Pathologic Protozoa

Содержание

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CHARACTERISTICS OF PROTOZOA 1. Unicellular 2. Chemoheterotrophs (get their energy by

CHARACTERISTICS OF PROTOZOA

1. Unicellular
2. Chemoheterotrophs (get their energy by breaking down

organic matter).
3. Most ingest their food; thus, they have special structures for this.
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CHARACTERISTICS OF PROTOZOA 4. The vegetative form is the TROPHOZOA (tropho

CHARACTERISTICS OF PROTOZOA

4. The vegetative form is the TROPHOZOA (tropho =

movement; zoite = animal; they move like an animal). Trophozoa have special organelles for movement.
5. Capable of reproduction
A. Asexual: fission, budding, or schizogony
(produces a large number of trophozoites)
B. Sexual: conjugation
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CHARACTERISTICS OF PROTOZOA 6. Some produce cysts. These are not tissue

CHARACTERISTICS OF PROTOZOA

6. Some produce cysts.
These are not tissue cysts

like a human gets under their skin; protozoa cysts are cellular.
They have a thick cell wall that allows for survival in harsh environments better than the trophozoite form.
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PROTOZOA CYSTS Cysts are not as resistant as a bacterial endospore.

PROTOZOA CYSTS

Cysts are not as resistant as a bacterial endospore.
You

can kill cysts by boiling them.
They can live in the soil or water for months.
A cyst is no motile, so it is not trophozoic.
A cyst does not procure its nutrients or ingest food, but it can absorb nutrients.
It has no organelles to ingest food.
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Classification Domain: Eukaryotes Kingdom: Protista

Classification

Domain: Eukaryotes
Kingdom: Protista

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Classification Traditional classification of protozoa phylae was based on mode of

Classification

Traditional classification of protozoa phylae was based on mode of locomotion.
MASTIGOPHORA

(flagella)
CILIOPHORA (cilia)
SARCODINA (amoebas)
SPOROZOA (spore-formers)
Apicomplexa (attachment organ)
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Modern Classification Modern classification of protozoa is based on how they

Modern Classification

Modern classification of protozoa is based on how they evolved

and how closely related they are (phylogenetic taxonomy), as determined by their ribosomal RNA. The human pathogenic protozoa may be classified as follows:
METAMONADA (multiple flagella with feeding grooves)
AMOEBOZOA (amoebas)
APICOMPLEXA (attachment organ)
CILIOPHORA (cilia)
EUGLENOZOA (flagella and disc-shaped cristae in mitochondria)
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EUGLENOZOA EUGLENOZOA (older classification = Mastigophora): has flagella and its mitochondria

EUGLENOZOA
EUGLENOZOA (older classification = Mastigophora): has flagella and its mitochondria have

disc-shaped cristae
Organisms
Trypanosoma
Disease: Trypanosomiasis
Leishmania donovani
Disease: Leishmaniasis
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MASTIGOPHORA DISEASES Trypanosomiasis Leishmaniasis

MASTIGOPHORA DISEASES

Trypanosomiasis
Leishmaniasis

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TERMS Promastigote: has single flagella Amastigote: has no flagella Kinetoplast: round mass of circular DNA

TERMS

Promastigote: has single flagella
Amastigote: has no flagella
Kinetoplast: round mass of circular

DNA
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Leishmania donovani Domain: Eukaryota Kingdom: Protista Phylum: Mastigophora Class: Kinetoplastida Order: Trypanosomatida Genus: Leishmania Species: donovani

Leishmania donovani

Domain: Eukaryota
Kingdom: Protista
Phylum: Mastigophora
Class: Kinetoplastida
Order: Trypanosomatida
Genus: Leishmania
Species: donovani

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Leishmania donovani Disease: Leishmaniasis Vector-borne disease transmitted by sandflies.

Leishmania donovani

Disease: Leishmaniasis
Vector-borne disease transmitted by sandflies.

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Leishmania Life Cycle Kinetoplast It starts out as a spindle-shaped, single

Leishmania Life Cycle

Kinetoplast

It starts out as a spindle-shaped, single flagellated cell

called a promastigote (mastigote means flagella).
You can also see the nucleus and a kinetoplast (mass of circular DNA).
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Leishmania rosette In prepared slides you can see promastigotes align their

Leishmania rosette

In prepared slides you can see promastigotes align their nose

in a circle, called a rosette.
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Leishmaniasis rosette

Leishmaniasis rosette

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Leishmania Life Cycle It reproduces in the gut of a female

Leishmania Life Cycle

It reproduces in the gut of a female sandfly,

and migrates to her proboscis (mouth part).
It is introduced into the human by her bite.
It then enters a macrophage and becomes intracellular.
Here, it loses its flagella and is now known as an amastigote.
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Leishmaniasis These amastigotes multiply in various organs including the spleen, liver,

