An introduction to Medical Parasitology

An introduction to Medical Parasitology ,[object Object]

How should you study this module? ,[object Object],[object Object],[object Object]

Learning Outcomes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key definitions: What is ….? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key definitions: What is ….? ,[object Object],[object Object],[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The burden of some major parasitic infections Cutaneous, mucocutaneous and visceral leishmaniasis African sleeping sickness Chagas disease (cardiovascular) Lymphatic filariasis and elephantiasis Renal tract and intestinal disease Pnemonitis, intestinal obstruction Bloody diarrhoea, rectal prolapse Coughing, wheezing, abdominal pain and anaemia malaria Diseases 50,000 12 million; 2 million new cases/yr Leishamania 48,000 0.3 – 0.5 million African trypanosomes 14,000 13 million Trypanasoma cruzi Not fatal but 40 million disfigured or incapacitated 120 million Filariae 15,000 200 million Schistosoma 200,000 2 billion ,[object Object],[object Object],[object Object],[object Object],1.12 million 273 million Plasmodium Deaths/yr No. people infected Parasite

Taxonomic classification of parasitic organisms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Taxonomic classification of protozoa Enterocyto-zoa Balantidium Plasmodium Giardia Entamoeba Genus- examples E. bienusi Microspora Spore-forming B. coli Ciliophora move by cillia P. falciparum, P. vivax, P. malariae, P. ovale Apicomplexa no organelle of locomotion G. lamblia Mastigophora move by flagella E. histolytica Sarcodina -- - move by pseudopodia Sarcomastig-ophora further divided into Protozoa Species- examples Sub-phylum Phylum Sub kingdom

Examples of important intestinal protozoa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Typical flask-shaped ulcer due to E. histolytica in the colonic mucosa Electron micrograph of G. lamblia trophozoites (feeding stage)

Examples of important systemic protozoa ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Typical lesion of cutaneous leishmaniasis Tsetse fly – the vector of African trypanosomiasis It has a painful bite!

Taxonomic classification of helminths Fasciolopsis (liver fluke) Schistosoma (not leaf shaped!) Taenia (tapeworm) Ascaris (roundworm) Trichuris (whipworm) Ancylostoma (hookworm) Necator (hookworm) Enterobius (pinworm or threadworm) Strongyloides Genus – examples Trematodes Non-segmented, usually leaf-shaped, with two suckers but no distinct head They have an alimentary canal and are usually hermaphrodite and leaf shaped Schistosomes are the exception. They are thread-like, and have separate sexes Cestodes Adult tapeworms are found in the intestine of their host They have a head (scolex) with sucking organs, a segmented body but no alimentary canal Each body segment is hermaphrodite Platyhelminthes Flat worms; dorsoventrally flattened, no body cavity and, if present, the alimentary canal is blind ending Nematodes Round worms; appear round in cross section, they have body cavities, a straight alimentary canal and an anus Metazoa Class Phylum Sub kingdom

Examples of important metazoa – intestinal nematodes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Heavy intestinal infections may occur with Ascaris . Adult worms can be several cms long.

Examples of important metazoa –systemic nematodes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Examples of important flatworms - cestodes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Examples of important metazoa –trematodes (flukes) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adult Fasciolopsis buski trematode © Dr. Peter Darben, Queensland University of Technology

Schistosomiasis (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Bulinus globosus , the intermediate host snail for S. haematobium (source: WHO/TDR/Stammers) S. haematobium cercaria (differential interference contrast microscopy; source: WHO/TDR/Stammers)

Schistosomiasis (2) ,[object Object],[object Object],[object Object],Adult worms of S. haematobium are 1-2 cm long (source: WHO/TDR/Stammers) S. haematobium eggs measure 140 x 50 μ m (differential interference contrast microscopy; source: WHO/TDR/Stammers)

Schistosomiasis (3) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Haematuria due to S. haematobium (source: WHO/TDR)

Schistosomiasis (4) ,[object Object],[object Object],[object Object],[object Object],[object Object],Concrete irrigation ditches do not allow breeding of Oncomelania snails (source: WHO/TDR/Crump)

Hookworm (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],Hookworm is a major cause of anaemia

Hookworm (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Egg of A. duodenale in faecal smear (size 57-76 µm by 35-47 µm) © Dr. Peter Darben, Queensland University of Technology Filariform larvae © Dr. Peter Darben, Queensland University of Technology

Hookworm (3) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adult male and female worms of A. duodenale © Dr. Peter Darben, Queensland University of Technology

Hookworm (4) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Lymphatic filariasis (1) ,[object Object],[object Object],[object Object],[object Object],A female Anopheles mosquito taking a blood meal

Lymphatic filariasis (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Microfilaria of B. malayi in thick blood film (H&E stain; source: CDC) Adult worms of B. malayi in section in a lymph node (source: Univ South Carolina)

Lymphatic filariasis (3) ,[object Object],[object Object],[object Object],[object Object],[object Object],Elephantiasis of the leg (source: WHO/TDR/Crump)

Lymphatic filariasis (4) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Elderly male with massive hydrocoele, and elephantiasis of the leg. Also has nodules in the groin due to onchocerciasis (source: WHO/TDR/Crump)

Lymphatic filariasis (5) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sources of information ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Authors and reviewers Back

An introduction to Medical Parasitology

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An introduction to Medical Parasitology