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1intro PPT PDF
1intro PPT PDF
PARASITOLOGY
Sitti Wahyuni, MD, PhD
Department of Parasitology
Medical Faculty, Hasanuddin
University
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Parasitology
• Science which deals with organisms that take up
their abodes, temporarily or permanently, on or
within other living organisms for the purpose of
procuring food
• Parasite: bacteria, viruses, ricketsias,
spirochetes, fungi and animal
• Parasitology: animal parasite
– Protozoa
– Helminth
– Arthropoda
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Why they need other organisms?
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Parasite characteristic
Diversity in size
Taeni
a
sagin
ata
Plasm
Asymptomatic
odium
falcipa
rum
host
Multiple host parasite host
host
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Parasite characteristic
• Most go through complex life cycles
• Most are chronic because of weak innate
immunity and the ability of parasites to evade
or resist elimination by adaptive immune
responses.
• Able to survive and replicate in their hosts
because they are well adapted to resisting
host defenses
• Many anti-parasite are not effective at killing
the organisms.
• Vaccine are not available for most of cases
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Types of Parasites
• Location:
• Number of host:
– Ectoparasite
– Monoksen
– Endoparasite
– Poliksen
• Host dependence:
– Facultative
– Obligate
• Time living in host
– Temporary
– Permanent
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• Pathogenic parasite: causes injury to the
host
• Pseudoparasite: an artifact mistaken for a
parasite.
• Coprozoic/ spurious parasite: foreign
species that has passed through human
body without infecting man.
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Host
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Other terminology
• Habitat: Natural living place of one parasite
• Vektor: organisms (usually arthropode) which
can transmit parasite to human or animal
• Carrier: Someone who carry parasite but not
showing any symptoms (important in parasite
transmission)
• Zoonosis: a disease involving a parasite for
which the normal host is an animal, and wherein
man can also be infected.
• Infection: invasion by endoparasites a
• Infestation: external parasitism of ectoparasites
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Scientific Nomenclature
• Classified according to the International Code of
Zoological Nomenclature
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Distribution of Parasites in the Animal
Kingdom
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History
• Eighteenth century
– Many parasitic worms and arthropods were described
– Little progress until the compound microscope made
possible the study of the small protozoan parasites,
larvae and detailed structures of the helminths.
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Eighteen century
Year Discovered by Helminth
1835 Owen Larva of Trichinella spiralis
1838 Dubini Ancylostoma duodenale
1851 Bilharz Schistosoma haematobium,
Year Discovered by Protozoa
1836 Donne Trichomonas vaginalis
1849 Gros Endamoeba gingivalis
1856 Malmsten Balantidium coli
1859 Lambl Giardia lamblia
1860 Davaine Trichomonas hominis
1875 Losch E histolytica in patients with diarrhea
1880 Laveran quartan malarial parasite of man
1900 Leishman Leishmania donovani (kala-azar)
1901
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Forde T gambiense (African sleeping sickness).
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Life cycles discovered
Year Parasite
1850 - 1900 Taenia solium
Echinococcus granulosus
Fasciola hepatica
Ancylostoma duodenale
1900-1920 Schistosoma japonicum
Clonorchis sinesis
Diphyllobothrium latum
Ascaris lumbricoides
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Scientific Nomenclature
• Classified according to the International Code of
Zoological Nomenclature
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• Modern parasitology dates from 1379 when Jehan
de Brie discovered the liver fluke, Fasciola hepatica,
in sheep.
• Eighteenth century
– Many parasitic worms and arthropods were described
– There was little progress until the compound microscope
made possible the study of the small protozoan parasites
and of the larvae and detailed structures of the helminths.
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Geographic Distribution
• The endemicity of a parasite depends upon
– presence and habits of a suitable host
– easy escape from the host
– environmental conditions favoring survival outside the
host
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• Economic and social conditions
– Irrigation projects and the use of night soil in agriculture
provide facilities for parasitic infection.
