Protozoans and Their Infections
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Questions and Answers

What is the prognosis of chronic schistosomiasis infection?

  • It typically has no significant long-term effects.
  • It is always treatable with immediate resolution.
  • It resolves itself without treatment in most cases.
  • It can be chronic and may become fatal due to granulomas. (correct)
  • Which route of infection is associated with Ascaris lumbricoides?

  • Direct contact with infected soil.
  • Consumption of contaminated water.
  • Cercariae burrowing through the skin.
  • Ingestion of eggs from contaminated food. (correct)
  • What symptom is directly associated with the infection caused by Ancylostoma duodenale?

  • Anemia and lethargy. (correct)
  • Sudden spikes in body temperature.
  • Intense perianal itching.
  • Severe skin lesions.
  • Which of the following best describes the signs and symptoms of schistosomiasis?

    <p>Dermatitis at the entry site and swimmer's itch.</p> Signup and view all the answers

    Which of the following vectors is associated with the transmission of Fasciola hepatica?

    <p>Consumption of water plants by humans and animals.</p> Signup and view all the answers

    What is a common misconception about Enterobius vermicularis infections?

    <p>They are always symptomatic.</p> Signup and view all the answers

    Which term describes the larval stage that infects humans in the case of hookworm infections?

    <p>Larvae that burrow through the skin.</p> Signup and view all the answers

    What symptom is NOT typically associated with Ascaris lumbricoides infection?

    <p>Loss of vision.</p> Signup and view all the answers

    What is the main characteristic of Plasmodium falciparum infections?

    <p>Can lead to death of brain tissue within 24 hours</p> Signup and view all the answers

    How does Toxoplasma gondii primarily infect humans?

    <p>Consumption of undercooked meat</p> Signup and view all the answers

    Which of the following symptoms is associated with Plasmodium falciparum infections?

    <p>Black urine</p> Signup and view all the answers

    What is the route of transmission for Fasciola hepatica?

    <p>Ingestion of metacercariae from aquatic vegetation</p> Signup and view all the answers

    What is a common prognosis for individuals infected with the Taenia solium tapeworm?

    <p>Most individuals shed strobila without symptoms</p> Signup and view all the answers

    What are the effects of Toxoplasma gondii on infected individuals?

    <p>Leads to behavioral changes in human hosts</p> Signup and view all the answers

    What is a characteristic symptom of Fasciola hepatica infection in humans?

    <p>Jaundice due to liver damage</p> Signup and view all the answers

    Which organism is known to be the largest tapeworm and can produce millions of eggs daily?

    <p>Diphyllobothrium latum</p> Signup and view all the answers

    What is the prognosis for infection with Entamoeba histolytica?

    <p>Can be fatal due to amebic dysentery</p> Signup and view all the answers

    Which of the following is the route of infection for Naegleria fowleri?

    <p>Inhalation of contaminated water</p> Signup and view all the answers

    What are common symptoms associated with Chagas' disease caused by Trypanosoma cruzi?

    <p>Chagomas, fever, swollen lymph nodes, and myocarditis</p> Signup and view all the answers

    What vectors are associated with the transmission of Trypanosoma cruzi?

    <p>Triatoma insects such as 'kissing bugs'</p> Signup and view all the answers

    Which statement correctly describes the effects of Naegleria fowleri on the human brain?

    <p>It penetrates and feeds on brain tissues, leading to severe neurological damage</p> Signup and view all the answers

    What is a common outcome for individuals infected with Trypanosoma brucei gambiense?

    <p>Progression to severe neurological symptoms and coma</p> Signup and view all the answers

    What are the signs and symptoms of invasive amebic dysentery caused by Entamoeba histolytica?

    <p>Severe diarrhea, colitis, and ulceration of the intestinal mucosa</p> Signup and view all the answers

    What is a unique feature of 'kissing bugs' in relation to Chagas' disease?

    <p>They can be found feeding on blood from human lips</p> Signup and view all the answers

    Study Notes

    Protozoans

    • Amoebae (Entamoeba histolytica):

      • Infection route: Ingestion of contaminated water.
      • Symptoms: Asymptomatic carriage, severe diarrhea, colitis, and ulceration.
      • Prognosis/Outcome: Can lead to invasive amebic dysentery and extraintestinal amebiasis, which can be fatal.
      • Vector: Water.
      • Creepy Fact: Few cause disease. Trophozoites migrate to the large intestine.
    • Amoebae (Naegleria fowleri):

