PARA 11 Intro To Parasitology
PARA 11 Intro To Parasitology
Parasites, like other living creatures, undergo different Close association of two
stages of development before reaching full maturity. SYMBIOSIS organisms, hereb a give
Each set of metamorphosis results to a distinct stage of and take relationship e ist
development. Some parasites may need a particular
MUTUALISM Relationship is beneficial to
kind of host for a particular stage of development.
both associates
HOST SPECIFICITY COMMENSALISM Parasite derives benefits
The transformation and survival of a certain stage without reciprocating and/or
of development may not occur if the organism is in the without causing injury to the
bod of a non-appropriate host. host
There are some parasites that do not inhabit only a Some large animals attack, kill, and use smaller ones
single host throughout their lifetime. Some organisms, for food. In this form of existence, the larger animal is
while undergoing development, inhabit a host referred to as PREDATOR while the smaller is called
different from the one where the adult forms are found. PREY.
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SCAVENGERS Parasites have specific developmental forms ith
Animals that derive their nourishment from the ability to enter the human body to initiate an
already dead ones either by devouring those that infection process. The developmental form of the
died of natural causes or taking the leftovers of parasite capable to doing so is called INFECTIVE
predators. STAGE.
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o outside part of body (external
autoinfection). Vegetables
Fasciola hepatica
Fasciolopsis buski
This process may lead to a severe type of infection
in an individual without necessarily acquiring infective Snail
forms from another person or other sources. Echinostoma ilocanum (aka Euparyphium
ilocanum)
HETEROINFECTION Infective stages coming
from another source of the BLOOD SUCKING INSECTS
same species
Mosquitoes of the genus Anopheles serve as
SUPERINFECTION An already infected vectors for malaria Plasmodium
individual and has been Wuchereria bancrofti causes lymphatic
re-infected with the same filariasis (Elephantiasis) (They become adults
species of the parasite in lymphatics and block it)
Leishmana donovani cases Leishmaniasis
MIXED INFECTION A person may be Trypanosoma Trypanosomiasis (Chagas
harboring more than one disease) (African sleeping sickness)
species of organism at the
same time. DOMESTIC ANIMALS
Cat Toxocara cati
DELUSIONAL PARASITOSIS
Dog – Toxocara canis
There are some individuals who may think they are
Pig (pig = Baboy) Balantidium coli
infected ith some bi arre parasite but in realit , no
Wild animals like tiger, lion Gnathostoma
such parasite exists in their bodies.
spinigerium, Toxoplasma gondii
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Diphylobotrium latum 3. Stimulation of the host s tissue reaction (cellular or
Fasciolopsis buski immunologic)
Fasciola hepatica 4. Toxic and/or allergic phenomenon
Paragonimus westermani
Necator americanus (only sometimes, mainly TRAUMA
skin penetration) Filariform Larva they penetrate the skin and
Opisthorchis viverrini produce puncture wounds.
Necator americanus
HINT: Foods go through the mouth Ancylostoma duodenale
Strongyloides stercoralis
Skin by arthropod vector like insects (mosquitoes,
bugs) or penetration. These puncture wounds can serve as an entry point for
bacteria and cause bacterial infection.
Hookworm
Necator americanus Some parasites can enter a tissue cell, grow and
Ancylostoma duodenale develop inside the cell, then rupture the infected cell
producing trauma or physical damage.
Threadworm Plasmodium enter RBC (Note: Plasmodium is
Strongyloides stercoralis smaller than the RBC)
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LYTIC NECROSIS – involves tissue lysing enzymes Puncture wounds will make the area affected
Entamoeba histolytica they invade the susceptible to microorganisms. This may result to
tissue causing necrosis. bacteremia leading to septicemia.
