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PARASITOLOGY 001

NOTE: This is an updated version of Maria Katrina Bernabe’s o Where asexual process takes place
Transcribed Notes
DEFINITIVE OR FINAL HOST
o Where mature or adult forms of the parasites are
INTRODUCTION TO PARASITOLOGY found
o Where sexual cycle of some org. take place
In any field of study, it is important that the learner is 
presented with the basic terminology used as well as application RESERVOIR HOSTS
and limitation of the different terms used. This will enable the o Some animals, domestic or wild, may serve as
reader an easier way of understanding matters the concerns a respiratory host to a parasite.
particular subject matter. o Man, in this case, is only “incidentally” involved but not
a “natural host.”
Terminology o Are of epidemiologic importance in the spread of
some infection since they have served as the “ready
PARASITOLOGY and constant” source of the infectious organisms to the
Is a branch of biology that deals with the phenomenon community.
of dependence of one living organism to another.
TRANSPORT/PARATHENIC HOST
CLINICAL (OR MEDICAL) PARASITOLOGY o Some parasites require passage through an
Primarily deals with animal parasites of man and their intermediate host before the infective stage (i.e. the
medical significance and importance in human specific developmental form capable of causing
communities. infection to man) is developed.
o The infective stage may not be transferred directly
PARASITES from intermediate to definitive host.
Are organisms that depend onto another living creature, o Instead, it may be passed to a transport host, whereby
referred to as the host, for survival.
no development or transformation of the parasite takes
Live at the expense of another organism place but infectivity is preserved.
o They are not essential in the life cycle of the parasite
OBLIGATE PARASITES
but may serve as another source of infection to man
Cannot survive without the assistance of the host.
aside from the natural intermediate host of the
Parasite is “totally” dependent and unable to multiply if
organism.
it is not in the body of a host.
Interrelationship of Organisms
FACULTATIVE PARASITES OR OPPORTUNISTS
Parasites that are able to adapt to a free-living or
Different organism exhibit various kinds of association with one
parasitic existence depending upon the condition.
another throughout their entire life
SPURIOUS PARASITES
Parasitic to other creatures but not to humans. SYMBIOSIS Close association of two organisms,
whereby a “give and take” relationship
Man may ingest these organisms and they pass through
exist
the alimentary canal, excreted in the feces, alive or dead, in the
unchanged state. MUTUALISM Relationship is “beneficial” to both
associates
Parasites, like other living creatures, undergo different stages of COMMENSALISM Parasite derives benefits without
development before reaching full maturity. Each set of reciprocating and/or without causing
metamorphosis results to a distinct stage of development. Some injury to the host
parasites may need a particular kind of host for a particular stage
of development.
Some big animals attack, kill, and use smaller ones for food. In this
HOST SPECIFICITY form of existence, the bigger animal is referred to as PREDATOR
The transformation and survival of a certain stage of while the smaller is called PREY.
development may not occur if the organism is in the body of
a “non-appropriate host.” SCAVENGERS
Animals that derive their nourishment from already dead
There are some parasites that do not inhabit only a single host ones either by devouring those that died of natural causes or
throughout their lifetime. Some organisms, while undergoing taking the leftovers of the predators.
development, inhabit a host different from the one where the
adult forms are found. The Process of Infection

INTERMEDIATE HOST ECTOPARASITES
o Harbors the immature or larval forms of the parasite. Some Parasites that live on the surface of the host’s body
parasites undergo both asexual and sexual reproduction. their condition is referred to as INFESTATION

