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ClinPara LEC
Flagellates
Giardia intestinalis
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What is the only well-studied PATHOGENIC INTESTINAL flagellate?
Giardia intestinalis
Giardia intestinalis is also called as what?
Giardia duodenalis
What is the 1st name of Giardia intestinalis?
Cercomonas intestinalis
What is the 2nd name of Giardia intestinalis?
Giardia lamblia
What is the distribution of Giardia intestinalis?
Cosmopolitan
Giardia intestinalis has increased cases in what?
Adult
men
and
children
Can you describe the shape of Giardia intestinalis?
Pear
or
teardrop
Aside from being pear and teardrop-shaped, Giardia intestinalis is also what?
Bilaterally symmetrical
With it being bilaterally symmetrical, Giardia intestinalis is described as what?
Old man with
glasses
Can you describe the motion of Giardia intestinalis?
Falling
leaf or
erratic
tumbling motion
Giardia intestinalis has
2
MEDIAN OR PARABASAL BODIES and
2 AXONEMES
OR
SUCKING DISK.
Median or parabasal bodies:
metabolism, energy, and support
Axoneme
: structural support
The trophozoite of Giardia intestinalis'
DORSAL
SIDE is
CONVEX
and the
VENTRAL SIDE
is
CONCAVE
Can you describe the shape of Giardia intestinalis cyst?
football
Can you describe the motion of Giardia intestinalis cyst?
non-motile
Giardia intestinalis cyst has
4
NUCLEI in
MATURE CYSTS
and
2
NUCLEI in
YOUNG CYSTS
Giardia intestinalis has how a interior what?
interior flagella
Giardia intestinalis' cysts
CYTOPLASM
retracted from
CYST WALL.
Which form of Giardia intestinalis can survive in cold water or outside environment?
Cyst
What process releases trophozoites?
excystation
Each cyst produces how many trophozoites?
2
Trophozoites multiply by what?
Longitudinal binary fission
What is the MOT of Giardia intestinalis?
Ingestion of food and
water
contaminated with mature infected cyst
What is the target organ of Giardia intestinalis?
Small intestine
What is the infective stage of Giardia intestinalis?
Quadrinucleate cyst
What is the Diagnostic stage of Giardia intestinalis?
cysts
and
trophozoites
What disease is caused by Giardia intestinalis?
Giardiasis
In giardiasis,
TROPHOZOITES
attach their
AXONEMES
to the mucosa of the
duodenum
to feed.
Giardiasis has a
VILLOUS
flattening and
CRYPT HYPERTROPHY
Signs and symptoms of giardiasis include
DECREASED ELECTROLYTE
,
GLUCOSE
, and
FLUID
ABSORPTION
, as well as
DISACCHARIDE DEFICIENCY
What are the 2 types of Giardiasis?
Acute
and
Chronic
Acute giardiasis results to what?
Diarrhea flatus
with rotten egg odor
Acute giardiasis develops after an incubation of how many days?
1-14
days
Acute giardiasis lasts for how many weeks?
1-3
weeks
Chronic giardiasis results to what?
Blood
y diarrhea greasy and frothy stools
What are the 3 other forms of giardiasis?
gay bowel syndrome
,
failure-to-thrive syndrome
, and
traveler's diarrhea
What is the specimen of choice for Giardia intestinalis?
Stool
Stool
: higher % of finding CYST
What are OTHER specimens for Giardia intestinalis?
Duodenal aspirate
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