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42 Cards in this Set

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Parasitology

Study of medically important protozoa and multicellular parasites

Parasitology



Parasite (general sense)

An organisim that lives in assoc w/ another org in a relationship in which one benefits and one is harmed

Parasitology



parasite (specific sense)

-protozoa- are protists


-helminths- are worms(animals)


-arthropods- are instects (animals)

Ecto parasites

live on surface of other organisms


ex: tick

Endoparasites

live w/in bodies of other org


ex: tapeworm

Obligate parasites

must spend at least some of their life cycle in or on a host, cannot complete life cycle w/o


ex: mosquito

facultative parasites

normally free-living but can also obtian nutrients from a host


ex: fungus

Permanent parasites

remian in the host, once infection is initiated


ex: tapeworm

temproary parasites

feed on host temporarily, then leave


ex: mosquito

accidental parasites

invade an org other than their normal host


ex: swimmer's itch

definitive hosts

harbor parasite during its sexual stage of reproduction

intermediate hosts

harbor a parasite during another developmental stage

reservoir hosts

infected hosts that make parasites available for transmission to another hose


ex : Malaria


-definitive- mosquito


-intermediate-humans


-reservoir- animals/other mammals

Protsists: Kingom protista



Characteristics

-most are unicellular


-Eukaryotic


-usually free-livign and aquatic


=> some parasitic

Protozoa (animal- like protists) (microbes)



Characteristics

-Eukaryotic


-most unicellular


-many are free-living; are parsitic as pathogens


-heterotrophic- often ingest food particles and digest it after ingestion


-reproduce by binary fission (asexual)


=> some reproduce sexually

Protozoa classified/grouped by means of locomotion

-flagellates- move via flagella


-amoebas- move with pseudopodia


-ciliates- move with celia


-apicomplexans- immobile, no motility in the adult stage, they digest their way into host cells


=> all above contain human pathogens

Helminths (not microbes)



Characteristics

-wroms, kingdom animalia


-eukaryotic


-multicellular


have head and tail ends


-have bilateral symmetry


-have complex life cycles, involve diff hosts and larval stages

Medically important helminths

-flatworms: flukes, tapeworms


-roundworms

Protozoa and Helminth Diseases



Virulence determinants of parasites

Encystment- formation of resistant stage (a cyst) that protects against unfavorable conditions


-amebiasis, giardiasis- cyst to enable transmission from host to host


-taxoplasmosis- cysts in most feces, soil


-tapeworm- cysts in muscle



changing its surface antigens- to avoid host immune response


-malaria in the blood stream



living where parasite can't be reached by host's immune system


-malaria, inside liver and rbc


-tapeworm in intestinal lumen

Protozoa and helminth diseases



Characteristics

-both can be parasitic


-both can be eukaryotic


- both lack cell wall


-Host-parasite relationship:


=> rep bal. tween parasite's virulence and host's response


=> parasite burden/load: reletive amt of parasite infecting the host; is often quite low to facilitate tolerance of the infection


-tend to be chronic infections

Parasites and Parsitic Diseases



Protozoa

-Amoebas


-Flagellates


-Ciliates


-Apicomplexans- malaria

Parasites and Parasitic Diseases



Helminths (worms)

Flatworms


-tapeworms-taenisasis


-flukes- swimmer's itch



Roundworms- pinworm disease

Malaria

A widespread and deadly parasitic disease


plasmodium species (4)- apicomplexan protozoan


-complex life cycle w/ 4 forms/stages

Malaria Stats

Endemic in tropical areas


-up to 500mill infect/year


-kills about 800k/year (african children)


-about 1500 in US travelers

Malaria transmission

bit of infected mosquito

Malaria disease

-sporozooites intially infect liver-> merozooites


-they infect rbcs- ring-shaped form (trophozooites)


-malarial attack: chills, fever, headache, delirium assoc. w/ rbc rupture and release of parasites; occur in cycles


-parasites switch surface proteins to avoid host immune response


-anemia develops->circulatory and kidney problems; high fever-> convulsions

Malaria diagnosis

identify parasites in blood smear

Malaria treat and ctrl strat

-anti-malarial drugs are effective, where avail.


-drug resistance is common


-prophylaxix for travelers to malaria endemic regions = prevention; admin of antimicrobial agen to prevent infect


-ctrl mosquitoes and prevent of bites: insecitcide and bed nets


-no vax avail

Taeniasis- tape worm infections

taenia species- beef/pork tapeworm


-flatworms that live in host intestine


-scolex (head) w/ hooks and suckers


-proglittids (seg) devel. behind head and mature as move back


-mature seg disintergrate and relase eggs at tail


-occurs ww, rare in US b/c good meat inspect


-transmit by eat raw/undercookedmeat

Taeniasis- tapeworm infection



disease

-cysts- eaten, dev. into tapeworms and live in intests (yrs)


-absorptive metabolism


-often asymptomatic, or mild abdominal symp, tolerance may dev.


-larvae can invade bloodstream and spread to other body sites (CNS and form cyst) ->ruptures causing severe/fatal allergic response


Taeniasis- tapeworm infect



diagnosis

look for eggs or proglottids in feces


Taeniasis- tapeworm infect



treat

antiparasitic drugs will clear worm, may not get rid of cysts in tissue

Cercarial dermatitis (swimmer's itch)

schistosoma species- flukes (flatworm)


-cercaria is a larval stage of the parasite


-occurs ww, locally, seasonally

Cercarial dermat (Swim itch)



transmission

-while swim in water where parasites are located; cercaria burrow into skin


-definitive-ducks


-intermidiate- snails


-accidental- humans

Cercarial dermat (Swim itch)



disease

-red, patchy, pin-point rash that itches


-devel. w/in 48 hr; resolves in 1wk


-parasite goes no further than skin


-must get from water, not skin to skin

Cercarial dermat (Swim itch)



diagnosis

presentation and history

Cercarial dermat (Swim itch)



treat and ctrl

-no anti-parasitic drugs avail; OTC anti-itch meds


-towel off vigorously after swim


-ctrl snails

Pinworm disease

most prevalent helminthic infectin in US


enterobius vermicularis- common name is pinworm; are roundworms


-humans=only host


-occurs ww, est. 40mill infect in US, most children

Pinworm disease



transmission

fecal-oral route; ingestion of worm eggs

Pinworm disease



disease

-eggs dev. into adult worms in 1mo.


-male/female adult worm live in lg. intestine


-females lay eggs in perianal folds at night


-lgly asymptomatic, or anal itching, some diarhea


-worms die w/in wks

pinworm disease



diagnosis

cellophane tape test to look for wroms or eggs

pinworm disease



treat

all members of family should be treated


-easily spread, and may not know they have it


-re-treat in 10-14 days because eggs may be in blankets etc.