المحاضرة الرابعة Parasitology Phylum: Protozoa Class Zoomastigophorea Examples: Trichomonas Trypanosoma Leishmania Characters of class zoomastigophorea 1) Motion is by flagella. The flagellum arises from kinetoplast. The kinetoplast is composed of the blepharoplast and the parabasal body. 2) Vesicular nucleus with central karyosome. 3) Reproduction is by longitudinal binary fission. 4) Complex life cycles include alternation of hosts. - Intermediate hosts commonly serve as vectors, which transport developing parasites from one definitive host to another. Some species are living in the digestive tract and genitals as Trichomonas vaginalis. Their transmission does not require a biological vector. Parasitical species parasites of tissues and blood as Trypanosoma and Leishmania. Their transmission requires a biological vector. Trichomonas vaginalis Parasite: Trichomonas vaginalis Disease: Urogenital trichomoniasis Geographical distribution: cosmopolitan. Morphology: Trophozoite is a pear-shaped (7 to 23 micro; m long) with four anterior flagella and a fifth forming the edge of an 1 Trichomonas vaginalis المحاضرة الرابعة Parasitology undulating membrane. The axostyle extends the length of the body. Host: human Transmission: by sexual contact; otherwise (through contact with toilet seats and towels, for example). Localization: vagina, urethra, prostate. Clinical Manifestations: vaginitis in women, more commonly asymptomatic in men, but may lead to prostatitis or urethritis. The main symptoms are dysuria, pruritis, yellow and frothy discharge. Laboratory diagnosis: microscopic examination of the vaginal fluid, scrapings, or washing. Life Cycle of Trichomonas vaginalis Trichomoniasis is a sexually transmitted infection caused by a parasite. Trichomonas infection can affect women or men. Many people who have the infection have no symptoms, but when symptoms occur, they include vaginal or urethral (in men) discharge that may appear greenish and frothy, burning on urination, discomfort during sex, and itching in the genital area. Diagnosis is based upon identifying the parasite through miscroscopic exam in the vaginal or urethral discharge. Trichomonas infection can be treated with antibiotics. Left untreated, the infection can persist over the long term. It may also recur following treatment. Trichomonas infection during pregnancy can lead to premature birth and low birth weight. Trypanosoma A genus of asexual digenetic protozoan flagellates that have a spindle-shaped body with an undulating membrane on one side, a single anterior flagellum, and a kinetoplast; they are Trypanosoma 2 المحاضرة الرابعة Parasitology parasitic in the blood plasma of many vertebrates (only a few being pathogenic) and as a rule have an intermediate host, a bloodsucking invertebrate, such as a leech, tick, or insect; pathogenic species cause trypanosomiasis in humans and other diseases in domestic animals. Highly magnified view of Trypanosoma (red arrow) swimming among red blood cells . African sleeping sickness is caused by T. gambiense and T. rhodesiense, two species of flagellates transmitted by biting flies of the genus Glossina, better known as tsetse flies. Unless treated in early stages, African sleeping sickness is a potentially fatal disease. Life Cycle of Trypanosoma 3 المحاضرة الرابعة Parasitology Infection and symptoms: Trypanosoma gambiense is found in 24 countries in west and central Africa. This form currently accounts for over 98% of reported cases of sleeping sickness and causes a chronic infection. A person can be infected for months or even years without major signs or symptoms of the disease. When symptoms emerge, the patient is often already in an advanced disease stage where the central nervous system is affected. Sleeping Sickness (Trypanosmiasis) Infection from the flagellate protozoan Trypanosoma brucei gambiense is transmitted by the tsetse fly. Sleeping sickness is characterized by fever, inflammation of the lymph nodes, and involvement of the brain and spinal cord leading to profound lethargy, frequently ending in death. 4
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