Lecture 1 pages 1-15

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1
What is the science of parasitology largely a study of?
symbiosis, especially in the form of parasitism
2
What is a symbiotic relationship?
any two organisms living in close association
3
What is a symbiont?
each of the individuals that live in close association with each other
4
What are the 4 categories of symbiosis?
1. phoresis
2. mutualism
3. commensalism
4. parasitism
5
What is phoresis?
two symbionts are traveling together mechanically, but not physiologically dependent on the other
6
What are some examples of phoresis?
bacteria on legs of fly
fungus spores on beetle feet
7
What is mutualism?
both benefit from the association, usually obligatory physiological dependence where one mutual can't survive without the other
8
What is an example of mutualism?
termite and intestinal fauna that digests wood for them;
human and their gut bacteria
9
What does the termite gain in a mutualistic relationship with intestinal protozoa?
termite a nourished by fermentation products excreted by protozoa
10
What does the protozoa gain in a mutualistic relationship with termite?
lives in a stable environment and is constantly supplied with food
11
What do humans gain from a mutualistic relationship with gut bacteria?
bacteria digest food for us, make vitamin K, and exclude pathogenic organisms from colonizing the gut
12
What is commensalism?
When one organism (the commensal) benefits from relationship with host and the host is not benefited or harmed by the other organism
13
What is an example of commensalism?
amebic protozoans in human gut that do not cause diseases; protozoans derive nutrients from gut and a safe place to live in human hosts
14
What is parasitism?
symbiotic relationship where an organism actually harms the host or lives at the expense of the host
15
What are the ways parasitism can harm the host?
mechanical injury (boring hole), eating or digesting and absorbing host tissues, or poisoning host / robbing nutrition
16
What are the kinds of parasitism?
ectoparasites
endoparasites
obligate parasites
facultative parasites
accidental / incidental parasites
17
What are ectoparasites?
a parasite that lives ON THE SURFACE of its host
18
What are endoparasites?
a parasite that lives INSIDE its host
19
What are obligate parasites?
spend at least part of their lives as parasites to survive and complete its life cycles
20
What are facultative parasites?
not normally parasitic but can become so when they are accidentally eaten or enter a wound or body orifice
21
What is an example of facultative parasites?
bot fly maggots
22
What are accidental / incidental parasites?
parasite enters or attaches to the body of a species of host different from its normal one
23
What is an example of an accidental / incidental parasite?
dog hookworm infects a human host
24
What is a lifecycle?
various stages of development that starts out on a particular host species and ends in another host of the same species, ending when the parasite reaches sexual maturity
25
What are the two kinds of host?
definitive host
intermediate host
26
What is the definitive host?
parasite reaches sexual maturity and reproduction
27
What is an intermediate host?
obligatory host in which some development of the parasite occurs but in which it does not reach sexual maturity;
28
Why is the intermediate host considered obligatory?
if parasite doesn't get into the intermediate host, the lifecycle is not completed and the parasite usually dies
29
What kind of relationship is Entamoeba histolytica?
parasitic
30
What kind of parasite is entamoeba histolytica?
protozoan
31
What does Entamoeba histolytica infect?
humans and other primates
32
What is necessary to become infected with E. histolytica?
one must swallow the cyst or trophozoite stage of parasite in fecally contaminated food or water
33
What other ways can E. histolytica be transferred?
anal-oral sex
34
Where does E. histolytica cysts live?
outside the host in water, soils, and foods
especially in moist conditions
35
When do cysts cause infection?
when they are swallowed and excyst in digestive tract
36
What does excyst mean?
emerge from the cyst
37
When does the trophozoite stage occur?
when cysts excyst
38
What stage causes disease?
trophozoite stage
39
What is the typical appearance of the E. histolytica trophozoite?
chromatin is in the center of the nucleus, creating a 'bulls-eye' appearance; can sometimes see RBC inside trophozoite
40
What is the pathogenesis of E. histolytica?
histo-lytic = tissue destroying
pathogenic!
Infection can lead to amebic dysentery or amebic liver abscess
41
What is the difference between amebic dysentery and bacillary dysentery?
bacillary dysentery caused by bacteria whereas
amebic dysentery is caused by amoebas
42
When does dysentery occur?
occurs when blood and mucus enter the stool
43
What does dysentery indicate?
invasion of the bowel by a microbe
44
What are the symptoms of amebic dysentery?
fulminating bloody diarrhea.
Weight loss,
fatigue,
abdominal pain
45
How does E. histolytica damage its host?
bores into the intestinal wall, causing lesions and intestinal symptoms;
can reach the blood stream
46
What happens when E. histolytica infection progresses?
can reach diff vital organs of the human body (usually the liver) but sometimes lungs, brain, spleen, etc
47
What is a common outcome of E. histolytica infection?
liver abscess which can be fatal if left untreated
48
What do E. histolytica trophozoite do?
ingest red blood cells which are sometimes seen in amoeba cell cytoplasm
49
What is the common lifecycle of all amoebas?
1. host ingest parasite
2. goes into the gut and then excysts
3. becomes trophozoite and causes disease
4. trophozoite replicates (binary fission)
5. host has diarrhea / dysentery; stimulates trophozoite to encyst
6. feces passes and lands on ground or water
7. ingested by another host
50
What are the different ways that E. histolytica can be diagnosed?
