Module 6: Protozoans (Intro-Entamoeba histolytica)

  1. Are single-celled organisms which exhibit considerable variation in size, shape, locomotory organelles and methods of reproduction
    Protozoa
  2. This is where food synthesis takes place; food is stored in the form of glycogen or protein called chromatoidal bodies
    endoplasm
  3. 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
  4. false feet; in Amoeba (crawling movement)
    pseudopodia
  5. in flagellates; hair-like projections
    flagella
  6. in Ciliates; numerous short threads distributed over the surface of the body
    Cilia
  7. Other protozoans have specialized cell mouth called __________ usually located in anterior end of the body.
    cytostome
  8. Ciliates have in addition a cell anus or _________ at the posterior end of the body and through which particulate food wastes are discharged.
    cytopege
  9. (Reproduction) division into 2 equal parts
    Simple Binary Fission 

    • Flagellates = longitudinal
    • Ciliates = transverse
  10. (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
  11. 2 types of asexual reproduction
    • 1. Simple Binary Fission
    • 2. Schizogony / Multiple Fission
  12. (Reproduction) sexually differentiated cells unite permanently and complete fusion of the nuclear materials takes place
    Syngamy/Gametogony
  13. (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
  14. 2 types of sexual reproduction
    • 1. Syngamy/Gametogony
    • 2. Conjugation
  15. 2 basic events in the life cycle of protozoans
    • 1. Excystation
    • 2. Encystation
  16. (life cycle) cyst stage becomes trophozoite
    Excystation
  17. (life cycle) formation of cyst from trophozoite
    Encystation
  18. Amoeba comes from a Greek word meaning ________.
    to change
  19. Amoeba is any of several tiny, one-celled protozoa in the phylum __________.
    Sarcodina
  20. The only species of the different intestinal amoebae which has the potential for tissue invasion
    Entamoeba histolytica
  21. __________ (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
  22. _____________ (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
  23. (Amoebiasis) There seems to be a seasoned trend in transmission associated with months of great _________.
    rainfall
  24. Is the causative agent of amoebiasis and is globally considered a leading parasitic cause of human mortality
    Entamoeba histolytica
  25. (Entamoeba histolytica) vegetative form
    Trophozoite
  26. (Entamoeba histolytica) Theoretically, the ingestion of ___________ can cause an infection.
    one visible cyst
  27. Habitat of Entamoeba histolytica
    caecum and sigmoidorectal region of man
  28. Infective stage of Entamoeba histolytica
    Quadrinucleate cyst
  29. (Entamoeba histolytica) Mode of infection
    • Eating raw vegetables (salad)
    • Drinking water
    • Files and food handlers (cyst passer)
    • Faeco-oral
  30. In viewing Entamoeba histolytica under a microscope, _________are sometimes visible.
    ingested red blood cells
  31. Entamoeba histolytica move by means of ______________.
    Pseudopodium (false feet)
  32. movement of Entamoeba histolytica
    active, progressive, and directional
  33. Entamoeba histolytica are ___________; change shape constantly
    Amorphous
  34. (Entamoeba histolytica) nonivasive forms represent separate species, __________, which is morphologically indistinguishable to E. histolytica.
    E. dispar
  35. (Entamoeba histolytica) incubation period
    4-5 days
  36. The term __________ is used to denote all those condition which are produced in the human host by infection with Entamoeba histolytica.
    amoebiasis
  37. 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
  38. a feeling of incomplete defecation; it is experienced as an inability or difficulty to empty the bowel at defecation
    tenesmus
  39. Flask shaped ulcer with narrow neck due to lytic action of trophozoites and broad necrotic bed seen
    Amoebic colitis
  40. inflammatory thickening of wall of large bowel resembling carcinoma colon
    Amoeboma
  41. trophozoites invade the intestinal mucosa
    Intestinal disease
  42. This can develop in the following ways: rupture of amoebic hepatic abscess through diaphragm, lymphatic spread from liver through diaphragm, haematogenous spread
    Pulmonary amoebiasis
  43. through the bloodstream, extraintestinal sites such as the liver, brain, and lungs, with resultant pathologic manifestations
    Extra-intestinal disease
  44. _________ 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
  45. 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
  46. _____________________ 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
  47. involves extension of lesions on the skin of the abdominal cavity & that of the perianal area
    Amoebiasis cutis / cutaneous amoebiasis
  48. ____________ 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
  49. _______________ 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
  50. If amoebic pericarditis is not treated early, it could result in __________________and subsequent death.
    cardiac tamponade
  51. _______________ 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
  52. (Entamoeba histolytica) __________, __________, and ____________ are the keys to diagnosis.
    Symptoms, history, epidemiology
  53. Invasive amebiasis is treated with a nitroimidazole such as __________ or ________________ or _____________ and then a luminal amebicide such as __________.
    • -metronidazole, tinidazole, Secnidazole
    • -paromomycin
  54. In treating invasive amebiasis, _____________ can also be used in children >2 yr of age.
    Diloxanide furoate
  55. penetrates deeper tissues and destroys amoeba present in liver, brain, lungs, etc.; the organism's metabolism converts the drug into its lethal form
    Metronidazole
  56. A second drug is used to eradicate the amoeba present in the intestinal lumen (____________)
    paromomycin
  57. 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
  58. (Entamoeba histolytica) nucleus
    Ring and dot appearance: peripheral chromatin and central karyosome
  59. (Entamoeba histolytica) Mode of reproduction
    Binary Fission
  60. (Entamoeba histolytica) Pathogenesis
    Lytic necrosis (it looks like "flask-shaped" holes in GIT sections)
  61. (Entamoeba histolytica) type of encystment
    protective and reproductive
  62. (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'
  63. (Entamoeba histolytica) Treatment
    Metronidazole for the invasive trophozoites PLUS a lumenal amoebicide for those still in the intestine (Paromomycin is the most widely used)
Author
raine
ID
361275
Card Set
Module 6: Protozoans (Intro-Entamoeba histolytica)
Description
Updated