Major Pathogens

This section will look into major pathogens and disease states in parasitology

Blood and Tissue Protozoa

  • Key Players
    • Plasmodium spp. (Malaria)
    • Trypanosoma brucei (African Trypanosomiasis/Sleeping Sickness)
    • Trypanosoma cruzi (American Trypanosomiasis/Chagas Disease)
  • Key Features
    • Transmission: Primarily vector-borne (mosquitoes, tsetse flies, triatomine bugs)
    • Disease: Can cause severe systemic illness, affecting blood, organs, and the nervous system
    • Diagnosis: Blood smears, serology, molecular tests

Intestinal and Urogenital Protozoa

  • Key Players
    • Cryptosporidium spp
    • Entamoeba histolytica
    • Giardia lamblia
    • Trichomonas vaginalis
  • Key Features
    • Transmission: Primarily fecal-oral route (except Trichomonas, which is sexually transmitted)
    • Disease: Causes gastrointestinal illness (diarrhea, abdominal pain) or urogenital infection
    • Diagnosis: Stool examination, antigen detection, microscopy, PCR

Intestinal and Tissue Helminths

  • Key Players
    • Ascaris lumbricoides
    • Enterobius vermicularis
    • Hookworms (Ancylostoma duodenale, Necator americanus)
    • Schistosoma spp
    • Strongyloides stercoralis
    • Taenia spp
    • Diphyllobothrium latum
    • Trichinella spiralis
    • Trichuris trichiura
  • Key Features
    • Transmission: Varied routes – fecal-oral, skin penetration, ingestion of larvae in meat or fish
    • Disease: Can cause a wide range of symptoms depending on the worm and location (intestinal distress, anemia, tissue damage)
    • Diagnosis: Stool examination, serology, tissue biopsy

Brain-Invading Parasites

  • Key Players
    • Toxoplasma gondii
    • Naegleria fowleri
    • Acanthamoeba spp
  • Key Features
    • Transmission: Ingestion of oocysts/cysts (Toxoplasma), nasal exposure to contaminated water (Naegleria), entry through skin/lungs/eyes (Acanthamoeba)
    • Disease: Can cause severe neurological damage, encephalitis, and potentially fatal outcomes
    • Diagnosis: Imaging, CSF analysis, biopsy, serology

Insects and Arthropods

  • Key Players
    • Ticks
    • Mites (Scabies mites, Chigger mites, Dust mites)
    • Lice (Head lice, Body lice, Pubic lice)
    • Bed Bugs
  • Key Features
    • Transmission: Direct contact, bites, or through contaminated environments
    • Disease: Can cause skin infestations, allergic reactions, and act as vectors for other diseases
    • Diagnosis: Visual examination, skin scrapings

Additional Parasites

  • Key Players
    • Filariae (Wuchereria bancrofti, Brugia malayi, Brugia timori, Onchocerca volvulus, Loa loa)
    • Flukes (Clonorchis sinensis, Opisthorchis, Fasciola, Paragonimus)
  • Key Features
    • Transmission: Vector-borne (mosquitoes, blackflies) or ingestion of contaminated food/water
    • Disease: Can cause chronic and debilitating conditions like lymphedema, blindness, and liver damage
    • Diagnosis: Blood smears, serology, stool examination, imaging

General Themes

  • Global Distribution: Many parasitic diseases are more prevalent in tropical and subtropical regions due to factors like climate, sanitation, and hygiene
  • Vulnerable Populations: Immunocompromised individuals, children, and those living in poverty are often at higher risk
  • Complex Life Cycles: Many parasites have complex life cycles involving multiple hosts, which makes control and prevention challenging
  • Importance of Prevention: Sanitation, hygiene, safe food and water practices, and vector control are critical for preventing parasitic infections