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GENERAL PARASITOLOGY. DR.NEHA HASWANI. MEDICAL PARASITOLOGY Study of Animal parasites Infect and cause diseases Human beings. TAXONOMY. Binomial nomenclature s/by Linnaeus 2 names: a genus and a species Discoverers Greek or latin words of geographicl area Habitat Hosts
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GENERAL PARASITOLOGY DR.NEHA HASWANI
MEDICAL PARASITOLOGY • Study of • Animal parasites • Infect and cause diseases • Human beings
TAXONOMY • Binomial nomenclature s/by Linnaeus • 2 names: a genus and a species • Discoverers • Greek or latin words of geographicl area • Habitat • Hosts • Size and shape
PARASITE • Living organism • Lives in or upon another organism • Derrives benefit • Without giving any benefit
CLASSIFIED AS: • ECTOPARASITE- INFESTATION • ENDOPARASITES-INFECTION • OBLIGATE • FACULTATIVE • ACCIDENTAL • ABERRANT OR WANDERING
HOST • Organism which harbours, provides shelter and nourishment to the parasite. • Types: • Definitive host: parasite replicates sexually. • Intermediate host: parasite replicates asexually. • Reservoir host: harbours the parasite and act as a source. • Paratenic hosts: lives but cannot develop further • Amplifier host: lives and multiplies exponentially.
HOST PARASITE RELATIONSHIP • SYMBIOSIS: • close association • Interdependent • None is harmed • COMMENSALISM: • Only parasite derives benefit • Host is not harmed. • Capable of living an independent life.
PARASITISM: • Parasite derives benefit from the host. • Always causesbinjury to the host • Host gets no benefit • DISEASE:Cl. Manifestations of infection i.eactivepresence and replication of the parasite.
CARRIER: • Infected • No clinical or sub clinical disease • Can transmit the infection to others.
TRANSMISSION • SOURCE: • Man- anthroponoses • Animal- zoonoses • Vectors • Contaminated soil and water • Raw or undercooked meat • Otyhers like fish crab or aquatic plants
MODE: • Oral or feco-oral • Penetration of skin amd mucous membrane • Sexual contact • Bite of vectors • Vertical transmission • Blood transfusion • Autoinfection
LIFE CYCLE • Direct/Simple life cycle: • Requires only one host • Eg. Entamoebahistolytica, Giardialamblia, Ascarislumbricoides • Indirect/ Complex life cycle: • Requires 2 or 3 hosts • Eg. Leishmaniaspp, Trypanosomaspp, Plasmodium spp, Toxoplasmagondii
PATHOGENESIS • Mechanical trauma • SOL • Inflammatory reactions • Enzyme production and lytic necrosis • Toxins • Allergic manifestations • Neoplasia • Secondary bacterial infections
IMMUNOLOGY OF PARASITIC DISEASES • Depends on host and parasite factors. • Protective immune response: • Innate • Acquired • Harmful immune responses • Evasion mechanisms
FACTORS INFLUENCING INNATE IMMUNITY • Age of the host • Sex of the host • Nutritional status • Genetic constitution
COMPONENTS OF INNATE IMMUNITY • Anatomic barrier • Physiological barriers • Phagocytosis • Complement • Natural killer cells
ACQUIRED IMMUNITY • CMI: • T-cell activation • Th 1 secrete IL-2 and IFNγ • Th-2 secrete IL-4,5,6,10 which activate B cells • IL-5 is chemoattarctant for eosinophils…so “EOSINOPHILIA” common.
AMI: • Neutralisation • Agglutination • Complement activation • ADCC • Mast cell degranulation.
LABORATORY DIAGNOSIS • Identification- macro or microscopically • Culture • Immunodiagnostic methods • Intradermal skin tests • Molecular methods • Xenodiagnosis • Animal inoculation • Imaging techniques
TREATMENT • Anti parasitic drugs: • Albendazole • Praziquantel • Ivermectin • Pyrantelpamoate • Furazolione • Metronidazole • Surgical management.