INTRODUCTION TO MEDICAL
PARASITOLOGY
INTRODUCTION
• Human and other living things on earth
live in closed relationship with each
other.
• They don’t exist in an isolated fashion.
• They are interdependent; each forms a
strand in the web of life.
• Parasitology is the study of parasites,
their hosts, and the relationship
between them.
• Medical parasitology is the subject
which deals with the parasites that
infect human being, the diseases caused
by them, clinical feature and the
response generated by human being
against them.
• It's also concerned with the various
methods of their diagnosis, treatment
and finally their prevention & control.
Definitions of keys terms
• A parasite: a living organism that acquires some
of its basic nutritional requirements through its
intimate contact with another living organism.
• Parasites may be simple unicellular protozoa or
complex multicellular metazoa.
All parasitic organisms are eukaryotes
• Protozoa: unicellular organisms.
• Metazoa: multicellular organisms, e.g.
worms and arthropods.
• An endoparasite: a parasite that lives within
another living organism.
• An ectoparasite: a parasite that lives on the
external surface of another living organism
e.g. lice, ticks.
• Zoonosis: a parasitic disease in which an
animal is normally the host - but which also
infects man
• Vector: a living carrier (e.g.an arthropod) that
transports a pathogenic organism from an
infected to a non-infected host.
There two types of vectors:
mechanical and biological
Epidemiology
• Although parasitic infections
occur globally, the majority occur
in tropical regions, where there is
poverty, poor sanitation and
personal hygiene.
Notes: Non-pathogenic parasites: live
in/on the body of the host do not
cause disease
• Opportunistic parasites: cause illness
in individuals with impaired defense
mechanism, is becoming of
paramount importance because of
the increasing prevalence of
HIV/AIDS.
DIFFERENT KINDS OF HOSTS
• Definitive host: harbors a parasite in the adult
stage or where the parasite undergoes a sexual
method of reproduction.
• Intermediate host: harbors the larval stages of the
parasite or an asexual cycle of development takes
place.
Paratenic host:
An intermediate host whose presence may be
required for the completion of a parasite's life
cycle but in which no development of the
parasite occurs
Host cont...
• Reservoir host : makes the parasite available for
the transmission to another host and is usually not
affected by the infection. /animals harboring the
same species of parasites as man. Potential sources
of human infection.
Life cycle and type of life cycle
• Life cycle : The whole process of parasite growing
and developing.
• The direct life-cycle : Only one host (no
intermediate host).
• The indirect life cycle : Life cycle with more than
one host (intermediat host and final host).
Symbiotic relationships
• Organism that spends a portion or all of its life
cycle intimately associated with another
organism of a different species is considered
as Symbiont.
• This relationship is called symbiosis (symbiotic
relationships).
The basic factor of transmission
of parasitic diseases
• The source of the infection
• The routes of transmission
• The susceptible host
The source of the infection
• Patient: Persons who have parasites in their
body and show clinical symptoms.
• Carrier: Persons who have parasites in their
body, not show symptoms.
• Reservoir host: Animals that harbors the
same species of parasites as man.
Sometimes, the parasites in animals can
transmit into human.
The routes of transmission
• Congenital transmission: From mother to infant.
Eg: Toxoplasmosis
• Contact transmission:
• Direct contact (E.g:Trichomonas vaginalis);
• Indirect contact (E.g:Ascaris lumbricodes)
• Food transmission: The infectious stage of
parasites contaminated food / The meat of the
intermediate hosts containing infectious stage of
parasites.
• Water transmission: Drink or contact the
water contaminated the infectious stage
of parasites.
• Soil transmission: Contamination of the
soil by feces containing the certain stage
of parasites.
• Arthropod transmission: Vectors of
certain parasitic diseases.
The susceptible host
In general, most people is the
susceptible host. The parasite
reaching a susceptible host must
gain entrance and set up a favorable
residence in order to complete its
life cycle and cause the transmission
of parasitic diseases.
The avenues of invasion
• Digestive tract: Most common avenue of
entrance. (Food/ Water transmission)
• Skin: Infective larvae perforate skin and
reach to body and establish infection. (soil/
water transmission)
• Blood: Bloodsucking insects containing
infective parasites bite the skin and inject
parasites into human blood. (Arthropod
transmission---malaria).
The prevention measures of the
parasitic diseases
• Controlling the source of the infection.
Treatment of the patients, carriers and reservoir
hosts.
• Intervention at the routes of transmission
Managing feces and water resource, controlling or
eliminating vectors and intermediate hosts.
• Protecting the susceptible hosts.