Balantidium coli they have hyaluronidase
which lyse the tissue causing necrosis. Diagnosis of Parasitic Infections
The medical technologist plays a very important role
STIMULATION OF HOST S TISSUE REACTION in the diagnosis of infections with parasites. Diagnosis
An indirect way of producing disease. This process of parasitic infection is, oftentimes, based on
stimulates the host tissue to react. The response is to identification of organism in specimen submitted to
destroy this parasite or prevent further migration. There the laboratory. The technologist, therefore, should be
will be cellular proliferation, cellular infiltration, very accurate in the identification of the organisms.
granuloma formation, and lastly, fibrosis. The function
of the affected organ will be impaired. Different diagnostic tests in Parasitology may be
classified as either direct or indirect .
Example: Eggs of Schistosoma
In the liver, the eggs stimulate the liver tissue to react DIRECT APPROACH
in order to prevent migration or destruction of the Is to demonstrate the organisms where they can
parasite. Then the tissue reacts causing cellular be recovered.
proliferation, infiltration, granuloma formation, and Feces:
fibrosis. There will be diffuse fibrosis in the liver. o Eggs of:
Continuous flow of blood in a fibrotic liver will result to Ascaris lumbricoides
an increase in pressure of the portal system (portal Trichuris trichiura
hypertension). Because of this, there will be fluid Capillaria philippinensis
escaping the portal system and goes to the abdomen Taenia saginata
resulting to ascites. Taenia solium
Schistosoma japonicum
Aside of the increase in pressure of the portal system,
there will be an increase in pressure of the anus, o Larval forms of:
ballooning the vessels causing hemorrhoids. Threadworm
Some species of hookworm.
Esophagus is also affected resulting to esophageal
varices. Rupture of the varices will result to death. Tapeworms may evacuate segments of the worms in
their feces. The segments may be examined and
There will also be dilation of the veins of the identified with or without stain.
abdomen (caput medusa)
Muscle Tissues:
TOXIC AND ALLERGIC PHENOMENON o Patients infected with Trichinella spiralis are
The parasite and its metabolic waste product can diagnosed through recovery of the larval stage in
serve as an antigen or allergen which is stimulates the biopsy material of muscle tissues
production of specific antibodies. Succeeding
exposure to the same antigen will produce an Blood Films
antigen-antibody reaction resulting to an immune Malaria
response. This can either be beneficial (immunizations) Filariasis
or harmful (hypersensitivity reactions). Trypanosomiasis
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INDIRECT APPROACH
In quite a number of instances, recovery of Entamoeba histolytica
parasites in body fluids may not be that easy or Ascaris lumbricoides
impractical. Also, there are some conditions whereby Trichuris trichiura
the location of the organism is quite inaccessible or Giardia lamblia
trying to get them, such as in biopsy, may entail more Trichomonas vaginalis
damages that benefits. In such situations, the indirect
approach may be resorted to instead. Surgical intervention
These diagnostic procedures, however, are not Hydatid disease due to the larvae of
readily available, more likely to be less accurate, and Echinococcus granulosus is treated by
are of limited application. surgical removal of the cyst.
Cysticorcus larvae of Taenia solium located in
Circumoval Precipitin Test (COPT) the eye of a patient are also removed
If the organism is able to stimulate the immune through surgical procedure.
system of the host, antibodies may be detected in the
blood such as in the case of schistosomiasis, where the
patient s blood ill contain antibodies against the Combination of the both
eggs of the parasite. Vaccination against parasite infection is not yet
May be used in the diagnosis of schistosomiasis. perfect at the present time. Researchers are still
ongoing for the development of vaccine that may
Serologic tests effectively protect humans from acquiring infection
are also available, although expensive, for the with some parasites. At the present time, vaccines are
diagnosis of human infections with: being developed and tested for organisms such as:
Echinococcus granulosus Plasmodium species (causing malaria)
Trichinella spiralis Schistosoma japonicum
Leishmania donovani, etc. Entamoeba histolytica, etc.
