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    Ciliata/ Mastigophora: Winifreda U. de Leon

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    Rose Ann
    This document provides information about the protozoan Balantidium coli and Giardia lamblia. It discusses their life cycles, symptoms of infection, diagnosis, and treatment. Key points include: - Balantidium coli causes balantidiasis, a rare infection in humans but common in pigs. It can cause intestinal ulcers, diarrhea, and other gastrointestinal symptoms. Diagnosis is via stool exam and treatment is with tetracycline or iodoquinol. - Giardia lamblia causes giardiasis. It has a cyst and trophozoite stage. Symptoms can include diarrhea, abdominal pain, and weight loss. Diagnosis methods include stool exam, duodenal

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    Ciliata/ Mastigophora: Winifreda U. de Leon

    Uploaded by

    Rose Ann
    4 views52 pages
    This document provides information about the protozoan Balantidium coli and Giardia lamblia. It discusses their life cycles, symptoms of infection, diagnosis, and treatment. Key points include: - Balantidium coli causes balantidiasis, a rare infection in humans but common in pigs. It can cause intestinal ulcers, diarrhea, and other gastrointestinal symptoms. Diagnosis is via stool exam and treatment is with tetracycline or iodoquinol. - Giardia lamblia causes giardiasis. It has a cyst and trophozoite stage. Symptoms can include diarrhea, abdominal pain, and weight loss. Diagnosis methods include stool exam, duodenal

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    CILIATA

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    This document provides information about the protozoan Balantidium coli and Giardia lamblia. It discusses their life cycles, symptoms of infection, diagnosis, and treatment. Key points include: - Balantidium coli causes balantidiasis, a rare infection in humans but common in pigs. It can cause intestinal ulcers, diarrhea, and other gastrointestinal symptoms. Diagnosis is via stool exam and treatment is with tetracycline or iodoquinol. - Giardia lamblia causes giardiasis. It has a cyst and trophozoite stage. Symptoms can include diarrhea, abdominal pain, and weight loss. Diagnosis methods include stool exam, duodenal

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    4 views52 pages

    Ciliata/ Mastigophora: Winifreda U. de Leon

    Uploaded by

    Rose Ann
    This document provides information about the protozoan Balantidium coli and Giardia lamblia. It discusses their life cycles, symptoms of infection, diagnosis, and treatment. Key points include: - Balantidium coli causes balantidiasis, a rare infection in humans but common in pigs. It can cause intestinal ulcers, diarrhea, and other gastrointestinal symptoms. Diagnosis is via stool exam and treatment is with tetracycline or iodoquinol. - Giardia lamblia causes giardiasis. It has a cyst and trophozoite stage. Symptoms can include diarrhea, abdominal pain, and weight loss. Diagnosis methods include stool exam, duodenal

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    © All Rights Reserved
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    Download as ppt, pdf, or txt
    of 52

    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

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