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Transcript of Text Books - mums.ac.irsrc.mums.ac.ir/images/medical/azimia1/Drfata/Amoeba.pdf · Text Books •...
Text Books
• References:
• Beaver PC, Jung RC, Cupp EW: Clinical Parasitology , 9th ed , Philadelphia , Lea & Febiger , 1984.
• Markell EK, John DT, Krotoski WA : Markel & Voge’s, Medical Parasitology, 9th ed. , Philadelphia , W B Saunders , 2006.
• 4. Neva FA, Brown HW , Brown & Nova Basic Clinical Parasitology .
دکتر ادریسیان ىمکاران ، تک یاختو شناسی پسشکی،
1386انتشارات دانشگاه تيران چاپ ال
كرم شناسي پسشكي ، چاپ پنجن ،: ارفع فریدن
1381انتشارات كشارز تيران ،
بیماریياي انگلي ایران ـ بیماریياي تك یاختو اي ،: صائبي اسماعیم
یرایش چيارم چاپ ىشتن ، 1386انتشارات آئیژ ،
ترجمو كتاب نا ـ: اطيري عمید بران انگم شناسي پسشكي ، چاپ پنجن ،
1386انتشارات آییژ ،
Medical Protozoology
Parasitic Protozoa
Sarcomastigophora
CilioPhora
Apicomplexa
Microspora
Sarcodina
Mastigophora
E.histolytica
E.dispar
E.hartmani
E.coli
E.polecki
E.gingivalis
Infection by
Infesting cysts
Large intestine Stool
Entamoeba histolytica
Faeces
Fingers
Food
Fluid
Flies
Fomites
Formed stool
Liquid stool
Amoebic Abscess
Red Chocolate
Sterile
Only Trophozoites
Diagnosis
Diloxanide furoate(furamide)
500mg tid x 10d.
Iodoquinol 650mg tid x 20d.
0r
Metronidazole 750mg tid x 10d.
Chloroquine 250mg bid x 14-21d.
Secnidazole monodose
4x500
3x250tidx9
Entamoeb
a dispar
morphologically identical to E. histolytica. It must be
separated by isoenzymatic, immunologic or molecular
analyses.
Entamoeb
a
hartmanni
some consider this a separate species.
It differs from E. histolytica by being smaller in size.
Entamoeb
a coli
distinguished from E. histolytica by having an eccentric
endosome, mature cysts with 8 nuclei.
chromatoidal bodies have splintered ends,
rather than rounded as in E. histolytica.
Endolimax
nana
A very small amoeba (6-15um) with a large, eccentric
endosome and thin nuclear envelope.
Mature cysts contain 4 nuclei.
Iodamoeb
a butschlii
both the trophozoite and cyst have one nucleus with a large
endosome. The cyst contains a large glycogen vacuole that
stains darkly with iodine.
Naegleria fowleri
Opportunistic Amoeba
• Neglaria fowleri
• Acanthamoeba castellani
• A.polyphaga
• A.culbertsoni
Acanthamoeba sp.
Naegleria fowleri
Pictute by:Dr.FataEmam reza Hospital
Picture by Dr. Fata
Diagnosis
• Direct smearFresh Stained
• Culture
• Sero-immunologic Tests IF, ELISA
Naegleria fowleri
Acanthamoeba sp.
in culture IF staining
TREATMENT
• Amphotracin B
+
• Sulphadiazin
• Rifampin
• Miconazole