Paying attention to personal hygiene, changing bad
eating habit, taking medicine.
EFFECT OF PARASITES ON THE HOST
• Mechanical injury: may be inflicted by a
parasite by means of pressure as it
grows larger, e.g. Hydatid cyst causes
blockage of ducts such as blood vessels
producing infraction, e. g. , biliary
e. g. , biliary
ascariasis and larva migrans, Ascaris
ascariasis and larva migrans, Ascaris
Perforate/Obstruction
Perforate/Obstruction
• Deleterious effect of toxic substances: in
P. falciparum production of toxic
substances may cause rigors and other
symptoms.
• e. g., mosquitoes, spiders and ticks
e. g., mosquitoes, spiders and ticks
introduce venom when they insert their
introduce venom when they insert their
mouth parts into the skin.
mouth parts into the skin.
• Deprivation of nutrients, fluids and
metabolites -parasite may produce
disease by competing with the host for
nutrients. e.g. hookworms suck blood.
e.g. hookworms suck blood.
• Immunological reaction: Tissue damage may
be caused by immunological response of the
host, e.g. schistosoma liver cirrhosis; when
e.g. schistosoma liver cirrhosis; when
hydatid fluid is released from the rupture of
hydatid fluid is released from the rupture of
a hydatid cyst anaphylaxis often results.
a hydatid cyst anaphylaxis often results.
• nephritic syndrome following Plasmodium
nephritic syndrome following Plasmodium
infections.
infections.
Classification
• The classification of parasites is controversial
- there is no universally accepted system.
• Parasites form part of the animal kingdom
which comprises some 800,000 identified
species categorised into 33 phyla.
• The parasitic organisms that are of
importance for human health are eukaryotes
Nomenclature of parasites
• Each parasite possesses two names, a
generic and a specific
• the former begins with an initial capital
and the latter with an initial small letter,
after which comes the designator’s
name, followed by punctuation and
finally the year.
• The generic and specific names are in
italics but not the designator’s name.
• for example, the common intestinal
roundworm of man is named Ascaris
lumbricoides Linnaeus, 1758. This
means that it belongs to the Genus
Ascaris and the name of the species
lumbricoides was given by Linnaeus
in the year 1758.
Introduction_to_Medical_Parasitology.ppt

Introduction_to_Medical_Parasitology.ppt

  • 1.
  • 2.
    INTRODUCTION • Human andother living things on earth live in closed relationship with each other. • They don’t exist in an isolated fashion. • They are interdependent; each forms a strand in the web of life. • Parasitology is the study of parasites, their hosts, and the relationship between them.
  • 3.
    • Medical parasitologyis the subject which deals with the parasites that infect human being, the diseases caused by them, clinical feature and the response generated by human being against them. • It's also concerned with the various methods of their diagnosis, treatment and finally their prevention & control.
  • 4.
    Definitions of keysterms • A parasite: a living organism that acquires some of its basic nutritional requirements through its intimate contact with another living organism. • Parasites may be simple unicellular protozoa or complex multicellular metazoa. All parasitic organisms are eukaryotes
  • 5.
    • Protozoa: unicellularorganisms. • Metazoa: multicellular organisms, e.g. worms and arthropods. • An endoparasite: a parasite that lives within another living organism. • An ectoparasite: a parasite that lives on the external surface of another living organism e.g. lice, ticks.
  • 6.
    • Zoonosis: aparasitic disease in which an animal is normally the host - but which also infects man • Vector: a living carrier (e.g.an arthropod) that transports a pathogenic organism from an infected to a non-infected host.
  • 7.
    There two typesof vectors: mechanical and biological
  • 8.
    Epidemiology • Although parasiticinfections occur globally, the majority occur in tropical regions, where there is poverty, poor sanitation and personal hygiene.
  • 9.
    Notes: Non-pathogenic parasites:live in/on the body of the host do not cause disease • Opportunistic parasites: cause illness in individuals with impaired defense mechanism, is becoming of paramount importance because of the increasing prevalence of HIV/AIDS.
  • 10.
    DIFFERENT KINDS OFHOSTS • Definitive host: harbors a parasite in the adult stage or where the parasite undergoes a sexual method of reproduction. • Intermediate host: harbors the larval stages of the parasite or an asexual cycle of development takes place.
  • 11.
    Paratenic host: An intermediatehost whose presence may be required for the completion of a parasite's life cycle but in which no development of the parasite occurs
  • 12.
    Host cont... • Reservoirhost : makes the parasite available for the transmission to another host and is usually not affected by the infection. /animals harboring the same species of parasites as man. Potential sources of human infection.
