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                                                                               CHAPTER 51  Intestinal & Urogenital—Protozoa
                                   Amebiasis
                               (Entamoeba histolytica )
                                                               2
                               KEY
                                I
                                D
                                  Diagnostic stage
                                A  Infective stage                             I
                                  Intestinal Disease in Colon
                                B
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                                  Extraintestinal Disease





                                                                                 B



                                                                                    A
                                                                                    D
                                                             1

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                                                 I
                                                    D
                                                   Cysts and tophozoites
                                                      passed in feces

                    FIGURE 51–1
                                   Entamoeba histolytica. Life cycle. Top blue arrow shows cysts being ingested. Within the intestine, the cyst produces tro-
                    phozoites that cause amebic dysentery in the colon and can spread to the liver (most often), lung, and brain (Boxes A and B). Bottom blue arrow
                    shows cysts and trophozoites being passed in the stool and entering the environment. Red arrow indicates survival of cysts in the environment.
                    (Source: Centers for Disease Control and Prevention.)


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                                            B


                         A
                                                          C






 mebooksfree.com  mebooksfree.com           mebooksfree.com              FIGURE 51–3    Entamoeba histolytica—trophozoite. Long arrow      mebooksfree.com
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                            D
                                             E
                    FIGURE 51–2
                                   A: Entamoeba histolytica trophozoite with one
                                                                         points to trophozoite of E. histolytica. Short arrow points to the
                    ingested red blood cell and one nucleus (circle with inner dotted line
                                                                         nucleus of the trophozoite. Arrowhead points to one of the six
                    represents a red blood cell). B: E. histolytica cyst with four nuclei.
                    C: Giardia lamblia trophozoite. D: G. lamblia cyst. E: Trichomonas
                                                                         ingested red blood cells. (Source: Centers for Disease Control and Prevention.)
                    vaginalis trophozoite (1200×).





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