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GENERAL INTRODUCTION OF

PARASITOLOGY
Sitti Wahyuni, MD, PhD
Department of Parasitology
Medical Faculty, Hasanuddin
University

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Parasitology
Science which deals with organisms that take up
their abodes, temporarily or permanently, on or
within other living organisms for the purpose of
procuring food
Parasite: bacteria, viruses, ricketsias,
spirochetes, fungi and animal
Parasitology: animal parasite
Protozoa
Helminth
Arthropoda
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Why they need other organisms?

Parasite needs suitable environment to


carry on unimpeded the functions of
digestion, excretion, respiration, and
reproduction

Parasite lack the necessary organs for


assimilating raw food materials

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Parasite characteristic
Diversity in size

Taeni
a
sagin
ata

Plasm
Asymptomatic
odium
falcipa
rum

host
Multiple host parasite host

host

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Parasite characteristic
Most go through complex life cycles
Most are chronic because of weak innate
immunity and the ability of parasites to evade
or resist elimination by adaptive immune
responses.
Able to survive and replicate in their hosts
because they are well adapted to resisting
host defenses
Many anti-parasite are not effective at killing
the organisms.
Vaccine are not available for most of cases
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Types of Parasites

Location:
Number of host:
Ectoparasite
Monoksen
Endoparasite
Poliksen
Host dependence:
Facultative
Obligate
Time living in host
Temporary
Permanent
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Pathogenic parasite: causes injury to the
host
Pseudoparasite: an artifact mistaken for a
parasite.
Coprozoic/ spurious parasite: foreign
species that has passed through human
body without infecting man.

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Host

Intermediate host: where parasite pass


developmental stages before reaches a final
host
The final or definitive host: where parasite
harbors the adult or sexually mature
Reservoir host: Animal that has capability to
hosted the same parasite with human
Paratenic host: Host that has an infective stage
of parasite which will not develop but can
transmit it the parasite to other host.
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principal host: with other animals also
infected (reservoar)
incidental host: with one or several other
animals as principal hosts intermediate
host

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Other terminology
Habitat: Natural living place of one parasite
Vektor: organisms (usually arthropode) which
can transmit parasite to human or animal
Carrier: Someone who carry parasite but not
showing any symptoms (important in parasite
transmission)
Zoonosis: a disease involving a parasite for
which the normal host is an animal, and wherein
man can also be infected.
Infection: invasion by endoparasites a
Infestation: external parasitism of ectoparasites
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Scientific Nomenclature
Classified according to the International Code of
Zoological Nomenclature

Each parasite belongs to a phylum, class, order,


family, genus, and species.

The names of genera and species are printed in italics

The generic name begins with a capital and the


specific name with a small letter
Ascaris lumbricoides

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Distribution of Parasites in the Animal
Kingdom

Subkingdom Phylum Subphylum Parasitic Human


species parasite
Protozoa Sarcomastighopora Sarcodima Many +
Apicomplexa Mastigophora Many +
Ciliapora Many +
Microspora Many
Arthropoda Insecta Many +
Arachnida Many +
Crustacea Many -
Helminthes Platyhelminthes Cestoda All +
Trematoda All +
Nemathelminthes Nematoda All +

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History

The famous Ebers papyrus


(1600 B.C) contains some of
the earliest records of the
presence of parasitic worms in
man

Persian, Egyptian, Greek,


Roman, and Arabic physicians
were familiar with various
parasitic worms.
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Modern parasitology (dates from 1379):
Jehan de Brie discovered the liver fluke,
Fasciola hepatica, in sheep.

Eighteenth century
Many parasitic worms and arthropods were described
Little progress until the compound microscope made
possible the study of the small protozoan parasites,
larvae and detailed structures of the helminths.

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Eighteen century
Year Discovered by Helminth
1835 Owen Larva of Trichinella spiralis
1838 Dubini Ancylostoma duodenale
1851 Bilharz Schistosoma haematobium,
Year Discovered by Protozoa
1836 Donne Trichomonas vaginalis
1849 Gros Endamoeba gingivalis
1856 Malmsten Balantidium coli
1859 Lambl Giardia lamblia
1860 Davaine Trichomonas hominis
1875 Losch E histolytica in patients with diarrhea
1880 Laveran quartan malarial parasite of man
1900 Leishman Leishmania donovani (kala-azar)
1901
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Forde T gambiense (African sleeping sickness).
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Life cycles discovered
Year Parasite
1850 - 1900 Taenia solium
Echinococcus granulosus
Fasciola hepatica
Ancylostoma duodenale
1900-1920 Schistosoma japonicum
Clonorchis sinesis
Diphyllobothrium latum
Ascaris lumbricoides

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Scientific Nomenclature
Classified according to the International Code of
Zoological Nomenclature

Each parasite belongs to a phylum, class, order, family,


genus, and species.

The names of genera and species are printed in italics

The generic name begins with a capital and the specific


name with a small letter
Ascaris lumbricoides

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Modern parasitology dates from 1379 when Jehan
de Brie discovered the liver fluke, Fasciola hepatica,
in sheep.
Eighteenth century
Many parasitic worms and arthropods were described
There was little progress until the compound microscope
made possible the study of the small protozoan parasites
and of the larvae and detailed structures of the helminths.

