CILIATA/ MASTIGOPHORA

WINIFREDA U. DE LEON

CILIATA
BALANTIDIUM COLI
CYST
LARGE
MACRO/ MICRONUCLEUS

TROPHOZOITE
KIDNEY SHAPED
CYTOSTOME
CYTOPYGE
MACRO/ MICRONUCLEUS
CILIA
SPIRAL
ROLLING MOTION

TROPHOZOITE

TROPHOZOITE

LIFE CYCLE

BALANTIDIASIS
RARE INFECTION IN MAN
COMMON AMONG PIGS
TROPHOZOITES CAN PENETRATGE
PRODUCE NECROSIS/ ULCERATION
ULCERS IRREGULAR
UNDERMINED EDGES
INVASION OF APPENDIX

BALANTIDIAL ULCER

SIGNS/ SYMPTOMS
INTERMITTENT DIARRHEA/
CONSTIPATION/ TENESMUS
ABDOMINAL PAINS/ TENDERNESS/ COLIC
ANOREXIA
NAUSEA/ VOMITING
WEIGHT LOSS
WEAKNESS
DYSENTERY PERFORATION
HEMORRHAGE AND SHOCK
FETID BREATH

HISTOPATHOLOGY

EXTRA-INTESTINAL
PERITONITIS
URINARY TRACT INFECTION
INFLAMMATORY VAGINITIS

DIAGNOSIS/ TREATMENT
STOOL EXAMINATION
90% - TROPHOZOITES
INFREQUENT - CYSTS
CULTURE
Rx : TETRACYCLINE/IODOQUINOL

MASTIGOPHORA/
FLAGELLATES
ATRIAL

HEMOFLAGELLATES

LUMEN

BLOOD/ TISSUES
TRYPANOSOMA
LEISHMANIA

ATRIAL
INTESTINES
GIARDIA LAMBLIA
CHILOMASTIX MESNILII
TRICHOMONAS HOMINIS
ORAL/ MOUTH
TRICHOMONAS TENAX
VAGINA/ PROSTATE
TRICHOMONAS VAGINALIS

GIARDIA LAMBLIA
CYST
OVOIDAL
AXOSTYLE
PARABASAL BODIES
QUADRINUCLEATED

GIARDIA CYST

TROPHOZOITE
PEAR SHAPED
AXOSTYLE
PARABASAL BODIES
CURVED DORSAL
CONCAVE VENTRAL
BINUCLEATED
4 PAIRS OF FLAGELLA
( FALLING LEAF,
KITE LIKE MOTION)

GIARDIA TROPHOZOITES

CYST/ TROPHOZOITE

LIFE CYCLE

METABOLISM
GLUCOSE (EMBDEN-MEYERHOF)

ACETATE, ETHANOL, ALANINE

ARGININE/ ALANINE- PARTICIPATES IN
GLUCOSE METABOLISM
CANNOT SYNTHESIZE LIPID
(HOST GUT)

GIARDIASIS/ LAMBLIASIS
ASYMPTOMATIC
SYMPTOMATIC :
IMPAIRED ABSORPTION OF FAT,
D-XYLOSE & VIT B12
ACUTE : NAUSEA, LASSITUDE,
ANOREXIA, DIARRHEA
ABDOMINAL DISTENTION
WEIGHT LOSS
FLATULENCE
FATTY STOOLS (STEATORRHEA)

DIAGNOSIS
STOOL EXAMINATION
DUODENAL ASPIRATE EXAMINATION
INTUBATION
JEJUNAL BIOPSY
STRING TEST
ANTIGEN DETECTION TEST IN STOOLS
(ELISA)
Ab DETECTION : IFAT/ ELISA

ENTEROTUBE/ STRING TEST

TREATMENT
METRONIDAZOLE/ TINIDAZOLE
SHOULD NOT TAKE ALCOHOL:
ADRs : NAUSEA
HEADACHE
DROWSINESS
METALLIC TASTE
QUINACRINE : YELLOW STAINING OF
SKIN
PSYCHOSIS