Xenodiagnosis
May be used to diagnose infection with some
parasites such as Trypanosoma cruzi. PROTOZOOLOGY
In this method, a laboratory-bred insect, the one All living organisms may be classified according to
that serves as vector to the organisms, is allowed to either:
feed on the blood of individuals suspected to be
PROTOZOA
infected with the parasite.
o Unicellular
The feces of the insect is then examined for the
presence of the organism after sometime. o Although looking very simple, is capable of the
various processes of life
Coproculture o Subkingdom of Animalia
Some parasites may also be grown in artificial
culture media such as rice-starch agar for Entamoeba METAZOA
histolytica, as well as other protozoa parasites. o Have numerous cells, tissues, and organs.
Coproculture (i.e. stool or soil culture) will enable o Have organ systems that perform the complex
the recovery of the larval forms of hookworms and processes of life
threadworms.
Stages of Development of Parasites
Animals such as rabbits, hamsters, and monkeys may Parasites under Protozoa, generally, undergo different
also be used to grow parasites in the laboratory to stages of development throughout their life. In most
produce more parasites and therefore, make the instances, these developmental forms will include:
diagnosis easier, more accurate, and to have high 1. Trophozoite
yield of positive result. 2. Cyst
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Organelles of locomotion, generally, are present A long time ago, MERTHIOLATE-FORMALDEHYDE
in the trophic forms. In general, different group of solution was being used to preserve trophozoite forms
protozoa has their own type of locomotion organelles: but because of the harmful effects of some of its
Pseudopodia (fingerlike) Entamoeba ingredients its use was halted.
histolytica
Flagella (hair like) Giardia lamblia Stool sample preserved with PVA, whether it contains
Cilia (thread like) Balantidium coli cyst or trophozoite, may be kept for quite a long time.
Surrounded by plasma membrane. They acquire They may also be smeared later and stained
nutrients through a semi-permeable membrane. permanent stains and be kept as permanent record
FEEDING STAGE or for teaching purposes, or even in research. However,
Easily destroyed by adverse condition in the about 5 years or a little more, the quality of stain color
environment such as strong chemicals, urine, changes tends to be lesser and lesser through passage of time.
in temperature, presence of other organisms, and
other physical, chemical, and biologic factors. Trophozoite Cyst
Easily destroyed and quite fragile compared to Motile Non-motile
cyst Feeding Non-feeding
Stool samples suspected to contain these must be -Absorption of nutrients -Stored food in
examined within 30 minutes after collection, lest the from environment INCLUSION BODIES
organism will disintegrate and make identification Chromatoidal
rather difficult if not impossible. Bodies
If examination of the specimen suspected to Glycogen
contain trophozoites is delayed or cannot be done at Vacuole
once, preservatives may be used but the parasite PATHOGENIC/ INFECTIVE/TRANSFER
becomes immotile. VEGETATIVE STAGE STAGE
Has 1 nucleus except:
o Balantidium coli
o Giardia lamblia Structures and Organelles (Protozoa)
o Dientamoeba fragilis
Has 2 nuclei in the trophozoite stage. A macronucleus 1. NUCLEUS
and a micronucleus Has the chromosomes which is essential for:
Life
CYST Reproduction
Dormant or the non-motile form of the parasite Transmission of the composition of the
and has no organ of locomotion. organism
Referred to as the INFECTIVE STAGE (aka Inside the nucleus, an aggregate mass of granules
TRANSFER STAGE) is present and referred to as the karyosome (also
Also called NON-FEEDING STAGE because it is called endosome or nucleolus). SI KEN yung boypren
surrounded by a tough cyst wall (because of this they ni Barbie.
can t get nourishment The nucleus may either be:
They use stored food in the form of chromatoidal Vesicular
bodies and glycogen vacuoules or mass. Compact
Most are more resistant than the trophozoite forms
Likely to be found in: Vesicular Nucleus
formed stool samples Has the karyosome
water fecal specimen suspended in a large amount of
Being more resistant than the trophozoite, the cyst nucleoplasm
may easily be preserved using chemical agents such May be provided with
as 5 10% formalin solutions. chromatin particles arranged on
The cyst may also be maintained, for a definite an achromatic network or the chromatin granules
period of time, in the laboratory or longer in may line the inner part of the nuclear membrane.
refrigerator temperature. Entamoeba histolytica
There are times that the motility of the organism in the Entamoeba coli
living state is quite helpful in the identification of the Endolimax nana
parasite because there are parasites whose motility is Giardia lamblia
quite characteristic
The most widely used preservative for trophozoites
is POLYVINYL ALCOHOL (PVA).