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ENDOPARASITES
Those parasites found inside the body of their host BIOLOGIC VECTORS
the condition is called INFECTION Essential or needed in the life cycle of the parasite
The life cycle of some parasites will not be completed
Prior to the development of an infection, a person must be in a without the participation or involvement of a particular
situation considered “at risk” of acquiring it. biologic vector
Risk situation is called EXPOSURE
o Organism is given the chance to enter the body of PHORETIC/MECHANICAL VECTORS
the individual. Not necessarily needed in the life cycle
The process of introducing the organism into the body of Act as mechanical transmitters of the organism
the host (e.g. man) is called INOCULATION.
HORIZONTAL TRANSMISSION
Parasites that successfully enter the body of a person may An organism coming from the body of a person and
establish a colony through reproduction. These organisms, inside transferred to another individual
the person’s body, may be recovered in body fluids like blood, Man acquires many parasites, pathogenic and
urine, CSF, or tissues at that times that the organisms are still unable commensal ones, through horizontal transmission.
to produce signs and or/symptoms of the infection.
VERTICAL TRANSMISSION
 BIOLOGIC INCUBATION/PRE-PATENT PERIOD An unborn baby may be infected with a parasite that
o Period of time from entry of the organism until they came from the mother via placental transfer
may be recovered in body fluids, tissues, or excreta, This process is responsible for congenital infection.
without any manifestation yet
Most parasites that cause infection to man originated from
Disease producing organisms will be able to produce signs and/or animals thus, commonly referred to as ZOONOTIC INFECTIONS.
symptoms of the infection later after inoculation. A person may excrete the infective form of an organism and this
 stage of development may re-enter the person’s body in the
 CLINICAL INCUBATION PERIOD process of AUTOINFECTION.
o Period of time from the entry of the organism into the Autoinfection may occur via:
body of the host until the earliest sign and/or symptom o retrograde migration of the infective form
of the infection appear (retroinfection)
o outside part of body (external autoinfection).
Disease-producing organism (also called PATHOGEN or This process may lead to a severe type of infection in an
pathogenic organism), in certain conditions may not be able to individual without necessarily acquiring infective forms from
cause damage to the host and therefore unable to produce signs another person or other sources.
and/or symptoms of the infection. This condition is referred to as
INAPPARENT INFECTION, and the person who harbors such HETEROINFECTION Infective stages coming from another
pathogenic organism but without manifestation of the infection source of the same species
(i.e. the person is asymptomatic) is called a CARRIER. Other
SUPERINFECTION An already infected individual and has
susceptible individuals, who later manifest the infection, may
been re-infected with the same species of
acquire the infection from carriers.
the parasite
MIXED INFECTION A person may be harboring more than one
Parasites have “specific” developmental forms with the ability to
species of organism at the same time.
enter the human body to initiate an infection process. The
developmental form of the parasite capable to doing so is called
INFECTIVE STAGE.
DELUSIONAL PARASITOSIS
There are some individuals who may think they are
PATHOGENIC STAGE is the developmental form may or may not
infected with some “bizarre” parasite but in reality, no such
be able to cause pathologic damage but is the only stage that
parasite exists in their bodies.
can enter the body of the host.
Sources of Parasitic Infection
There are some parasites whose infective form, as well as their
mature stages, can cause pathologic damage or disease to man.
 Contaminated soil
In certain species, the infective stage may also be the pathogenic
 Ascaris lumbricoides – Embryonated Egg
form and vice versa.
 Necator americanus– Filariform Larva
 Ancylostoma duodenale– Filariform Larva
Some animals serve to transfer the infective stage of an organism
 Strongyloides stercoralis – Filariform Larva
from one source to another. The transfer may be from one person
to another, from an animal to a human being, or from inanimate
 Cause soil transmitted infections
objects into a person. Commonly, the animals that transfer the
organism or parasite are various kinds of insects.
 Contaminated water
 Pathogenic amoeba
VECTOR/TRANSMITTERS
These animals that transfer the infective form

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 Cercariae of Schistosoma (larval stage) which  Capillaria philippinensis


penetrates the skin of the individual  Trichuris trichiuria
 Echinostoma ilocanum
CONTAMINATED FOOD  Trichinella spiralis
 Fish  Diphylobotrium latum
 Capillaria philippinensis  Fasciolopsis buski
 Diphylobotrium latum  Fasciola hepatica
 Crab  Paragonimus westermani
 Paragonimus westermani  Necator americanus (pwede daw sabi ni doc)
 Opisthorchis viverrini
 Pork
 Taenia solium HINT: Foods go through the mouth
 Trichinella spiralis
 Skin – by arthropod vector like insects (mosquitoes, bugs)
 Beef or penetration.
 Taenia saginata Hookworm
 Necator americanus
 Vegetables  Ancylostoma duodenale
 Fasciola hepatica Threadworm
 Fasciolopsis buski  Strongyloides stercoralis
Bloodfluke
 Snail  Schistosoma japonicum
 Echinostoma ilocanum
 Nose
 BLOOD SUCKING INSECTS  Enterobius vernicularis (Embryonated egg) – aside
 Mosquitoes of the genus Anopheles serve as from entering the mouth as portal of entry, may also
vectors for malaria – Plasmodium enter through the nose via inhalation
 Wuchereria bancrofti – causes lymphatic filariasis
 Leishmana donovani – cases Leishmaniasis  Placenta – Trans-placental transfer
 Trypanosoma – Trypanosomiasis  Toxoplasma gondii