Leishmaniasis

These amastigotes multiply in various organs including the spleen, liver, and

lymph nodes.
Symptoms include lymph adenopathy, fever, weight loss, and a decrease in all blood cells.
The treatment is almost as bad as the disease because of the side effects. It is best to catch it early.
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Leishmania Life Cycle The female sandflies inject the infective stage, promastigotes,

Leishmania Life Cycle

The female sandflies inject the infective stage, promastigotes, during

blood meals. 
Macrophages phagocytize them and they transform into amastigotes. 
Other sandflies become infected during blood meals when they ingest infected macrophages.
In the sandfly's midgut, the parasites differentiate into promastigotes, which multiply and migrate to the proboscis.
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Leishmaniasis Life Cycle

Leishmaniasis Life Cycle

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Leishmania donovani (Promastigote) Single flagellum found in sand flies

Leishmania donovani (Promastigote)
Single flagellum found in sand flies

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Leishmaniasis Amastogotes Amastogotes with nucleus and kinetoplast Macrophage rupturing

Leishmaniasis

Amastogotes

Amastogotes with nucleus and kinetoplast

Macrophage rupturing

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Leishmania Amastigotes

Leishmania

Amastigotes

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Sandfly This looks like a mosquito, except its body is hairy and the wings are feathery.

Sandfly

This looks like a mosquito, except its body is hairy and

the wings are feathery.
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Leishmaniasis Geographic Distribution: More than 90 percent of the world's cases

Leishmaniasis

Geographic Distribution: More than 90 percent of the world's cases of visceral

leishmaniasis are in India, Bangladesh, Nepal, Sudan, and Brazil.
Leishmaniasis is also found in Mexico, Central America, and South America, southern Europe, Asia, the Middle East, and Africa.
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Leishmaniasis There are three forms of Leishmaniasis: Cutaneous Mucocutaneus Visceral

Leishmaniasis

There are three forms of Leishmaniasis:
Cutaneous
Mucocutaneus
Visceral

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Cutaneous Leishmaniasis The disease is only at the site of the

Cutaneous Leishmaniasis

The disease is only at the site of the bite.


This form is seen in Texas, Mexico, Asia, and the Middle East (our Iraq troops are coming down with this form).
It manifests as a large, wet sore with raised edges. It looks like a volcano with weepy serum coming out of the center.
The wound is not contagious, just the sandfly bite.
Dogs can get this disease, too.
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Leishmaniasis (cutaneous)

Leishmaniasis (cutaneous)

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Leishmaniasis (cutaneous)

Leishmaniasis (cutaneous)

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Leishmaniasis (cutaneous)

Leishmaniasis (cutaneous)

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Leishmaniasis (mucocunateous) This is when the disease located in the mucous

Leishmaniasis (mucocunateous)

This is when the disease located in the mucous membranes

of the nose and mouth.
The most gruesome photos are of this form.
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Leishmaniasis (mucocunateous)

Leishmaniasis (mucocunateous)

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Leishmaniasis (visceral) This is the most serious form. It occurs especially

Leishmaniasis (visceral)

This is the most serious form. It occurs especially in

immunocompromised people, especially HIV patients.
The amastagotes reproduce inside macrophages.
Only T-cells can kill infected macrophages, but HIV is a disease that infects T-cells.
This form is known as Kala Azar.
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Kala Azar Hepatosplenomegaly

Kala Azar

Hepatosplenomegaly

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Kala Azar (duodenum)

Kala Azar (duodenum)

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Определите тип лейшманиоза А Б В Г Visceral leishmaniosis Old World

Определите тип лейшманиоза

А

Б

В

Г

Visceral leishmaniosis

Old World skin leishmaniosis

New World skin and mucous

leishmaniosis

New World skin leishmaniosis (also damages cartilage)

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Leishmania life cycle

Leishmania life cycle

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TERMS Mastigote = flagella Promastigote: has single flagella Amastigote: has no

TERMS

Mastigote = flagella
Promastigote: has single flagella
Amastigote: has no flagella
Kinetoplast: round mass

of circular DNA
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Trypanosomiasis African Trypanosomiasis (African Sleeping Sickness) American Trypanosomiasis (Chaga’s Disease)

Trypanosomiasis

African Trypanosomiasis
(African Sleeping Sickness)
American Trypanosomiasis
(Chaga’s Disease)

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“African Sleeping Sickness” Disease: African Tryptanosomiasis Causal Agents: Trypanosoma brucei gambiense Trypanosoma brucei rhodesiense

“African Sleeping Sickness”

Disease: African Tryptanosomiasis
Causal Agents:
Trypanosoma brucei gambiense
Trypanosoma brucei rhodesiense

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Geographic Distribution T. b. gambiense is found in foci in large

Geographic Distribution

T. b. gambiense is found in foci in large areas

of West and Central Africa. 
Humans are the main reservoir for Trypanosoma brucei gambiense, but this species can also be found in animals.
T. b. rhodesiense is found in East and Southeast Africa.
Wild game animals are the main reservoir of T. b. rhodesiense.
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Trypanosomiasis Trypanosomiasis has a biological vector, the tsetse (pronounced “set-see”) fly.

