group of blood/tissue roundworms
require an arthropod intermediate host/vector for transmission
mosquito or blood-sucking fly
fertilized adult females live in tissue
Filariae
Filariae include
Wuchereria bancrofti
Brugia malayi
Loa loa
Onchocerca volvulus
Mansonella spp.
Embryonic stage
Produced in tissues by females
Migrate to lymphatics, blood or skin
Develop into adults
maturation can take up to 1 year
Microfilariae
periodicity
When a parasite appears during certain times of the day.
more prevalent in peripheral blood at specific times of day or evening
times appear to coincide with the usual feeding patterns of intermediate host
nocturnal
nighttime
diurnal
daytime
Modified Knott Technique
mix 1 mL of whole blood w/ 10 ml of 2% formalin
spin 1 min @ 500g
make thick smears from sediment
Microfilariae Key characteristics for identification
distribution of nuclei within tip
presence/absence of a sheath
Pathogenesis of Filariae
Granulomatous lesions
Eosinophilia
Fever/chills
Elephantiasis
obstruction of lymphatic circulation
enlargement of legs, breasts, scrotum
Calabar swellings
swelling of subcutaneous tissue
Pointed tail
sheathed
no nuclei in tip of tail

Wuchereria bancrofti microfilariae
Sheathed
2 nuclei in tip of tail

Brugia malayi
Sporozoans include
Plasmodium
Babesia
Cryptosporidium
Pneumocystis
Toxoplasma
Isospora
Sarcocystis
Causative agents for malaria
P. falciparum (most dangerous)
P. vivax
P. ovale
P. malariae
Clinical Presentation
Intervals between periods of fever caused by release of __________ from RBCs is identical for given species
merozoites
_______ are mature at night when mosquitos feed
gametocytes
Sporozoan lab diagnosis criteria
Giemsa-stained peripheral blood smears examined under oil immersion
thick smears (screening)
thin smears (differentiation)
Timing of blood collection is critical
greatest # in-between paroxyms
Crescent shaped gametocytes
Plasmodium falciparum
Most dangerous form of malaria
Plasmodium falciparum

P. falciparum ring-form trophozoites

P. falciparum gametocyte

Plasmodium falciparum
May contain Schuffner’s dots
eosinophilic stippling
Plasmodium vivax
Infects young,immature RBCs
enlarged and distorted
Plasmodium vivax

P. vivax trophozoite

P. vivax immature schizont

P. vivax macrogametocyte

P. vivax microgametocyte

Plasmodium vivax troph
Infects young, immature RBCs
oval and enlarged RBCs
usually contain Schuffner’s dots
Plasmodium ovale
may contain Ziemann’s dots
fine, dust-like dots
Plasmodium malariae
6-12 merozoites in rosette form
Plasmodium malariae

P. malariae schizont