1. microscopy
2. antigen detection kits
3. real time PCR
4. Enzyme Linked Immunosorbent Assay (ELISA)
51
What can be seen in microscopy of E. histolytica?
either the trophozoite or the cyst, or both
52
What technique(s) can be used to see trophozoite in microscopy?
both the iodine concentration technique &
trichome stain
(trichome stain is easier)
53
What technique(s) can be used to see cysts under the microscope?
iodine concentration technique
54
What is the purpose of antigen detection kits using stool?
able to distinguish between E. histolytica and nonpathogenic members of entamoeba species (like E. dispar)
55
When is real time PCR used?
to distinguish E. histolytica from other nonpathogenic members of entamoeba
56
How is ELISA useful?
when diagnosing extra-intestinal disease (liver abscess); serum is used for detection of antibody
57
What kind of relationship does Entamoeba hartmanni have?
commensal
58
Does E. hartmanni cause disease?
no (because commensal)
59
How does trophozoite differ between E. histolytica and E. hartmanni?
E. hartmanni looks the same but is smaller, also wont have presence of RBC in cytoplasm
60
How is E. hartmanni acquired?
through consuming fecally contaminated food or water
61
How is E. hartmanni diagnosed?
finding trophozoite and or cysts in fecal matter using trichome technique
62
What kind of genus is Endolimax nana?
genus of ameba that is found in the intestines of various animals
63
Where is E. nana found?
in the intestines humans
64
What kind of symbiotic relationship is Endolimax nana?
commensal (does not cause disease to host)
65
What can presence of Endolimax nana indicate?
indicates consumption of fecally contaminated food or water, possibly indicating other pathogenic amoebas present
66
What does E. nana live?
E. nana excysts in small intestine then migrates to large intestine where it lives
67
What is the diagnosis for E. nana?
finding cysts and or trophozoites in fecal matter
68
What kind of relationship does Iodamoeba buetschlii have with its host?
commensal
69
What does Iodamoeba buetschlii infect?
humans, other primates, and PIGS!
70
Where is the distribution of I. buetschlii?
worldwide
71
Where is I. buetschlii most commonly found?
most commonly found in swine (the original host)
72
What is the original host of I. buetschlii?
swine
73
Where does I. buetschlii live?
in large intestine where it feeds on intestinal flora
74
How is I. buetschlii acquired?
cysts are swallowed from fecally contaminated food or water
75
Where do I. buetschlii cysts become trophozoites?
in large intestine
76
How do people living among pigs become infected with I. buetschlii?
by swallowing cyst-containing pig feces
77
What is the diagnosis for Iodamoeba buetschlii?
finding trophozoites or cysts in fecal matter
78
What kind of pathogen is Naegleria fowleri?
opportunistic pathogen (causes disease under special circumstances)
79
Is Naegleria fowleri parasitic?
not usually parasitic, disease is rare
80
What diseases can N. fowleri cause?
Primary Amebic Meningoencephalitis (PAM)
81
What is primary amebic meningoencephalitis?
acute, rapidly fatal illness usually affecting children or young adults who have been exposed to water harboring free-living N. fowleri
82
Where are causes of PAM contracted?
warm lakes, or via exposure to unchlorinated water;
patient goes swimming in water where this ameba lives
83
What happens during swimming in warm lakes or unchlorinated water?
N. fowleri ameba is forced deep into nasal passages, migrates to olfactory nerves and into cranium
84
What happens after N fowleri has reach brain?
death from brain destruction (rapid, within 24 hours)
85
What happens to N. fowleri when water temp rises?
N fowleri divides rapidly
86
What bodies of water most likely carry N. fowleri?
natural thermal pools or warm lakes / ponds
87
What are the 3 forms of N. fowleri?
cyst
trophozoite (ameboid)
flagellate
88
What is Naegleria fowleri flagellate stage?
biflagellate form when trophozoites are exposed to a change in ionic concentration such as placement in distilled water;
can transform from trophozoite to flagellates in minutes
89
What is N. fowleri trophozoite stage?
reproductive stage of protozoan organisms, growing fastest at 42C and proliferates by binary fission
90
What do trophozoites feed on?
free-living trophozoites: feed on bacteria
in tissues: phagocytize RBC and WBC and destroy tissue
91
What is the cyst stage of N. fowleri?
trophozoite encyst due to unfavorable conditions
92
What are factors that induce cyst formation?
food deprivation, crowding,
desiccation, accumulation of waste products, cold temps
93
What temp causes N fowleri to encyst?
at temps below 10C
94
What are the ways to diagnose N fowleri?
1. culture
2. microscopy
3. antigen detection
4. molecular methods
95
What kind of media can grow N fowleri?
several kinds of liquid axenic media or non-nutrient agar plates coated with bacteria
96
How is E. coli used to culture N fowleri?
E. coli used to overlay the non-nutrient agar plate and a drop of CSF sediment added to it; plates inoculated at 37 and checked from thin tracks
97
What does thin tracks on incubated E coli with CSF sediment mean?
trophozoites are present (and are eating the bacteria)
98
What is used to observe N fowleri under microscopy?
methylene blue
99
How is N fowleri antigen detected?
detected in CSF, tissue, or biopsy specimens using direct immunofluorescence (IIF) or immunohistochemistry (IHC) kits
100
How do molecular methods detect N fowleri?
PCR can be used to amplify DNA from the ameba in CSF or tissue
101
What is the most common intestinal parasitic infection in the US?
Giardia lamblia
102
What is the infection % of Giardia lamblia?
2% of adults and 6-8% of kids in developed countries worldwide infect;
33% of people in developing countries have had giardiasis
103
What is Giardia lamblia?
flagellated protozoan parasite that colonizes and reproduces in the small intestine, causing giardiasis
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