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Chapter 25 : Protozoa from Other Body Sites

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Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.1
Figure 25.1

Life cycle of . doi:10.1128/9781555819002.ch25.f1

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.2
Figure 25.2

trophozoite. (Illustration by Sharon Belkin.) doi:10.1128/9781555819002.ch25.f2

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.3
Figure 25.3

trophozoites; Giemsa stain. (Lower, courtesy of CDC Public Health Image Library.) doi:10.1128/9781555819002.ch25.f3

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.4
Figure 25.4

trophozoites and ameboid forms. ( ) Several ameboid trophozoites of are attached to one another by their pseudopods, forming a group of organisms. M, McCoy cell; T, trichomonad. ( ) Pseudopodia-like extensions exhibited by . Note the parasite attached to the McCoy cell by its ventral surface. AF, anterior flagella; M, McCoy cell; P, pseudopodia-like extensions; UM, undulating membrane. ( ) Trophozoite of applied to an erythrocyte after 30 min of interaction between parasites and erythrocytes. E, erythrocyte; T, trichomonad. ( ) Ameboid trophozoite of after 60 min of interaction between parasites and erythrocytes. E, erythrocyte; T, trichomonad. (Courtesy of .) doi:10.1128/9781555819002.ch25.f4

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.5
Figure 25.5

wet mount (courtesy of the CDC Public Health Image Library). doi:10.1128/9781555819002.ch25.f5

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Figure 25.6

(Upper) Papanicolaou stain; (lower) Gram stain. doi:10.1128/9781555819002.ch25.f6

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.7
Figure 25.7

Giemsa stains of vaginal preparations (courtesy of the CDC Public Health Image Library). doi:10.1128/9781555819002.ch25.f7

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.8
Figure 25.8

InPouch TV diagnostic system for culturing . (Upper) The swab containing a specimen from the patient is being inserted into the liquid medium within the plastic pouch; (lower) the pouch is inserted into the plastic holder. (Photographs courtesy of BIOMED Diagnostics.) See also chapter 32. doi:10.1128/9781555819002.ch25.f8

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.9
Figure 25.9

. Direct antigen detection strip used for rapid testing (OSOM Trichomonas Rapid Test; courtesy of Genzyme Diagnostics, Cambridge, MA). doi:10.1128/9781555819002.ch25.f9

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.10
Figure 25.10

Life cycle of . The active forms (trophozoites) are also referred to as tachyzoites, while the resting stages within the cysts are called bradyzoites (very slow-growing trophozoites). doi:10.1128/9781555819002.ch25.f10

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.11
Figure 25.11

. (Top) Developmental stages in cat intestine. (Middle) Enteroepithelial stages of in a small intestinal villus of a cat fed tissue cysts. Note the heavy parasitization of enterocytes, containing schizonts (type D) (small arrows) and male (large arrow) and female (arrowheads) gamonts. Hematoxylin and eosin stain (from reference , with permission). (Bottom, left) Unsporulated oocyst; (right) sporulated oocyst containing two sporocysts with sporozoites. (Courtesy of CDC Public Health Image Library.) doi:10.1128/9781555819002.ch25.f11

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.12
Figure 25.12

Forms of found in humans. (A) Trophozoites (tachyzoites) seen within a cell; (B) cyst containing the bradyzoites (illustration by Sharon Belkin; based on illustration from H. H. Najarian, , The Williams & Wilkins Co., Baltimore, MD, 1967). doi:10.1128/9781555819002.ch25.f12

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.13
Figure 25.13

. (Top) Tachyzoites from mouse peritoneal fluid; (middle) tachyzoites seen within human bone marrow; (bottom) bradyzoites seen in human tissue. doi:10.1128/9781555819002.ch25.f13

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.14
Figure 25.14

. Tissue cyst, PAS stain. Each cyst contains 50 to 5,000 bradyzoites, which replicate following cyst rupture, unless destroyed by cellular immunity. doi:10.1128/9781555819002.ch25.f14

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.15
Figure 25.15

. CNS toxoplasmosis in patient with AIDS. Postinfusion computer tomography scan shows a moderately sized ring enhancing lesion with an eccentric nodule, which also enhanced. The corticomedullary location and marked surrounding edema are characteristic of toxoplasmosis. (Courtesy of P. Harrison, Vancouver; http://tmcr.usuhs.edu/tmcr/chapter45/imaging4.htm.) doi:10.1128/9781555819002.ch25.f15

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.16
Figure 25.16

Chart for the diagnosis and treatment of neonatal toxoplasmosis. (Adapted from reference 39.) doi:10.1128/9781555819002.ch25.f16

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.17
Figure 25.17

Toxoplasmosis: risk management in pregnancy. doi:10.1128/9781555819002.ch25.f17

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.18
Figure 25.18

Chart for the analysis of conventional antibody tests for by the IgM technique. Interpretation depends on the type of test used. In the IgM-indirect immunofluorescence assay test, a titer of 1:64 would support a diagnosis of infection acquired 1 to 3 months earlier. In the double-sandwich IgM-ELISA (IgM capture), titers of 1:256 and higher should be expected in the first 4 months of infection. (Adapted from references , and .) doi:10.1128/9781555819002.ch25.f18

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.19
Figure 25.19

Interpretation of toxoplasmosis serology in pregnant women. (Courtesy of reference 35.) doi:10.1128/9781555819002.ch25.f19

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Algorithm 25.1
Algorithm 25.1

Toxoplasmosis.

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Image of Figure 25.20
Figure 25.20

Chart for the prevention of TE in HIV-positive patients; the approach is based on results of the IgG serology. (Adapted from references , and .) doi:10.1128/9781555819002.ch25.20

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
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Tables

Generic image for table
TABLE 25.1

Characteristics of (primarily trophozoites)

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
Generic image for table
TABLE 25.2

Virulence factors associated with pathogenesis

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
Generic image for table
TABLE 25.3

Summary of commercially available kits for immunodetection of

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
Generic image for table
TABLE 25.4

People at risk for severe toxoplasmosis

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
Generic image for table
TABLE 25.5

Toxoplasmsosis: mechanisms of human infection

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
Generic image for table
TABLE 25.6

Clinical use of immunodiagnostic tests

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
Generic image for table
TABLE 25.7

General comments on the performance and interpretation of serologic results for the diagnosis of toxoplasmosis

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
Generic image for table
TABLE 25.8

Guide to interpretation of serologic tests for the diagnosis of toxoplasmosis

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25
Generic image for table
TABLE 25.9

Prevention of infection with

Citation: Garcia L. 2016. Protozoa from Other Body Sites, p 694-718. In Diagnostic Medical Parasitology, Sixth Edition. ASM Press, Washington, DC. doi: 10.1128/9781555819002.ch25

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