Trypanosomiasis

Trypanosomiasis has a biological vector, the tsetse (pronounced “set-see”) fly.
Wild animals

may also be a reservoir (Zooinotic is when a disease is transmitted to animals as well as humans.)
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Trypanosomiasis The tsetse fly bites a human and injects the trypanomastigotes

Trypanosomiasis

The tsetse fly bites a human and injects the trypanomastigotes into

the skin.
This causes a chanchre (pronounced “shanker”), which is an ulcer on the skin.
Then it enters the lymphatic system.
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Trypanosomiasis It is characterized by Winterbottom’s Sign: swelling of the cervical

Trypanosomiasis

It is characterized by Winterbottom’s Sign: swelling of the cervical lymph

nodes in the head and neck area.
CNS symptoms include a shuffling gait (like a stroke victim), slurred speech, and malaise (needing to sleep longer and longer each day).
They are also restless at night.
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Trypanosomiasis CNS symptoms Shuffling gait Slurred speech Malaise (sleeping all day)

Trypanosomiasis

CNS symptoms
Shuffling gait
Slurred speech
Malaise (sleeping all day)
Treatment
Melarsoprol: which has dangerous side-effects

like chemostherapy. This drug requires administration with a substance called ethylene glycol, which will break down regular plastic tubing, so the drug must be administered with special plastic iv tubing.
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Trypanosoma brucei Trypomastigote stages are the only form found in patients.

Trypanosoma brucei

Trypomastigote stages are the only form found in patients.
Posterior kinetoplast
Centrally

located nucleus
Undulating membrane
Anterior flagellum
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Trypanosoma brucei

Trypanosoma brucei

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Trypanosoma brucei gambiense trypomastigote

Trypanosoma brucei gambiense

trypomastigote

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Trypanosoma brucei rhodesiense

Trypanosoma brucei rhodesiense

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Tsetse Fly

Tsetse Fly

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“Chaga’s Disease” Disease: American Tryptanosomiasis A zoonotic disease (can infect animals)

“Chaga’s Disease”

Disease: American Tryptanosomiasis
A zoonotic disease (can infect animals) that can

be transmitted to humans by blood-sucking bugs. 
Causal Agent: Trypanosoma cruzi
This organism is a little smaller than T. bruceii and has a pronounced gametoplast.
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“Chaga’s Disease” This disease is NOT found in Africa. This disease

“Chaga’s Disease”

This disease is NOT found in Africa.
This disease is

also zoonotic; it can infect animals as well as humans.
The vector is a large bug called the “Kissing Bug”.
It is found in warm regions and crowded areas, especially in the cracks of adobe huts.
It comes out at night and crawls on a human while they sleep.
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“Chaga’s Disease” It prefers the lips because the blood supply is

“Chaga’s Disease”

It prefers the lips because the blood supply is close

to the surface.
It sucks the blood there, but they don’t transmit the organism this way.
When they suck the blood, they also defecate, and the organism is in the feces.
When the human wakes up to scratch the itch, feces get into the tiny wound.
This is a fecal? blood route.
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“Chaga’s Disease” Symptoms include fever, anorexia, swollen lymph nodes, hepatosplenomegally (enlarged

“Chaga’s Disease”

Symptoms include fever, anorexia, swollen lymph nodes, hepatosplenomegally (enlarged liver

and spleen), and myocarditis (inflammation of the heart), which usually causes death.
They also have megacolon (large colon) and megaesophagus (large esophagus).
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Trypanosoma cruzi Insect vector is the “kissing” bug. It takes a

Trypanosoma cruzi

Insect vector is the “kissing” bug. It takes a blood

meal and releases trypomastigotes in its feces near the site of the bite wound. 
Trypomastigotes enter the host through the wound or through intact mucosal membranes, such as the conjunctiva. 
Trypanosoma cruzi can also be transmitted through blood transfusions, organ transplantation, transplacentally, and in laboratory accidents.
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Trypanosoma cruzi Geographic Distribution: The Americas from the southern United States

Trypanosoma cruzi

Geographic Distribution: The Americas from the southern United States to southern

Argentina.  Mostly in poor, rural areas of Central and South America.  Chronic Chagas disease is a major health problem in many Latin American countries.  With increased population movements, the possibility of transmission by blood transfusion has become more substantial in the United States.
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Trypanosoma cruzi

Trypanosoma cruzi

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Trypanosoma cruzi

Trypanosoma cruzi

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Trypanosoma cruzi large kinetoplast

Trypanosoma cruzi

large kinetoplast

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Trypanosoma cruzi Triatomine bug, Trypanosoma cruzi vector, defecating on the wound after taking a blood meal.

Trypanosoma cruzi

Triatomine bug, Trypanosoma cruzi vector, defecating on the wound after

taking a blood meal.
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Kissing Bug

Kissing Bug

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Romana’s sign Swollen eye, seen in Chagra’s disease.

Romana’s sign

Swollen eye, seen in Chagra’s disease.