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Microbiology 4:
Step 1 Review: Protozoa
50
Biology
Graduate
12/23/2007

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Cards

Term

What are the 3 protozoa that cause GI infections?

What kind of diarrhea do they cause? 

Definition

Entamoeba histolytica:  Bloody diarrhea

Giardia lamblia:  Fatty diarrhea

Cryptospordium parvum:  Watery diarrhea

Term
How does Entamobea look as a cyst?
Definition
Spherical w/ 4 nucleui and dark staining chromatoidal bodies
Term
Describe Entamobea was a trophozite
Definition
Ameboid with vesciular nucleus and no mitochondria
Term

Clinically what does Entamobea cause? 

What's its complications?

Definition

1.  Abdominal cramps

2.  Dysentery with blood and mucous  

3.  NO fever and NO PMN
 

Complications

 

1.  Travels to the liver

2.  Forms abscess 

Term
Where does Entambea invade in the GI tract?
Definition
Colon
Term
How do you contract Entamobea?
Definition
Fecal-oral
Term
How are the symptoms of Entamoeba different from a bacterial one?
Definition
Lack of PMN and NO fever
Term
What's the treatment for Entameoba?
Definition

Asymptomatic:

 

Lodoquino

 

Symtpomatic:

 

Metronidazole 

Term
Describe the Trophozoite phase of Giardia
Definition
Half pear shaped w/ 8 flagella, it contains 2 nuclei
Term
Describe the trophozoite phase of Giardia
Definition
Half pear shaped w/ 8 flagella and 2 nuclei
Term
Why is Giardia significant clinically?
Definition

Causes Giardiasis

1.  Ab. distentsion

2.  Foul smelling fatty diarrhea 

 3.  Can lead to malabsorption, Vit B12 defincency

Term

How do you get diardiasis? 

Where does it attach in the Intestine?

Definition

Contaminated food or water

In the small intestine 

Term
Giardia is the world most common cause of?
Definition
Water-borne diarrhea
Term
How is Giardiasis distinct from other forms of Dysntery?
Definition

No fever or PMN

No mucous or blood 

Term
How do you treat Giardiasis?
Definition
Metronidazole
Term
Describe the Trophozoite & cyst phase of Trichomoniasis
Definition

Trophozoite:

 

Half pear shape w/ 1 nuclues and 4 flagella

 

Cyst:  NONE

Term
What are the Trichomoniasis symptoms for men and women?
Definition

Men:

 

Mostly asymtpomatic

Mild urethritis w/ pain

 

Women:

Foul smelling discharge

Itching and burning 

Term
Trichomoniasis is contracted how?
Definition
STD
Term
How treat Trichomonas?
Definition
Metronidazole
Term
Name the 2 protozoans that affect the immunocompromised
Definition

Cryptospordium parvum

Toxoplasma gondii

 

Term
What are the symptoms for a Cryptospordium infection?
Definition
Explosive watery diarrhea w/ low fever
Term
Where in the GI does Cryptosporidium attach to?
Definition
Small intestine
Term
What is the reservoir for Cryptosporidium?
Definition
Domestic animals
Term
In the lab what stain would you use for Cryptosporidum?
Definition
Acid fast
Term
How would you treat Cryptosporidium
Definition
Rehydrate
Term
Describe the symptoms of Acquired Toxoplasmosis
Definition
Enlarged lymph nodes, muscle pain, fever
Term
Describe the symptoms of Congenital Toxo in different stages of pregnancy
Definition

Early Pregnancy

 

Spontaneous aborption

 

2-6 months of gestation

 

Blindness, CNS lesions & learning disability

 

 Last 3 months

 

Prognosis is good 

Term
Describe the symptoms of toxo in the immunosuppressed
Definition
vision disturbances, blindess and it can involve the liver & heart
Term
Decribe the symptoms of toxo in the brain
Definition

Encephalitis, Severe headaches, ataxia & CN palsie

Can lead to mood and personality changes 

Term
How do you contract Toxo?
Definition
Cats and in contaminated food
Term
What's the treatment in pregnancy for toxo?
Definition

Early pregancy use Spiramycin

Later in pregnay use Pyrimethamine

Use Sulfonamide if the fetus has toxo

Use sulfadiazine & folic acid for babies born w/ it 

Term
How would you treat an AIDS patient w/ toxo?
Definition
TMP/SMX
Term
Name the 3 blood/Tissue Protozans
Definition

Trypansoma grambinse & rhodesinse

Trypanosoma cruzi

Leishmania donovani 

Term
What disease does Trypanosoma grambiese & rohdesinse cause?
Definition

African sleeping sickness

Early:

1.  Malaise

2.  Fever

3.  Swelling of the cervical nodes

 

Advance:

1.  Neurological problems

2.  Endocrine disorders 

3.  Coma & death 

Term
How do you get African sleeping sickness
Definition
Transmitted by Tsetse fly
Term
What's the pathogensis of African sleeping sickness
Definition

1.  Multipies in blood and lymph nodes

 2.  Causes hemorrhage and necrosis around blood vessels

Term
How do you treat Afrian sleepying sickness
Definition

Early:

Suramin & pentamidine

 

Late:

Melarsoprol 

Term
What does Trypanosoma cruzi cause?
Definition
Chagas disease
Term
What's the symptoms of Chagas disease?
Definition

Primary lesion

1.  Erythematous plaque surrounded by hard edema

2.  Chagoma on site of bite

 

Acute state

1.  Fever, chills, malaise, restlessness

 

Term
How do you treat Chagas?
Definition

Acute:

Lampit and Nitrofurazone

 

Early Chronic:

Benznidazole 

Term
How does Leishmaniasis present?
Definition

1.  Self healing lesion 

2.  Fever, weight loos, swelling of the liver and spleen

Term
What's the vector for Leishmaniasis?
Definition
Sandfly
Term
How do you treat Leishmania
Definition
Amphotericin B & Pentamidine
Term
Name the 4 plasmoida for malaria
Definition

P. falciparum

P.  vivax

P.  Ovale

P.  malariae 

Term
How does malaria present?
Definition

1.  Fever of unknown origin

2.  episodes of high fever, shaking chills followed by periods of profuse swelling

3.  Anemia, hepatomegaly, splenomegaly 

 

Term
Summarize the life cycle of Malaria
Definition

1.  Transmitted by bite

2.  Invades liver & divide

3.  Schizonts rupture in bloodstream

4.  Invade RBC

5.  Rupture RBC 

Term
How does the organism of malaria gain there energy?  What is the consequence of this?
Definition

1.  Energy from anerobic glycolysis (glucose to lactic acid)

2.  Hypoglycemia & lactic acidosis 

Term
What's the pathogenesis of P. falciparum
Definition
Forms knobs on the surface of RBC which causes obstruction of blood flow
Term
Give the length of the cycles of each malarian organism
Definition

P. falciparum is irregular

P. vival/ovale is every 2 days

P. malariae is every 3 days 

Term
What's the treatment of Malaria?
Definition

Chloroquine phosphate (some resistance)

Quinine sulfate

Quinidine gluconate 

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