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Are single-celled organisms which exhibit considerable variation in size, shape, locomotory organelles and methods of reproduction
Protozoa
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This is where food synthesis takes place; food is stored in the form of glycogen or protein called chromatoidal bodies
endoplasm
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envelopes the cell; functions as the locomotor apparatus for the procurement and ingestion of food, in respiration, discharge of metabolic wastes and protection of the organism
ectoplasm
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false feet; in Amoeba (crawling movement)
pseudopodia
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in flagellates; hair-like projections
flagella
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in Ciliates; numerous short threads distributed over the surface of the body
Cilia
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Other protozoans have specialized cell mouth called __________ usually located in anterior end of the body.
cytostome
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Ciliates have in addition a cell anus or _________ at the posterior end of the body and through which particulate food wastes are discharged.
cytopege
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(Reproduction) division into 2 equal parts
Simple Binary Fission
- Flagellates = longitudinal
- Ciliates = transverse
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(Reproduction) where 2 or more products of division result; nucleus of the parent cell first undergo repeated division and then the cytoplasm collects around them
Schizogony/Multiple Fission
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2 types of asexual reproduction
- 1. Simple Binary Fission
- 2. Schizogony / Multiple Fission
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(Reproduction) sexually differentiated cells unite permanently and complete fusion of the nuclear materials takes place
Syngamy/Gametogony
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(Reproduction) Two Paramecia (Ciliates) unite along their oral surfaces, the macronuclei disintegrate and the micronuclei in each organism divide twice. All the daughter nuclei disintegrate except one.
Conjugation
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2 types of sexual reproduction
- 1. Syngamy/Gametogony
- 2. Conjugation
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2 basic events in the life cycle of protozoans
- 1. Excystation
- 2. Encystation
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(life cycle) cyst stage becomes trophozoite
Excystation
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(life cycle) formation of cyst from trophozoite
Encystation
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Amoeba comes from a Greek word meaning ________.
to change
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Amoeba is any of several tiny, one-celled protozoa in the phylum __________.
Sarcodina
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The only species of the different intestinal amoebae which has the potential for tissue invasion
Entamoeba histolytica
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__________ (1875) in Saint Petersburg, Russia found amoebae in fecal samples but only regarded them as responsible for maintaining the inflammatory process, not as a cause of dysentery.
Feder Losch
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_____________ (1903) established the differentiation between Entamoeba histolytica and Endamoeba coli, he decided to call it E. histolytica because of its ability to cause tissue lysis.
Fritz Schaudinn
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(Amoebiasis) There seems to be a seasoned trend in transmission associated with months of great _________.
rainfall
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Is the causative agent of amoebiasis and is globally considered a leading parasitic cause of human mortality
Entamoeba histolytica
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(Entamoeba histolytica) vegetative form
Trophozoite
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(Entamoeba histolytica) Theoretically, the ingestion of ___________ can cause an infection.
one visible cyst
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Habitat of Entamoeba histolytica
caecum and sigmoidorectal region of man
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Infective stage of Entamoeba histolytica
Quadrinucleate cyst
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(Entamoeba histolytica) Mode of infection
- Eating raw vegetables (salad)
- Drinking water
- Files and food handlers (cyst passer)
- Faeco-oral
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In viewing Entamoeba histolytica under a microscope, _________are sometimes visible.
ingested red blood cells
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Entamoeba histolytica move by means of ______________.
Pseudopodium (false feet)
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movement of Entamoeba histolytica
active, progressive, and directional
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Entamoeba histolytica are ___________; change shape constantly
Amorphous
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(Entamoeba histolytica) nonivasive forms represent separate species, __________, which is morphologically indistinguishable to E. histolytica.