  • 14.
    Life cycle andtype of life cycle • Life cycle : The whole process of parasite growing and developing. • The direct life-cycle : Only one host (no intermediate host). • The indirect life cycle : Life cycle with more than one host (intermediat host and final host).
  • 15.
    Symbiotic relationships • Organismthat spends a portion or all of its life cycle intimately associated with another organism of a different species is considered as Symbiont. • This relationship is called symbiosis (symbiotic relationships).
  • 16.
    The basic factorof transmission of parasitic diseases • The source of the infection • The routes of transmission • The susceptible host
  • 17.
    The source ofthe infection • Patient: Persons who have parasites in their body and show clinical symptoms. • Carrier: Persons who have parasites in their body, not show symptoms. • Reservoir host: Animals that harbors the same species of parasites as man. Sometimes, the parasites in animals can transmit into human.
  • 18.
    The routes oftransmission • Congenital transmission: From mother to infant. Eg: Toxoplasmosis • Contact transmission: • Direct contact (E.g:Trichomonas vaginalis); • Indirect contact (E.g:Ascaris lumbricodes) • Food transmission: The infectious stage of parasites contaminated food / The meat of the intermediate hosts containing infectious stage of parasites.
  • 19.
    • Water transmission:Drink or contact the water contaminated the infectious stage of parasites. • Soil transmission: Contamination of the soil by feces containing the certain stage of parasites. • Arthropod transmission: Vectors of certain parasitic diseases.
  • 20.
    The susceptible host Ingeneral, most people is the susceptible host. The parasite reaching a susceptible host must gain entrance and set up a favorable residence in order to complete its life cycle and cause the transmission of parasitic diseases.
  • 21.
    The avenues ofinvasion • Digestive tract: Most common avenue of entrance. (Food/ Water transmission) • Skin: Infective larvae perforate skin and reach to body and establish infection. (soil/ water transmission) • Blood: Bloodsucking insects containing infective parasites bite the skin and inject parasites into human blood. (Arthropod transmission---malaria).
  • 22.
    The prevention measuresof the parasitic diseases • Controlling the source of the infection. Treatment of the patients, carriers and reservoir hosts. • Intervention at the routes of transmission Managing feces and water resource, controlling or eliminating vectors and intermediate hosts. • Protecting the susceptible hosts. Paying attention to personal hygiene, changing bad eating habit, taking medicine.
  • 23.
    EFFECT OF PARASITESON THE HOST • Mechanical injury: may be inflicted by a parasite by means of pressure as it grows larger, e.g. Hydatid cyst causes blockage of ducts such as blood vessels producing infraction, e. g. , biliary e. g. , biliary ascariasis and larva migrans, Ascaris ascariasis and larva migrans, Ascaris Perforate/Obstruction Perforate/Obstruction
  • 24.
    • Deleterious effectof toxic substances: in P. falciparum production of toxic substances may cause rigors and other symptoms. • e. g., mosquitoes, spiders and ticks e. g., mosquitoes, spiders and ticks introduce venom when they insert their introduce venom when they insert their mouth parts into the skin. mouth parts into the skin.
  • 25.
    • Deprivation ofnutrients, fluids and metabolites -parasite may produce disease by competing with the host for nutrients. e.g. hookworms suck blood. e.g. hookworms suck blood.
  • 26.
    • Immunological reaction:Tissue damage may be caused by immunological response of the host, e.g. schistosoma liver cirrhosis; when e.g. schistosoma liver cirrhosis; when hydatid fluid is released from the rupture of hydatid fluid is released from the rupture of a hydatid cyst anaphylaxis often results. a hydatid cyst anaphylaxis often results. • nephritic syndrome following Plasmodium nephritic syndrome following Plasmodium infections. infections.
  • 27.
    Classification • The classificationof parasites is controversial - there is no universally accepted system. • Parasites form part of the animal kingdom which comprises some 800,000 identified species categorised into 33 phyla. • The parasitic organisms that are of importance for human health are eukaryotes
  • 29.
    Nomenclature of parasites •Each parasite possesses two names, a generic and a specific • the former begins with an initial capital and the latter with an initial small letter, after which comes the designator’s name, followed by punctuation and finally the year. • The generic and specific names are in italics but not the designator’s name.
  • 30.
    • for example,the common intestinal roundworm of man is named Ascaris lumbricoides Linnaeus, 1758. This means that it belongs to the Genus Ascaris and the name of the species lumbricoides was given by Linnaeus in the year 1758.