Class: Zooflagellata (Intestinal and genital flagellates)
Example-1
Giardia lamblia
Giardia lamblia
Cosmopolitan parasite, more prevalent in children than adults and more common in warm than cool climates
Pathogenic parasite that causes disease called Giardiasis, Lambliasis
Habitat is duodenum and upper part of jejunum of man
Trophozoite
Bilaterally symmetrical, pear shaped with broad, rounded anterior end and a tapering posterior end
Dorsally convex and ventrally concave forming sucking discs
One pair of nuclei one on each side of the midline with central karyosome
One pair of axostyle, one pair of deeply staining curved bars (parabasal bodies)
Four pairs of flagella arise from blepharoplasts on the ventral side of the body (2 anterior, 2 posterior, 2 caudal and 2 ventral)
Cyst
Oval in shape, the mature cyst contains 4 nuclei which may remain clustered at one end or lying in pairs at opposite ends
Shows the axostyle, remains of the flagella and margins of the sucking discs inside the cytoplasm
Transmission
Transmission occurs by viable cysts that are swallowed through contaminated food and drink
Pathology
Not invades the tissues but feeds on the mucus secretions
In acute infection there is duodenal irritation with excess secretion of mucus and dehydration, accompanied by dull epigastric pain and chronic diarrhea with a steatorrheic type of stool (fatty or oily diarrhea) containing a large amount of mucus and fat but no blood
Diagnosis
1. Examination of stool by direct smear (General Stool Examination GSE) to recover trophozoites and/or cysts stages
2. Duodenal aspiration
Example-2
Trichomonas
Trichomonas tenax
Harmless commensal of the human mouth, living in the tarter around the teeth
Trichomonas hominis
Inhabits the caecum of man, this parasite not invade the intestinal mucosa
Pathology
Prefers a medium slightly alkaline or somewhat more acid than that of the healthy vagina (pH of healthy vagina is 3.8 – 4.4)
During infection of vagina, the vaginal walls become injected and tender with hemorrhage sometimes
In advanced cases there are granular areas
Patients present signs of vaginal and cervical inflammation, complain of itching and burning and have profuse leukorrheic discharge (a whitish or yellowish discharge of mucus from the vagina)
Diagnosis
1. In female, the microscopic examination of sedimented urine, vaginal discharge and vaginal scrapings
2. In male, microscopic examination of urine, prostatic secretions