MIAYO HERSEY C.

12-14-19
BSMT 3A PARASITOLOGY

PARASITE SIZE DIAGNOSTIC MOTILITY INFECTIVE DISEASE DIAGNOSTIC TREATMENT

FEATURE STAGE ASSOCIATED EXAM
TROPHOZOITE- TROPHOZOITE- Bull’s Amebic Pericarditis Direct Fecal Metronidazole
ENTAMOEBA 10-60 um eye Karyosome, CYST Genital amebiasis Smear Tinidazole
HISTOLYTICA CYST- 10-20 ingested RBC Liver Aspiration Diloxanide Furoate
um CYSTS- Cigar shaped, or ELISA, IHAT etc.
with round ends
TROPHOZOITE- TROPHOZOITE-
ENTAMOEBA COLI 15-50 um whiskbroom, jagged CYST Asymptomatic Fecal smear --------------
CYST- 10-31 CYSTS- thin
um chromatoidal bars w/
pointed to splintered
ends
TROPHOZOITE- TROPHOZOITE- Dirty
ENTAMOEBA 5-15 um looking cytoplasm CYST Asymptomatic Fecal smear --------------
HARTMANII CYST- 5-12 um CYST- ‘Rice grain”
appearance

TROPHOZOITE- TROPHOZOITE- Bacteria

ENDOLIMAX NANA 5-12 um presence in the CYST Asymptomatic Fecal Smear -------------
CYST- 4-12 um cytoplasm
CYST- Comma-shaped

TROPHOZOITE TROPHOZOITE-
IODAMOEBA 8-22 um Bacteria, Yeast cell and CYST Asymptomatic Fecal Smear ---------------
BUTSCHLII CYST- 5-22 um other debris present
CYST- well-defined
glycogen cell mass
 MIAYO HERSEY C. 12-14-19
BSMT 3A PARASITOLOGY

TROPHOZOITE- TROPHOZOITE-
ENTAMOEBA 8-20 um Presence of Leukocytes, TROPHOZOITES Oral Monialiasis Sputum --------------
GINGIVALIS Epithelial Cells, Bacteria Actinomyces Vaginal and
Infection Cervical Materials

TROPHOZOITE- TROPHOZOITE- Nausea

ENTAMOEBA POLECKI 8-25 um Ingested bacteria, other CYST Bloody stool Fecal Smear Metronidazole
CYST- 10-20 food particles Vomiting Ornidazole
um CYST- Chromatoidal
bars

TROPHOZOITE- TROPHOZOITE- Asymptomatic CSF

NAEGLERIA FOWLERI 8-22 um Granular, usually TROPHOZOITE Primary amebic Brain Amphotericin B
CYST- 5-22 um vacuolated Meningoencephaliti Tissue Amphotericin B w/
CYST- well-defined s Nasal discharge rifamfim
glycogen mass Elevated protein
levels

TROPHOZOITE- TROPHOZOITE- Granulomatous CSF Sulfamethazine

ACANTHAMOEBA 12-45 um Granular and TROPHOZOITE amebic encephalitis Brain tissue Itraconazole
CYST- 8-25 um vacuolated Acanthamoeba Corneal scrapings Ketoconazole
CYST- Double cell wall keratitis Culture: PYGC Rifampin
PCR Miconazole
 MIAYO HERSEY C. 12-14-19
BSMT 3A PARASITOLOGY

TROPHOZOITE- TROPHOZOITE- “Sac or Balantidiasis,

BALANTIDIUM COLI 28-152 um in little bag” like CYST Balantidial dysentery Fecal smear Metronidazole
length appearance Acute diarrhea Biopsy from Tetracycline
22-123 um in CYST- Double cyst wall, sigmoidoscopy Iodoquinol
wide Cilia visible in between
CYST- 43-66 cyst wall
um
TROPHOZOITE- Vacuolated form- Large Mild to moderate
BLASTOCYSTIS 5-32 um central Vacuole CYST (not diarrhea Fecal smear Iodoquinol
HOMINIS Ameba like- Nuclear confirmed) Vomiting Hematoxylin Metronidazole
chromatin peripheral Nausea Or Trichrome Trimethroprim-
clumping Fever sulfamethoxazole
Granular form- Develop Bloating
into daughter cells of Flatulence
the ameba-form when
it ruptures