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Geographic Distribution
The endemicity of a parasite depends upon
presence and habits of a suitable host
easy escape from the host
environmental conditions favoring survival outside the
host

Parasites life cycle:


simple life cycles are more likely to have a cosmopolitan
distribution than those with complicated life cycles.
parasites restricted to a single species of host generally
have a more limited range than those that infect several
species.

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Economic and social conditions
Irrigation projects and the use of night soil in agriculture
provide facilities for parasitic infection.
Inadequate individual and community sanitation, low
standards of living, and ignorance favor the spread of
parasitic diseases.
Religious rites
immersion in heavily contaminated water
Migrations
The importation of the Negro to the Western Hemisphere
was accompanied by hookworm disease and schistosomiasis.
Immigrants from the Baltic
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countries introduced the fish 20
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tapeworm into North America.
Many important species of parasites have a
world-wide distribution
Tropical countries where optimal conditions of
temperature and humidity are present are
most favorable for the survival, larval
development, and transmission of parasites.
Each parasite has an optimal range of
temperature for its development

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Life Cycle
Parasites have developed life cycles through
adaptation to their hosts & external environment.
Some parasite may:
spend their entire lives within the host
spend their entire lives within the host
pass through developmental stages in an intermediate host
before it reaches a final host
Most parasites (except arthropods) attain sexual
maturity in their hosts.
Some may pass through developmental stages in an
intermediate host before it reaches a final host
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A parasite has special adaptation to only one or
at most a few species of animals including man

The special adaptation depends upon :


invasive power of the parasite
susceptibility of the host
opportunity for contact between parasite &
host
Hosts play a role in the continuity of the
parasite's life cycle

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Life cycles of parasites
may need:
a. existence outside
host
b. development during
free-living existence
c. direct transmission
from host to host.

d. one intermediate host with or without free living


existence
e. more than one intermediate host with or without free-
living existence final & intermediate host in same
species

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Lifecycle may:
Simple:
Only need one host
Have cosmopolitan (worldwide) distribution
Higher survival
Complicated:
Need more than 2 host
Restricted area distribution
Low survival

knowledge of the life cycle of a parasite is important to


know transmission & how to do prevention

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Simple lifecycle

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Complicated life-cycle

Mf life span: 1 year

adult survival:
15 years or longer

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Transmission

Involves 3 factors:
1. source of the infection: human or animal
2. mode of transmission
3. presence of a susceptible host.
The combined effect of 3 factors determines
the dispersibility and prevalence of the
parasite at any given time and place.

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Direct contact with first host:
Trichomonas vaginalis
Sarcoptes scabiei
Ingest:
infective form:
Ascaris lumbricoides
Entamoeba histolytica
Host intermediate contains larva
Beef: T. saginata
Crabs: P. westerman
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Infective larve invade through the skin
Direct:
Necator americanus
Strongyloides stercoralis
Host intermediate bite:
Plasmodium falciparum
Trypanosoma gambiense
Transplasenter:
Toxoplasma gondii
Plasmodium vivax

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Transfusion
Plasmodium falciparum
Plasmodium vivax
Inhalation
Enterobius vermicularis

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Source of infection:
A,diagnosis & treatment Susceptable person:
B,isolation E. immunization
C,blocking out flowing injection F. cleanliness & hygiene
D,detection of carriers and missed cases G. isolation & screening
H. quarantine
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Contaminated
Soil polluted with human excreta:
Ascaris lumbricoides
Trichocephalus trichiurus
Human hookworms
Strongyloides stercoralis

Water may contain:


parasitic amebas
intestinal flagellates
Taenia solium eggs
cercarial stage of the human blood flukes
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Food:
Freshwater fishes: fish tapeworm (D.latum) &
several types of intestinal & liver flukes
Crabs and crayfishes: Oriental lung fluke
Pig: T.spiralis and T.solium
Beef: Taenia saginata
Buffalo nuts (Trapa spp.): giant intestinal fluke
(Fasciolopsis buski),
Watercress (Nasturtium officinale):sheep liver
fluke (Fasciola hepatica)

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Arthropods:
Malaria parasites, Leishmanias, Trypanosomes, filaria
Dogs:
Hydatid cyst of E. granulosus
larva migrans: T.canis or T.cati
Herbivorous: Trichostrongylus spp
Other human:
E.histolytica, E.vermicularis & H. nana).
Self infection:
reinfections with Strongyloides stercoralis.

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Natural adaptability of the parasite & the ease of
transmission depends upon
habits and communal associations
resistance of the host

Chances of infection are increased by


overcrowding
movements of population
environmental conditions favoring the extracorporeal
existence of the parasite
lack of sanitation and communal hygiene

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Incubation
Biological incubation: the development of the
parasite in the host :
1. exposure to infection: process of inoculation
2. development of the infection: simple or may lenghty
& complicated
3. end of biological incubation, can bee seen in:
feces or other excreta
blood circulation (parasitemia)
aspiration, biopsy or other diagnostic procedure
Clinical incubation: interval between exposure and
the earliest evidence of symptoms produced as a
result of the infection (or infestation)
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Simple stage in human

cleavage stage 60 to 70 days

15 to 30 days

2-cell stage

3,000 - 20,000 eggs per day

Life span is about 1 year

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Complicated life cycle
10 to 14 days

2 and 3 months

200,000 eggs per day

Adult worms can live 1 to 2 years.


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