 DOMESTIC ANIMALS  Milk – Trans-mammary transfer


 Cat – toxocara cati  some species of Strongyloides
 Dog – toxocara canis  Trematodes
 Pig – (Ano sa tagalog ang pig? Baboy) balintidium  Ancylostoma
coli The infective larvae of Strongyloides and species of
 Wild animals like tiger, lion – gnathostoma Ancylostoma may cause infection among babies
spinigerium of infected mothers through the milk

 ANOTHER PERSON  Sexual Organ


 Entamoeba histolytica  Trichomonas vaginalis – enters the body of an
 Enterobius vermicularis individual through genital organs during
 Giardia lamblia “unprotected” sexual intercourse
 Trichomonas vaginalis
Pathogenesis of Parasitic Infections
 AUTOINFECTION IN MAN
 Capillaria philippinensis Each pathogenic parasite utilizes different mechanisms
 Strongyloides stercoralis (pathogenesis) of causing damage among humans or other
 Enterobius vermicularis animals. These mechanisms maybe one or a combination of the
 Taenia solium following:

Portals of Entry 1. Trauma or physical damage


Specific site in the human body where parasites enter 2. Lytic (liquefaction) necrosis
Some species of organisms may not be able to effectively 3. Stimulation of the host’s tissue reaction (cellular or
cause infection if they enter the wrong portals thus in most immunologic)
instances each species has its own entry point in the host’s body. 4. Toxic and/or allergic phenomenon

 Mouth (Most common portal of entry) TRAUMA


 Ascaris lumbricoides  Filariform Larva – they penetrate the skin and produce
 Entamoeba histolytica puncture wounds.
 Taenia solium  Necator americanus
 Taenia saginata  Ancylostoma duodenale
 Giardia lamblia  Strongyloides stercoralis

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infiltration, granuloma formation, and fibrosis. There will


 Some parasites can enter a tissue cell, grow and be diffuse fibrosis in the liver. Continuous flow of blood in
develop inside the cell, then rupture the infected cell a fibrotic liver will result to an increase in pressure of the
producing trauma or physical damage. portal system (portal hypertension). Because of this,
 Plasmodium – enter RBC (Note: Plasmodium is there will be fluid escaping the portal system and goes
smaller than the RBC) to the abdomen resulting to ascites.
 Aside of the increase in pressure of the portal system,
 Parasites with blood-lung phase in their life cycle – they there will be an increase in pressure of the anus,
pass from the blood to the lungs before they can ballooning the vessels causing hemorrhoids.
become an adult. (Note: it is the larva which is  Esophagus is also affected resulting to esophageal
migrating) varices. Rupture of the varices will result to death.
 Ascaris lumbricoides  There will also be dilation of the veins of the abdomen
 Necator americanus (caput medusa)
 Ancylostoma duodenale
 Strongyloides stercoralis TOXIC AND ALLERGIC PHENOMENON
The parasite and its metabolic waste product can serve as
When we inhale, the alveolus expands. When we an antigen or allergen which is stimulates the production of
exhale, it contracts. Nakadikit yung pulmonary specific antibodies. Succeeding exposure to the same
capillaries dito. Ano dumadaan sa capillaries? Blood antigen will produce an antigen-antibody reaction resulting
para merong exchange of gases. Now yung larva ng to an immune response. This can either be beneficial
apat na ito pass from blood through the lungs via (immunizations) or harmful (hypersensitivity reactions).
capillaries. They then break the pulmonary capillaries,
goes to the air sac, bronchioles, bronchi, trachea, Allergy (Type 1 hypersensitivity) activates IgE that may result
hanggang epiglottis tapos swallow. Pupunta sa GI tract to anaphylactic shock (fatal outcome).
mo and that larva becomes adult. GG .
COATING
When they break the pulmonary capillaries, they Example: Giardia lamblia
produce trauma
The trophozoite will carpet the intestinal mucosa, serving as
Ano yung nagmimigrate? Larvae barrier for absorption. This will result to malabsorption.

