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41 Cards in this Set
- Front
- Back
What is Paratism?
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Conquest of life by life
Way in which one species gains its livelihood at the expense of another; weaker organism obtaining food and shelter from another organism |
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How do parasites avoid our immune system?
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Shuffle their surface proteins rapidly there by avoiding recognition
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What is the life cycle of a parasite?
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Ability: to establish infection in humans
Latency: Ability to remain quiescent Replication Restriction: in an immunological intolerant host |
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What is the biological principle of parasites?
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Successful parasites generally DO NOT harm the host
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What is Trypanosoma?
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Ultimate master of disguise; live in blood stream and replaces its coar of proteins every two weeks
Causes sleeping sickness in Africa |
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Are the currently vaccines against parasitic infections?
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NO
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What is the Cyst stage of parasites?
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The infective stage, stable form, able to resist temperature change
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What is the Trophozoites?
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Metabolically active stage of protozoa, fragile form
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What is the Exception which causes disruption of cycle and leaves the organism not infectious?
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Liquidy diarrhea; organism does not have time to progress back into cyst form
When excreted NOT infectious b/c not in cyst form |
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How do Helminthes cause disease?
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Cause chronic infection b/c of complexity of genome, multiple developmental stages, antigen variation
Worm like and unremittingly corrosive |
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What is a Nematodes, and what is the name of the type?
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Round warms
Ascaris Lumbricoides |
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Platyhelminths
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flat worms
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Cestodes
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tape worms
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What are Trematodes?
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A class with Helminthes referred to as flukes
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What type of worm is Ancylostoma Duodenale and what does it cause?
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Hook worm
Leading cuase of anemia in 3rd world |
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What is the Clinical presentation of worms?
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Pica, unusual cravings for "junky" food or non-food items, which correlates w/ iron deficiency
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What is the pathogenicit of Helminths?
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Mechanical; due to its tape-like apperance
Invasion and destruction Inflammation Competition for host nutrients Worm burden |
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What are Charcot-Leyden Crystals, how are they made, and where are they seen?
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By products of eosinophil break down by Helminths
Seen in stool, sputum, etc. |
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What causes Eosonophilia and what is it?
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Generaly caused by helminth penetration of mucous membrane during migration
Not all heminthes cause eosiophilia A high amount of Eosinophils |
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What is the Procedure for Ova & Parasites (O & P) collection, how many times should it be done, and what can cause a problem?
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Collect in a waterproof, clean dry container about 30 mL of liquid specimen
Should be repeated on 3 altenate days Vials may contain a preservative Many subsance (urine, water, abx, etc) destroy trophozoites |
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What are parasitologists?
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"Inward" are psychologists that asseme if a parasite has not been it does not exist
Pt. is a "mental case" |
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What are some examples of Ectoparasites and where do they live?
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Scabies and head lice
Live on body and integument |
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What is Acanthamoeba, what does it cause, and what type of product does it correlate with?
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Free living Amoebas
Amoeibic keratitis - w/ use of soft contact lenses |
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What is Naegleria Fowleri, what does it cause and where/who gets it?
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A free living amoeba that causes Meningo-encephalitis - swimmers/divers (small lake and ponds)
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What does the Hygiene Hypothesis state
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That exposure to microorganisms (decreased) hygiene during early age is important for development ofa balanced immune system - Non-atopic Th1 Cells
Increased hygiene leads to an uncontrolled Th2immune response to allergens resulting in atopic disease |
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PICA
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compulsive ingestion of non-nutritive substances (ice, dirt, wall paints)
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What is Dyssentery and what is it associated with?
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Perpetual purging of mucus, blood and purulent stools with tenesmis and gripng.
Associated with invasion/inflammation |
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Definitive Host
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The secual state of parasites life cycle is completed
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What is an Intermediate Host and what stage of the lifecylce is taking place?
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Which the asexual state of parasites life cycle takes place
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Oocyst
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infectious form containing sporozoites
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Transmision of Toxoplasmosis (Tocoplasma Gondii)
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AIDS defining parasite
Ingestion of Oocyst from contaminated sources; soil, CAT LITTER, water, uncooked meat Dogs and Cats are major carriers; cats are shedding cysts (definitive host) Vertical Immunocomprimised pts. |
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Clinical presentation of Toxoplasmosis
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Flu like illnes w/cervical lymphadenopathy
Opisthotonus - generalized rigidity - congenital Microophtahlmia - ditaled pupil (huge) - congenital |
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What is the infectious organismal form of Toxoplasmosis
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Tachyzoite, Highly prolific, presence indicats active infection
They disseminate via blood stream to infect CNS, eye, skeletal and heart muscle and placenta They are transformed in Bradyzoites |
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Bradyzoites
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Dormant but viable form of toxoplasmosis and persist for LIFE of the host
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Toxoplasma Encephalitis
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Focal neurological deficit
Generalized cerbral dysfunction Neuropsychiatric abnormalities Intracerebral calcifications |
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Toxoplasma gondii encephalitis is common among which diseased population, what are clinical manifistations, and what is the CD4 count?
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common among AIDS patients,
Present with many brain abscesses and as “mental status change” When CD4 count drops below <100/mm3 |
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Congenital Toxo Triad
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Hydrocephalus, intracerebral calcification, choroidodretinitis
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How does Toxo present in immune comptetent host?
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Generally presents as a flu or infectious mono
most typical manisfestation is isolated cervical or occipital lymphadenpathy Lymph nodes NOT tender stay enlarged for less then 4-6 weeks |
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Presence of waht has been used as indication for termination of a pregnancy with Toxoplasmosis?
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Hydrocephalus
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What is the Pathogenesis of Toxoplasmosis?
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DTH, strong and persistant Th1 response characterized by production of proinflammatory cytokines; IL-12, IF-G, and TNF-A
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What is Spiramycin used to treat and what type of approval does it require?
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Treatment for acte intra-pardum infection of toxoplasmosis
3g/day and requires aproval from FDA |