– Inadequate individual and community sanitation, low
standards of living, and ignorance favor the spread of
parasitic diseases.
• Religious rites
– immersion in heavily contaminated water
• Migrations
– The importation of the Negro to the Western Hemisphere
was accompanied by hookworm disease and schistosomiasis.
– Immigrants from the Baltic
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countries introduced the fish 20
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tapeworm into North America.
• Many important species of parasites have a
world-wide distribution
• Tropical countries where optimal conditions of
temperature and humidity are present are
most favorable for the survival, larval
development, and transmission of parasites.
• Each parasite has an optimal range of
temperature for its development
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Life Cycle
• Parasites have developed life cycles through
adaptation to their hosts & external environment.
• Some parasite may:
– spend their entire lives within the host
– spend their entire lives within the host
– pass through developmental stages in an intermediate host
before it reaches a final host
• Most parasites (except arthropods) attain sexual
maturity in their hosts.
– Some may pass through developmental stages in an
intermediate host before it reaches a final host
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/09
• A parasite has special adaptation to only one or
at most a few species of animals including man
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• Life cycles of parasites
may need:
a. existence outside
host
b. development during
free-living existence
c. direct transmission
from host to host.
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• Lifecycle may:
– Simple:
• Only need one host
• Have cosmopolitan (worldwide) distribution
• Higher survival
– Complicated:
• Need more than 2 host
• Restricted area distribution
• Low survival
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Simple lifecycle
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Complicated life-cycle
adult survival:
15 years or longer
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Transmission
• Involves 3 factors:
1. source of the infection: human or animal
2. mode of transmission
3. presence of a susceptible host.
• The combined effect of 3 factors determines
the dispersibility and prevalence of the
parasite at any given time and place.
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• Direct contact with first host:
• Trichomonas vaginalis
• Sarcoptes scabiei
• Ingest:
– infective form:
• Ascaris lumbricoides
• Entamoeba histolytica
– Host intermediate contains larva
• Beef: T. saginata
• Crabs: P. westerman
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• Infective larve invade through the skin
– Direct:
– Necator americanus
– Strongyloides stercoralis
– Host intermediate bite:
– Plasmodium falciparum
– Trypanosoma gambiense
• Transplasenter:
• Toxoplasma gondii
• Plasmodium vivax
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• Transfusion
• Plasmodium falciparum
• Plasmodium vivax
• Inhalation
• Enterobius vermicularis
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Source of infection:
A,diagnosis & treatment Susceptable person:
B,isolation E. immunization
C,blocking out flowing injection F. cleanliness & hygiene
D,detection of carriers and missed cases G. isolation & screening
H. quarantine
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Contaminated
• Soil polluted with human excreta:
– Ascaris lumbricoides
– Trichocephalus trichiurus
– Human hookworms
– Strongyloides stercoralis
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• Arthropods:
– Malaria parasites, Leishmanias, Trypanosomes, filaria
• Dogs:
– Hydatid cyst of E. granulosus
– larva migrans: T.canis or T.cati
• Herbivorous: Trichostrongylus spp
• Other human:
• E.histolytica, E.vermicularis & H. nana).
• Self infection:
• reinfections with Strongyloides stercoralis.
–
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• Natural adaptability of the parasite & the ease of
transmission depends upon
– habits and communal associations
– resistance of the host
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Incubation
• Biological incubation: the development of the
parasite in the host :
1. exposure to infection: process of inoculation
2. development of the infection: simple or may lenghty
& complicated
3. end of biological incubation, can bee seen in:
• feces or other excreta
• blood circulation (parasitemia)
• aspiration, biopsy or other diagnostic procedure
• Clinical incubation: interval between exposure and
the earliest evidence of symptoms produced as a
result of the infection (or infestation)
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Simple stage in human
15 to 30 days
2-cell stage
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Complicated life cycle
10 to 14 days
2 and 3 months