Ascaris lumbricoides - They can destroy an organ by


obstruction, perforation and occlusion. (OPO) RECRUITEMENT OF MICROORGANISMS
Example: Filariform larva
Obstruction: They can entangle each other forming a
bolus obstructing the intestines. – Intestinal obstruction Puncture wounds will make the area affected susceptible to
microorganisms. This may result to bacteremia or septicemia.
Perforation: Even a single Ascaris adult can perforate the
intestine. This then goes out and travels to the liver,
causing trauma. Diagnosis of Parasitic Infections

Occlusion: A single worm can occlude the alveoli or can The medical technologist plays a very important role in the
go down and occlude the appendix. An occlusion can diagnosis of infections with parasites. Diagnosis of parasitic
cause trauma infection is, oftentimes, based on identification of organism in
specimen submitted to the laboratory. The technologist,
LYTIC NECROSIS therefore, should be very accurate in the identification of the
 Amoeba histolytica – they invade the tissue causing organisms.
necrosis.
 Balantidium coli – they have hyaluronidase which lyse Different diagnostic tests in Parasitology may be classified as
the tissue causing necrosis. either “direct” or “indirect”.

STIMULATION OF HOST’S TISSUE REACTION DIRECT APPROACH


An indirect way of producing disease. This process stimulates Is to demonstrate the organisms where they can be
the host tissue to react. The response is to destroy this parasite recovered.
or prevent further migration. There will be cellular Feces:
proliferation, cellular infiltration, granuloma formation, and o Eggs of:
lastly, fibrosis. The function of the affected organ will be Ascaris lumbricoides
impaired. Trichuris trichiura
Capillaria philippinensis
Example: Eggs of Schistosoma Taenia saginata
 In the liver, the eggs stimulate the liver tissue to react in Taenia solium
order to prevent migration or destruction of the parasite. Schistosoma japonicum
Then the tissue reacts causing cellular proliferation,

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o Larval forms of: Coproculture


Threadworm Some parasites may also be grown in artificial culture
Some species of hookworm. media such as rice-starch agar for Entamoeba histolytica, as
o Tapeworms may evacuate segments of the worms in well as other protozoa parasites.
their feces. The segments may be examined and Coproculture (i.e. stool or soil culture) will enable the
identified with or without stain. recovery of the larval forms of hookworms and threadworms.

Muscle Tissues: Animals such as rabbits, hamsters, and monkeys may also be used
o Patients infected with Trichinella spiralis are diagnosed to grow parasites in the laboratory to produce more parasites and
through recovery of the larval stage in biopsy material of therefore, make the diagnosis easier, more accurate, and to have
muscle tissues high yield of positive result.

Blood Films Treatment of Parasitic Infections
o Malaria, filariasis
o Trypanosomiasis Infections with parasites may be treated with:
Chemotherapy (use of commercially available drugs)
Urine Infections with organisms that are effectively treated
o Trichomonas vaginalis infection is easily diagnosed by through the administration of specific drug for the particular
finding the trophozoites of the parasite in the patient’s organism:
urine. o Entamoeba histolytica
 o Ascaris lumbricoides
CSF o Trichuris trichiura
o Examination of CSF will also be of great help in the o Giardia lamblia
diagnosis of Naegleria fowleri and Acanthamoeba o Trichomonas vaginalis
culbertsoni infections. Surgical intervention
o Hydatid disease due to the larvae of Echinococcus
INDIRECT APPROACH granulosus is treated by surgical removal of the cyst.
In quite a number of instances, recovery of parasites in o Cysticorcus larvae of Taenia solium located in the eye
body fluids may not be that easy or impractical. Also, there of a patient are also removed through surgical
are some conditions whereby the location of the organism is procedure.
quite inaccessible or trying to get them, such as in biopsy, Combination of the both
may entail more damages that benefits. In such situations,
the indirect approach may be resorted to instead. Vaccination against parasite infection is not yet perfect at the
These diagnostic procedures, however, are not readily present time. Researchers are still ongoing for the development of
available, more likely to be less accurate, and are of limited vaccine that may effectively protect humans from acquiring
application. infection with some parasites. At the present time, vaccines are
being developed and tested for organisms such as:
Circumoval Precipitin Test (COPT) Plasmodium species (causing malaria)
If the organism is able to stimulate the immune system of Schistosoma japonicum
the host, antibodies may be detected in the blood such as in Entamoeba histolytica, etc.
the case of schistosomiasis, where the patient’s blood will
contain antibodies against the eggs of the parasite.
May be used in the diagnosis of schistosomiasis.

Serologic tests
are also available, although expensive, for the diagnosis
of human infections with:
o Echinococcus granulosus
o Trichinella spiralis
o Leishmania donovani, etc.

Xenodiagnosis
May be used to diagnose infection with some parasites
such as Trypanosoma cruzi.
In this method, a laboratory-bred insect, the one that
serves as vector to the organisms, is allowed to feed on the
blood of individuals suspected to be infected with the
parasite.
The feces of the insect is then examined for the presence
of the organism after sometime. BREAK!