PREVENTION / CONTROL
SAFE DRINKING WATER
BOILING
FILTRATION
2% IODINE
THOROUGHLY COOKED FOOD
PROPER EXCRETA DISPOSAL
FREQUENT HANDWASHING

TRICHOMONADS
T. HOMINIS - DIARRHEA
T. TENAX - GINGIVITIS
NOT ESTABLISHED
T. VAGINALIS
NO CYSTIC STAGE

TRICHOMONADS
OCCUR ONLY AS TROPHOZOITES
PEAR SHAPED ORGANISMS
AXOSTYLE EXTENDED BEYOND THE
LENGTH OF THE ORGANISM
FIVE FLAGELLA
4 IN THE ANTERIOR END
1 TRAILS ALONG THE UNDULATING
MEMBRANE

TROPHOZOITE ONLY

TRICHOMONAS VAGINALIS
LUMEN FLAGELLATE (PROTOZOAN)
DIE AT 40 C
WITH DESSICATION
UNDER SUNLIGHT
CAUSES TRICHOMONIASIS

TRICHOMONAS VAGINALIS
VAGINA/ PROSTATE
LARGEST
OVOIDAL NUCLEUS
SIDEROPHIL GRANULES
ASSOCIATED WITH NSV
NSP
NSU

FEMALES
ASYMPTOMATIC
SYMPTOMATIC
PRURITUS
VULVO-VAGINITIS
VAGINAL DISCHARGE
PAINFUL COITUS
VAGINAL ODOR
CERVIX : EDEMATOUS/
BLISTERS/ PETECHIAE
STRAWBERRY CERVIX
(PUNCTATE HEMORRHAGES)

MALES
ASYMPTOMATIC
SELF LIMITING
LESS PERSISTENT
SYMPTOMATIC
DISCHARGE
DYSURIA
PRURITUS
BURNING
SENSATION

OCCURENCE
WORLDWIDE
AFFECTS BOTH SEXES
INCIDENCE CORRELATES WITH
NUMBER OF SEXUAL PARTNERS
INCUBATION 4 - 30 DAYS AFTER
EXPOSURE
PEAK IN AGE GROUP - 6 35 Y O

FEMALES
50 75 %
7 - 32 %
5%

COMERCIAL SEX WORKERS

SOCIAL/ VD CLINICS
FAMILY PLANNING CLINICS

HIGHER AMONG POST-MENOPAUSAL

WOMEN

TRANSMISSION
VENEREAL
OTHER STIs
GONORRHEA 24-30%
NON VENEREAL : VIRGINS
CHILDREN/ BABIES
NEONATAL

EXPERIMENTAL RESULTS
MATERIALS
UNPOLISHED WOOD
POLISHED WOOD
WATER
PORCELAIN
TOILET PAPER/SPONGE

ALUMINUM
GLASS SLIDE
ENAMELED WOOD
URINE

SURVIVAL TIME
30 MIN
45 MIN
30 40 MIN
1 HR
1 - 2 HRS
1.5 HRS
3 HRS
6 HRS
9 20 HRS

EXPERIMENTAL RESULT
WASH CLOTH

23 HRS

DIAGNOSIS
SPECIMEN DISCHARGE
URINE

LITHOTOMY POSITION

DX PROCEDURES
MICROSCOPY
FRESH - JERKY TUMBLING
(TWITCHING) MOTILITY
STAINED : GIEMSA
PAP
AO
SIDEROPHIL GRANULES
CULTURE IN POUCH SYSTEM
WHIFF TEST 20% KOH - FISHY ODOR

TROPHOZOITES

PAPANICOLOU SMEAR

IN POUCH CULTURE

TREATMENT
SIMULTANEOUS FOR SEXUAL
PARTNERS
NITRO-IMIDAZOLES :
Metronidazole
Tinidazole

CONTROL/ PREVENTION
SEXUAL PARTNER : CHOICE
NUMBER
CASE FINDING/ TREATMENT
USE OF CONTRACEPTIVES

THANK YOU and GOOD DAY

GOOD DAY