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41 Cards in this Set

  • Front
  • Back
What is Paratism?
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
How do parasites avoid our immune system?
Shuffle their surface proteins rapidly there by avoiding recognition
What is the life cycle of a parasite?
Ability: to establish infection in humans
Latency: Ability to remain quiescent
Replication
Restriction: in an immunological intolerant host
What is the biological principle of parasites?
Successful parasites generally DO NOT harm the host
What is Trypanosoma?
Ultimate master of disguise; live in blood stream and replaces its coar of proteins every two weeks
Causes sleeping sickness in Africa
Are the currently vaccines against parasitic infections?
NO
What is the Cyst stage of parasites?
The infective stage, stable form, able to resist temperature change
What is the Trophozoites?
Metabolically active stage of protozoa, fragile form
What is the Exception which causes disruption of cycle and leaves the organism not infectious?
Liquidy diarrhea; organism does not have time to progress back into cyst form
When excreted NOT infectious b/c not in cyst form
How do Helminthes cause disease?
Cause chronic infection b/c of complexity of genome, multiple developmental stages, antigen variation
Worm like and unremittingly corrosive
What is a Nematodes, and what is the name of the type?
Round warms
Ascaris Lumbricoides
Platyhelminths
flat worms
Cestodes
tape worms
What are Trematodes?
A class with Helminthes referred to as flukes
What type of worm is Ancylostoma Duodenale and what does it cause?
Hook worm
Leading cuase of anemia in 3rd world
What is the Clinical presentation of worms?
Pica, unusual cravings for "junky" food or non-food items, which correlates w/ iron deficiency
What is the pathogenicit of Helminths?
Mechanical; due to its tape-like apperance
Invasion and destruction
Inflammation
Competition for host nutrients
Worm burden
What are Charcot-Leyden Crystals, how are they made, and where are they seen?
By products of eosinophil break down by Helminths
Seen in stool, sputum, etc.
What causes Eosonophilia and what is it?
Generaly caused by helminth penetration of mucous membrane during migration
Not all heminthes cause eosiophilia
A high amount of Eosinophils
What is the Procedure for Ova & Parasites (O & P) collection, how many times should it be done, and what can cause a problem?
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
What are parasitologists?
"Inward" are psychologists that asseme if a parasite has not been it does not exist
Pt. is a "mental case"
What are some examples of Ectoparasites and where do they live?
Scabies and head lice
Live on body and integument
What is Acanthamoeba, what does it cause, and what type of product does it correlate with?
Free living Amoebas
Amoeibic keratitis - w/ use of soft contact lenses
What is Naegleria Fowleri, what does it cause and where/who gets it?
A free living amoeba that causes Meningo-encephalitis - swimmers/divers (small lake and ponds)
What does the Hygiene Hypothesis state
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
PICA
compulsive ingestion of non-nutritive substances (ice, dirt, wall paints)
What is Dyssentery and what is it associated with?
Perpetual purging of mucus, blood and purulent stools with tenesmis and gripng.
Associated with invasion/inflammation
Definitive Host
The secual state of parasites life cycle is completed
What is an Intermediate Host and what stage of the lifecylce is taking place?
Which the asexual state of parasites life cycle takes place
Oocyst
infectious form containing sporozoites
Transmision of Toxoplasmosis (Tocoplasma Gondii)
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.
Clinical presentation of Toxoplasmosis
Flu like illnes w/cervical lymphadenopathy
Opisthotonus - generalized rigidity - congenital
Microophtahlmia - ditaled pupil (huge) - congenital
What is the infectious organismal form of Toxoplasmosis
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
Bradyzoites
Dormant but viable form of toxoplasmosis and persist for LIFE of the host
Toxoplasma Encephalitis
Focal neurological deficit
Generalized cerbral dysfunction
Neuropsychiatric abnormalities
Intracerebral calcifications
Toxoplasma gondii encephalitis is common among which diseased population, what are clinical manifistations, and what is the CD4 count?
common among AIDS patients,
Present with many brain abscesses and as “mental status change”
When CD4 count drops below <100/mm3
Congenital Toxo Triad
Hydrocephalus, intracerebral calcification, choroidodretinitis
How does Toxo present in immune comptetent host?
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
Presence of waht has been used as indication for termination of a pregnancy with Toxoplasmosis?
Hydrocephalus
What is the Pathogenesis of Toxoplasmosis?
DTH, strong and persistant Th1 response characterized by production of proinflammatory cytokines; IL-12, IF-G, and TNF-A
What is Spiramycin used to treat and what type of approval does it require?
Treatment for acte intra-pardum infection of toxoplasmosis
3g/day and requires aproval from FDA