.7
      • Families with less than 6 kids and kids with diarrhea: OR 7.4
      • Pet ownership: OR 0.6
      • Contact with calves: OR 2.9
      • Drinking unfiltered water from rivers or lakes: OR 1.5
    • Robertson et al., 2002 (Adelaide):
      • Swimming in public pools: OR 1.2
      • Families with less than 6 kids and kids with diarrhea: OR 8.6
      • Pet ownership: OR 0.6
      • Contact with calves: OR 5.1
      • Drinking unfiltered water from rivers or lakes: OR 3.1
    • Roy et al., 2004 (United States):
      • Contact with children (2-11 years) with diarrhea: OR 3.0
      • Contact with cattle/calves: OR 3.5
      • International travel: OR 7.7
      • Swimming in freshwater: OR 1.9
      • Eating raw vegetables: OR 0.5
    • Hunter et al. 2004 (Wales and NW England):
      • Travel outside the UK: OR 5.7
      • Contact with cryptosporidiosis patients: OR 4.6
      • Contact with cattle/buffalo: OR 3.9
      • Eating raw vegetables: OR 0.5
      • Eating ice cream: OR 0.5

    Cyclospora

    • Found in humans, monkeys, viper snakes, millipedes, and rodents - 17 species identified
    • Cyclospora cayetanensis is the species known to cause disease in humans

    Cyclospora cayetanensis

    • Causes diarrhea in immunocompetent individuals; usually mild
    • More severe in immunocompromised individuals.
    • Oocyst shape and staining are similar to C. parvum
    • Size: 7.7 - 9.9 micrometers (average 8.6 micrometers)
    • Oocysts initially aren't sporulated when excreted in feces, taking at least a week to sporulate
    • Sporulated oocysts contain 2 sporocysts, each with 2 sporozoites
    • Symptoms:
      • Loss of appetite
      • Nausea
      • Indigestion
      • Abdominal pain
      • Diarrhea
      • Low-grade fever
      • Weight loss
    • Symptoms can be mild in endemic areas
    • Children and elderly may experience more severe symptoms
    • The only known host is humans, although oocysts have been found in poultry, ducks, and dogs.
      • However, these findings haven't been confirmed through direct infection.

    Unsporulated Oocyst of C. cayetanensis

    • Round shape
    • Size: approximately 8-10 micrometers
    • Contains small, round, green granules
    • Neon blue autofluorescence with UV illumination

    Sporulated Oocysts Morphology

    • Sporulated oocyst is round, 6-8 micrometers in size
    • Two-layered wall with multiple, small, round, green granules inside
    • Under UV light, the oocyst wall is neon blue autofluorescent.
    • Modified acid-fast stain causes oocysts to appear red against a blue background, often mottled with darker red spots, or a pink, bubbled appearance
    • Sporulated oocysts contain 2 oval sporocysts, each with 2 sporozoites (crescent-shaped)

    Cyclospora cayetanensis Life Cycle

    • The lifecycle is not fully understood, but is presumed to be similar to C. parvum.

    Cyclospora cayetanensis

    • Can cause cyclosporiasis, a diarrheal illness.
    • Does not cause autoinfection.
    • Oocysts released in feces are unsporulated and not immediately infectious.
    • Oocysts require 5-6 days to mature and become sporulated in the environment.
    • Sporulated oocysts are infectious.

    Treatment of Cyclosporiasis

    • Trimethoprim/sulfamethoxazole (co-trimoxazole) is the drug of choice for treatment.

    Isospora belli

    • A protozoan that causes diarrhea in both immunocompromised and immunocompetent individuals.
    • Prevalence of infection in HIV patients is 0.2-2%, and 8% in Thailand.
    • Oocysts released in feces are unsporulated and not immediately infectious.
    • Oocysts need 4-5 days to mature and become sporulated in the environment.
    • Oocysts are oval-shaped, measuring 20-30 x 10-20 micrometers.
    • They have a thin, smooth, colorless wall with 1-2 round sporoblasts inside.
    • Mature oocysts contain 12-14 x 7-9 micrometer sporocysts.
    • Each sporocyst contains 4 crescent-shaped sporozoites with a single nucleus.

    Isospora belli Characteristics

    • Releases immature (unsporulated) oocysts from the intestinal wall.
    • Oocysts mature into sporozoites within 4-5 days.

    Isospora belli Oocysts

    • Oval-shaped
    • Approximately 20-33 x 10-19 micrometers in size
    • Have a transparent, thin, two-layered wall

    Microspora

    • Thick-walled spores contain an infective body called sporoplasm.
    • Sporoplasm is surrounded by a coiled, hollow tube called the polar filament.
    • The polar filament injects the sporoplasm into the host.
    • Microsporidia can infect the intestinal epithelium of AIDS patients.
    • They can also invade other epithelium and have been found in immunocompetent patients with diarrhea.

    Important Microsporidial Species that Infect Humans

    • Enterocytozoon bieneusi
    • Encephalitozoon hellem
    • Encephalitozoon cuniculi
    • Encephalitozoon intestinalis

    Microsporidial Species and Infection Prevalence

    • Enterocytozoon bieneusi
      • 1,000 infections in immunocompromised patients.

      • Infections in immunocompetent individuals.

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