E. dispar
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(Entamoeba histolytica) incubation period
4-5 days
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The term __________ is used to denote all those condition which are produced in the human host by infection with Entamoeba histolytica.
amoebiasis
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A condition in which the infection is confined to the intestinal canal and is characterised by the passage of blood and mucus in stool accompanied by tenesmus
Amoebic dysentry
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a feeling of incomplete defecation; it is experienced as an inability or difficulty to empty the bowel at defecation
tenesmus
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Flask shaped ulcer with narrow neck due to lytic action of trophozoites and broad necrotic bed seen
Amoebic colitis
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inflammatory thickening of wall of large bowel resembling carcinoma colon
Amoeboma
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trophozoites invade the intestinal mucosa
Intestinal disease
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This can develop in the following ways: rupture of amoebic hepatic abscess through diaphragm, lymphatic spread from liver through diaphragm, haematogenous spread
Pulmonary amoebiasis
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through the bloodstream, extraintestinal sites such as the liver, brain, and lungs, with resultant pathologic manifestations
Extra-intestinal disease
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_________ is non-fibrotic an contains granulation tissue with lymphocytes, plasma cells, eosinophils and giant cells. There is remarkably little inflamation and most of the swelling is due to oedema.
Amoeboma
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The pus in ___________ appear as red anchovy sauce like appearance; the material aspirated is likely to contain trophozoites and may be detected by direct microscopic examination
amoebic liver abscess
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_____________________ also occurs which is hematogeneous in origin but usually arises from or is concomitant with amoebiasis of the liver or lungs.
Amoebic abscess in the brain
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involves extension of lesions on the skin of the abdominal cavity & that of the perianal area
Amoebiasis cutis / cutaneous amoebiasis
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____________ is rarely a recognized entity because this is not the usual site of presentation for amebiasis. Homosexual men have a higher risk of acquiring the lesion.
Penile amoebiasis
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_______________ is rare but is the most serious complication of hepatic amebiasis. It is usually caused by a rupture of a left-liver lobe abscess and occurs in 3% of patients with hepatic amebiasis. It presents with chest pain and the features of congestive heart failure.
Amoebic pericarditis
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If amoebic pericarditis is not treated early, it could result in __________________and subsequent death.
cardiac tamponade
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_______________ is a serious medical condition in which blood or fluids fill the space between the sac that encases the heart and the heart muscle. This places extreme pressure on your heart. The pressure prevents the heart's ventricles from expanding fully and keeps your heart from functioning properly.
Cardiac tamponade
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(Entamoeba histolytica) __________, __________, and ____________ are the keys to diagnosis.
Symptoms, history, epidemiology
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Invasive amebiasis is treated with a nitroimidazole such as __________ or ________________ or _____________ and then a luminal amebicide such as __________.
- -metronidazole, tinidazole, Secnidazole
- -paromomycin
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In treating invasive amebiasis, _____________ can also be used in children >2 yr of age.
Diloxanide furoate
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penetrates deeper tissues and destroys amoeba present in liver, brain, lungs, etc.; the organism's metabolism converts the drug into its lethal form
Metronidazole
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A second drug is used to eradicate the amoeba present in the intestinal lumen (____________)
paromomycin
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Entamoeba histolytica
Etiologic agent of:
Infective stage:
Definitive Host:
Portal of Entry:
Mode of Transmission:
Habitat:
Pathogenic Stage:
Locomotive apparatus:
Motility:
- -Amoebiasis; Amoebic dysentery; Extraintestinal Amoebiasis; usually Amoebic Liver Abscess = "anchovy sauce"); Amoeba Cutis; Amoebic Lung Abscess ("liver-colored sputum")
- -Cyst
- -Human
- -Mouth
- -Ingestion of mature cyst through contaminated food or water
- -Colon and Cecum
- -Trophozoite
- -Pseudopodia ("False Foot")
- -Active, Progressive, and Directional
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(Entamoeba histolytica) nucleus
Ring and dot appearance: peripheral chromatin and central karyosome
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(Entamoeba histolytica) Mode of reproduction
Binary Fission
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(Entamoeba histolytica) Pathogenesis
Lytic necrosis (it looks like "flask-shaped" holes in GIT sections)
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(Entamoeba histolytica) type of encystment
protective and reproductive
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(Entamoeba histolytica) Lab Diagnosis
Most common is Direct Fecal Smear (DFS) and staining (but does not allow identification to species level); Enzyme immunoassay (EIA); Indirect Hemagglutination (IHA); Antigen detection – monoclonal antibody; PCR for species identification. Culture: From faecal samples -Robinson's medium, Jones'
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(Entamoeba histolytica) Treatment
Metronidazole for the invasive trophozoites PLUS a lumenal amoebicide for those still in the intestine (Paromomycin is the most widely used)
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