      • Infection route: Inhalation of contaminated water.
      • Symptoms: Hemorrhage, coma, and usually death within 10 days.
      • Prognosis/Outcome: Very high mortality.
      • Vector: Water
      • Creepy Fact: Protozoan infects nasal mucosa, then the brain.
    • Flagellates (Trypanosoma cruzi/Chagas Disease):

      • Infection route: Insect bites (Triatoma insects).
      • Symptoms: Chagomas (swellings), fever, swollen lymph nodes, myocarditis/enlargement of organs (spleen, esophagus, colon). Asymptomatic chronic stage possible. Symptomatic stage with congestive heart failure.
      • Prognosis/Outcome: Leading cause of death in Latin America due to parasite-induced heart disease.
      • Vector: Triatoma insects (kissing bugs), opossums, and armadillos serve as reservoirs.

    Other Protozoans/Flagellates

    • Trypanosoma brucei gambiense (African sleeping sickness):

      • Infection route: Bite from a tsetse fly.
      • Symptoms: Fever, lymph node swelling, headaches, and meningoencephalitis.
      • Prognosis/Outcome: Death in months.
      • Vector: Tsetse fly.
      • Creepy Fact: Antigenic variation makes vaccination difficult.
    • Leishmania:

      • Infection route: Bite.
      • Types: Cutaneous (skin ulcers), mucocutaneous (mucous membranes), visceral (liver, spleen, bone marrow).
      • Prognosis/Outcome: Visceral leishmaniasis is fatal if untreated in 95% of cases.
      • Vector: Phlebotomus or Lutzomyia (sand fly).
    • Giardia intestinalis/Giardiasis:

      • Infection route: Ingestion of cysts in contaminated food, water, or hands.
      • Symptoms: Diarrhea, pain, bloating, nausea, vomiting.
      • Prognosis/Outcome: Usually asymptomatic.

    Apicomplexans

    • Trichomonas vaginalis:

      • Infection route: Sexual encounters.
      • Symptoms: Vaginosis (odorous discharge, vaginal/cervical lesions pain)
      • Prognosis/Outcome: Usually treated with nitroimidazole drugs. Can be asymptomatic in men.
      • Vector: Humans.
    • Plasmodium (malaria):

      • Infection route: Bite from anopheles mosquito.
      • Types: Vivax (mildest form, dormant in the liver), Ovale and Malariae (benign, restricted geographically), Falciparum (most deadly, 50% mortality).
      • Symptoms: Recurrent fever, anemia, blood cell abnormalities, kidney/liver/brain damage, black urine.
      • Prognosis/Outcome: Fatal in some cases (particularly Falciparum in 24 hours).
      • Vector: Anopheles mosquito.
    • Toxoplasma gondii:

      • Infection route: Consumption of undercooked meat or contaminated soil/water. Or inhalation.
      • Symptoms: Vary, but could result in severe problems in AIDS patients or if pregnant.
      • Prognosis/Outcome: Chronic condition possible, but severe in severe cases.
      • Vector: Cats, and fluids from cats.

    Helminths

    • Cestodes (tapeworms):

      • Infection route: Ingestion (uncooked meat).
      • Symptoms: Cyst formation; intestinal issues.
      • Types: Taenia solium (pork tapeworm).
      • Prognosis/Outcome: Can cause intestinal blockage in some cases
    • Fasciola hepatica (flukes):

      • Infection route: Eating water vegetation with metacercariae.
      • Symptoms: Episodes of bile duct obstruction and inflammation.
      • Prognosis: Chronic infection is possible.
    • Ascaris lumbricoides (roundworm):

      • Infection route: Ingestion
      • Symptoms: Intestinal blockage; abdominal pain, nausea, vomiting
      • Prognosis/Outcome: Blockage possible.
    • Enterobius vermicularis (pinworm):

      • Infection route: Fecal-oral.
      • Symptoms: Intense perianal itching.
      • Prognosis: Usually asymptomatic, highly infectious.
    • Ancylostoma duodenale (hookworm):

      • Infection route: Larvae burrow through skin, especially feet.
      • Symptoms: Anemia, lethargy, craving for unusual foods, pica.
      • Prognosis: Can lead to severe illness.
    • Trichinella spiralis (trichinellosis):

      • Infection route: Ingestion of undercooked pork/other meats.
      • Symptoms: Fever, eye swelling, gastrointestinal upset.
      • Prognosis/Outcome: Can lead to potentially fatal conditions if severe.

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    Description

    Explore the world of protozoans and their associated infections. This quiz covers various types of amoebae and flagellates, including their infection routes, symptoms, and outcomes. Test your knowledge on these fascinating microorganisms and their impacts on human health.

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