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Compact Nucleus Nourishment is absorbed through the plasma
Has a very large granular membrane but there are some parasites that have a
chromatin filled karyosome and cell mouth and cell anus located on opposite ends.
a very scanty nucleoplasm.
4. CYST WALL
No space between the nuclear membrane and Relatively tough membrane secreted by the
the karyosome. ectoplasm
Balantidium coli Envelopes and protects the cyst form.
3. PLASMA MEMBRANE
Is the semi-permeable, limiting boundary of the
trophozoite stage. 8. LOCOMOTION ORGANELLES
Functions: May be classified as:
o Controls: Pseudopodia
Intake and output of nutrients Flagella
secretion and excretion Cilia
o Maintains the normal concentration of the plasma
substance.
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Pseudopodia 1. Deficiency or overabundance of foods in the
In some species, like the amoeba, the plasma environment,
membrane has no constant shape. Its form changes 2. Accumulation of excessive waste products of
by means of extension and retraction of temporary, metabolism produced by the parasite or
finger-like structures called pseudopodia. other associated organisms such as bacteria
Its active protrusion & retraction enables the 3. Significant changes in the pH of the
amoeba trophozoite to move from one place to surrounding medium,
another. 4. Loss of water or desiccation of the medium,
May aid the organism to obtain particles of food 5. Diminished or too much supply of the oxygen,
from the environment. and
6. Overpopulation
E.g. Entamoeba histolytica, Entamoeba coli, In most situations, encystations will involve two or
Endolimax nana more of these factors.
In the process, the ectoplasm secretes a thick cyst
Flagella wall, which will enable the organism to be more
Member species of Zoomastigophora, mostly in resistant to the adverse changes in the environment
the trophic forms, possess hair-like projections of the that the trophozoite may be unable to adapt to.
cytoplasm called flagella. two types of encystations, namely
Arise from kinetoplast (consisting of parabasal protective
bodies and blepharoplast) within the cytoplasm reproductive
Constant whipping movement enables the
parasite move. Protective Encystation
A small portion of the flagellum, within the cell wall, Parasite undergoes encystation without
that is connected to the kinetoplast is called significant changes in the morphology
axoneme . Aimed to protect the organism
happens, for example, when the parasite is about
e.g. Giardia lamblia to be excreted and transferred into a new host
Example: Balantidium coli
Cilia
In Ciliophora, there are numerous short, threadlike Reproductive Encystations
structures called cilia. Is characterized with multiplication of the nucleus
Arise from the basal granules ithin the in the cyst form thus resulting to numerous daughter
ectoplasm organisms when the parasite later transforms into the
Are distributed throughout the entire body surface trophozoite form.
of the parasite. Organisms include:
Entamoeba histolytica
e.g. Balantidium coli Entamoeba coli
Giardia lamblia, etc.
Encystation and Excystation
Protozoa parasites transform from trophozoite to cyst, *All except Balantidium coli can do both protective
and vice versa, during their existence. and reproductive encystations.
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
ENCYSTATION 3. Favorable pH of the environment and
The formation of cyst from trophozoite form. enzymatic action of the tissues to the parasite
Occurs when the organism is subjected to
The last two items are affecting most of the
conditions, which are unsuitable for continued
protozoa, which are parasitic to man (e.g. the
existence in trophic form. Conditions believed to favor
amoeba). It is noteworthy that the two processes do
encystations include the ff:
not necessarily happen outside of the outside of the
body of the host that supports the existence of the
parasite.
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