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PROTOZOOLOGY Also called NON FEEDING STAGE because it is


surrounded by a tough cyst wall (because of this they can’t
All living organisms may be classified according to either:
get nourishment
PROTOZOA
They use stored food in the form of chromatoidal bodies
o Unicellular
and glycogen vacuoules or mass.
o Although looking very simple, is capable of the various
Most are more resistant than the trophozoite forms
processes of life
Likely to be found in:
o Subkingdom of Animalia o formed stool samples
METAZOA
o water fecal specimen
o Have numerous cells, tissues, and organs.
Being more resistant than the trophozoite, the cyst may
o Have organ systems that perform the complex easily be preserved using chemical agents such as 5 – 10%
processes of life formalin solutions.
The cyst may also be maintained, for a definite period of
Stages of Development of Parasites time, in the laboratory or longer in refrigerator temperature.
Parasites under Protozoa, generally, undergo different stages of
development throughout their life. In most instances, these There are times that the motility of the organism in the living state
developmental forms will include: is quite helpful in the identification of the parasite because there
1. Trophozoite are parasites whose motility is quite characteristic
2. Cyst The most widely used preservative for trophozoites is
POLYVINYL ALCOHOL (PVA).
TROPHOZOITE A long time ago, MERTHIOLATE-FORMALDEHYDE solution
Also called trophic form was being used to preserve trophozoite forms but because
Is the VEGETATIVE STAGE of the harmful effects of some of its ingredients its use was
referred to as the pathogenic stage halted.
o Among the pathogenic species, it is also the stage
capable of producing pathology Stool sample preserved with PVA, whether it contains cyst or
Also referred to as the MOTILE STAGE because of the trophozoite, may be kept for quite a long time. They may also be
organelles of locomotion smeared later and stained permanent stains and be kept as
Organelles of locomotion, generally, are present in the permanent record or for teaching purposes, or even in research.
trophic forms. In general, different group of protozoa has their However, about 5 years or a little more, the quality of stain color
own type of locomotion organelles: tends to be lesser and lesser through passage of time.
o Pseudopodia (fingerlike) Entamoeba histolytica
o Flagella (hair like) Giardia lamblia
o Cilia (thread like) Balantidium coli Structures and Organelles (Protozoa)
Surrounded by plasma membrane. They acquire
nutrients through a semi-permeable membrane. FEEDING 1. NUCLEUS
STAGE Has the chromosomes which is essential for:
Easily destroyed by adverse condition in the environment o Life
such as strong chemicals, urine, changes in temperature, o Reproduction
presence of other organisms, and other physical, chemical, o Transmission of the composition of the organism
and biologic factors. Inside the nucleus, an aggregate mass of granules is
Easily destroyed and quite fragile as compared to cyst present and referred to as the karyosome (also called
Stool samples suspected to contain trophozoites must be endosome or nucleolus). SI KEN yung boypren ni Barbie.
examined within 30 minutes after collection of such sample, The nucleus may either be:
lest the organism will disintegrate and making identification o Vesicular
rather difficult if not impossible. o Compact
If the examination of specimen suspected to contain
trophozoites is to be delayed or cannot be done at once, Vesicular Nucleus
preservatives may be used but the parasite becomes Has the karyosome suspended in a large amount of
immotile. nucleoplasm
Has 1 nucleus except: May be provided with chromatin particles arranged on
o Balantidium coli an achromatic network or the chromatin granules may line
o Giardia lamblia the inner part of the nuclear membrane.
o Dientamoeba fragilis o Entamoeba histolytica
Which has 2 nuclei in the trophozoite stage. A o Entamoeba coli
macronucleus and a micronucleus o Endolimax nana
CYST
Compact Nucleus
Dormant or the non-motile form of the parasite. Has no
Has a very large granular chromatin filled karyosome
organ of locomotion.
and a very scanty nucleoplasm. Vesicular nucleus
Referred to as the “INFECTIVE STAGE”.

