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