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