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Not have space anymore between the nuclear It is more likely that these inclusion bodies are observed in
membrane and the karyosome. the cyst form of the parasite.
o Balantidium coli

2. CYTOPLASM 7. CYTOSTOME AND CYTOPYGE


Is the interior of the cell where the different organelles are Some species of protozoa have a specialized:
found. o cell mouth called CYTOSTOME
The cytoplasm has, more or less, two distinct portions, o cell anus termed CYTOPYGE
namely: Pag ilalabas mo sa mouth sasabihin nung partner mo
o Endoplasm give it to me – CYTOSTOME
o Ectoplasm Pag ipapasok mo sa anus sasabihin ng baby mo wag!
Pipigilan ka nya – CYTOPYGE
Endoplasm BTW: Sabi ni doc mas madami daw hair structures sa
Dense granular part/Less homogenous bibig 
Surrounding the nucleus Ciliates commonly have these structures and are mostly
Synthesis of food occurs and is stored as chromatoidal found in the trophozoite form.
bodies found in cyst form
Located here are the: 8. LOCOMOTION ORGANELLES
o Stored food May be classified as:
o Mitochondria o Pseudopodia
o Golgi apparatus o Flagella
o Microsomes o Cilia
o Endoplasmic reticulum
Pseudopodia
In some species, like the amoeba, the plasma
Ectoplasm
membrane has no constant shape. Its form changes by
Less granular and more homogenous part
means of extension and retraction of temporary, finger-like
Envelopes the endoplasm
structures called pseudopodia.
Functions
Its active protrusion & retraction enables the amoeba
o Locomotion
trophozoite to move from one place to another.
o Procurement of food May aid the organism to obtain particles of food from
o Respiration the environment.
o Excretion
o Protection of the organism Flagella
Member species of Zoomastigophora, mostly in the
3. PLASMA MEMBRANE trophic forms, possess hair-like projections of the cytoplasm
Is the semi-permeable, limiting boundary of the called flagella.
trophozoite stage. Arise from kinetoplast (consisting of parabasal bodies
Functions: and blepharoplast) within the cytoplasm
o Controls: Constant whipping movement enables the parasite
Intake and output of nutrients move.
secretion and excretion A small portion of the flagellum, within the cell wall, that
o Maintains the normal concentration of the plasma is connected to the kinetoplast is called “axoneme”.
substance.
Cilia
4. CYST WALL In Ciliophora, there are numerous short, threadlike
Relatively tough membrane secreted by the ectoplasm structures called cilia.
Envelopes and protects the cyst form. Arise from the “basal granules” within the ectoplasm
Are distributed throughout the entire body surface of the
5. CONTRACTILE VACUOLES parasite.
Are pulsating vacuoles of various sizes
Seen in the endoplasm of some organisms like Encystation and Excystation
Balantidium coli.
Act as “osmoregulators” Protozoa parasites transform from trophozoite to cyst, and vice
versa, during their existence.
6. FOOD INCLUSION BODIES
Are structures present in the endoplasm of some ENCYSTATION
protozoa, which serve as foods to the parasite. Is the formation of cyst from trophozoite form.
Synthesis of foods takes place in the endoplasm and may This process occurs when the organism is subjected to
be stored in the form of: conditions, which are unsuitable for continued existence in
o Chromatoidal bodies consist of proteins the trophic forms. Conditions believed to favor encystations
o Glycogen mass composed of CHO include:

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PARASITOLOGY 001

1. Deficiency or overabundance of foods in the


environment,
2. Accumulation of excessive waste products of
metabolism produced by the parasite or other
associated organisms such as bacteria around
3. Significant changes in the pH of the surrounding
medium,
4. Loss of water or desiccation of the medium,
5. Diminished or too much supply of the oxygen, and
6. Overpopulation

In most situations, encystations will involve two or more of


these factors.
In the process, the ectoplasm secretes a thick cyst wall,
which will enable the organism to be more resistant to the
adverse changes in the environment that the trophozoite
may be unable to adapt to.
two types of encystations, namely
o protective
o reproductive

Protective Encystation
Parasite undergoes encystation without significant
changes in the morphology
Aimed to protect the organism
happens, for example, when the parasite is about to be
excreted and transferred into a new host
Example: Balantidium coli

Reproductive Encystations
Is characterized with multiplication of the nucleus in the
cyst form thus resulting to numerous daughter organisms
when the parasite later transforms into the trophozoite form.
Organisms include:
o Entamoeba histolytica
o Entamoeba coli
o Giardia lamblia, etc.

EXCYSTATION
Cyst stage of parasite undergoes excystation to produce
trophozoites. The process is, probably, favored by the
following factors:

1. Osmotic changes in the surrounding medium


2. Enzymatic action of the enclosed organism on the inner surface
of the cyst wall
3. Favorable pH of the environment
4. Enzymatic action of the tissues to the parasite

The last two items are affecting most of the protozoa,


which are parasitic to man (e.g. the amoeba).

It is noteworthy that the two processes do not necessarily happen


outside of the outside of the body of the host that supports the
existence of the parasite.

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