Introduction
Entamoeba histolytica was first discovered by Lambl
in 1859 and its pathological nature was described by a Russian Zoologist
‘Friedrick Losch’ in 1875. He discovered this protozoan in the faeces and
intestinal ulcers of a dysentery patient and succeeded in transferring it to puppies.
Classification
Phylum-
Protozoa
Class-
Rhizopoda
Order-
Amoebida
Genus- Entamoeba
Species- histolytica
Distribution
Entamoeba histolytica is cosmopolitan i.e., found everywhere
and all most all parts of the world.
Example- Mexico, China, India, South America, Philippines
etc.
Particularly it is found in tropical and subtropical areas.
It is more common in backward countries, where sanitation is not proper.
Habit and Habitat
Entamoeba histolytica is an endoparasite. It is found
in the intestine of man and other vertebrates. It lives in the colon of man.
Enton = within
Amoebae = change
Histos = tissue
Lysis = dissolve
Entamoeba dissolves intestinal mucosa and feed up on the
tissue debris of mucosa. It produces ulcers and secrete pus from intestinal
mucosa. It enters in brain, lungs and liver in chronic patients. It produces
Amoebic dysentery or Amoebiasis in man.
Infants under a year old are rarely infected with it, while
children and young adults are very susceptible to the parasite.
Entamoeba is monogenetic, it found in man, pig, gorilla, dog
and buffalo also.
Structure
Entamoeba histolytica is found in three forms according to
shape and size.
1.
Trophozoite form or Magna form
2.
Minute form or pre-cystic form
3.
Cystic form
1. Magna form-
This form is large and motile. It is 20-30
micron in size. Due to large size, it is called magna form. It produces disease
in man. The cytoplasm of magna form is clearly divisible into ectoplasm and
endoplasm. Single pseudopodia is found, hence it is monopodial species.
In the endoplasm, food vacuoles, RBCs and
bacteria are found. Contractile vacuole absent. Nucleus is large 4-6 micron in
size. Below nuclear membrane chromatic granules are found. In the center, a
round endosome or karyosome is present. Around endosome, a clear area is
present called Halo.
Nucleoplasm is in the form of striations
like spokes of cycle.
It produces disease in man or in vertebrate
because it is ficolin form. It feeds on tissue of intestinal mucosa.
Entamoeba histolytica: Vesicular nucleus
2. Pre-cystic form or minute form-
This form is smaller than magna form. It
lives in the cavity of large intestine. It is non-feeding form. It is 15-20
micron in size. It is produced by trophozoite form. Nucleus is familiar to the
nucleus of trophozoite form.
3. Cystic form-
Minute form because round and secretes a hard
cyst with single nucleus is called monocystic form. Nucleus of monocystic form
divides to form two nucleus. It is called binucleated cystic form. The two
nucleus of binucleate cystic form divides to form four nucleus, now it is
called tetranucleate or quadrinucleate cystic form. One or two glycogen masses
found in cyst as reserve food materials. All three forms mononucleate, binucleate
and tetranucleate cystic form are present in the cavity of large intestine. These
comes out from the faeces of host (man).
Entamoeba histolytica: Structure of three stages of life cycle
Reproduction and Life Cycle of Entamoeba histolytica
Entamoeba histolytica is mono-genetic because it completed
its life cycle in single host (man).
Magna form is found to attached with intestinal mucosa, it feeds
and grows. It divides by binary fission. Division is like mitosis. Single entamoeba
produces two amoebae. It grows to form again magna form. Some of magna form
becomes smaller and form minute form. It do not feed. It lies in the cavity of
intestine.
Minute form becomes cystic form because it’s cyst is
protecting the parasite from digestive enzymes of the host. All these forms
comes out from the faeces of man. Cyst is hard, light and greenish in colour.
On faeces, flies sit and flies carries the cyst to open food
and water and vegetables. In this way food and water becomes contaminated and
it infect new host (man).
In the tetranucleate cystic stage is ingested through contaminated
food and water. It reaches to the stomach but there are no effect of gastric
juice on cyst. When cyst reaches to intestine. It ruptures by the action of
intestinal juice and tetra nucleate stage comes in the lumen (cavity) of host. This
stage is called metacystic stage. Metacystic stage with four nucleus divides
and redivides to form eight amoebae. Each becomes large and form magna form. Magna
form attaches with the intestinal mucosa. It feeds on mucosal cells or
intestinal cells. Sometimes, it rupture the intestinal wall and reaches to
blood streams. It may reaches to liver and brain. It produces hepatitis and secondary
complications. From the intestinal mucosa blood with mucus comes out and passes
through anus along with stool.
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Entamoeba histolytica: Reproduction and life history |
Disease
This disease is called blood dysentery. It produces
abdominal pain and host appetite. Sometimes produces anemia due to loss of
blood. In this way loss of weight is common. Patients want to continued in the
lavatory. Frequent intestinal pain takes place.
Diagnosis
In a simple way, the microscopical detection of trophozoites
or cysts in faecal smears.
Therapy
Treatment of amoebic dysentery is not very difficult but the
permanent cure is sometimes hard to achieve as relapses do occur. For temporary
relief, an alkaloid Emetine is effective. A synthetic derivative of
Emetine, called Dehydroemetine, is equally effective. The antimalaria drug,
chloroquine is effective against amoebic abscesses in the liver but not
elsewhere. Some of the latest iodine compounds, such as Vioform , Chiniofon, Diodoquin,
etc., have shown more lasting results. Certain antibiotics, such as Fumagillin,
Terramycin, Erythromycin and Aureomycin have proved to be effective in the
eradication of the parasite.
Prevention
It is the matter of personal as well as municipal hygiene.
For personal hygiene, we need to follow following habits-
1.
Protection of food and water from contamination
by houseflies, cockroaches, etc.
2.
Cutting finger nails regularly.
3.
Washing hands with soap and water after handling
dirty articles, before taking meals and after using toilet.
4.
Avoiding use of unboiled water and improperly
washed vegetables and raw salads.
5.
Avoiding passing out of stool on open grounds,
street sides or vegetables fields.
The municipal hygiene is the responsibility
of the town areas. They must take the following preventive measures-
1.
Proper disposal of sewage.
2.
Purification of drinking water.
3.
Chemical treatment of human faeces to be used as
fertilizer.
4.
Proper sanitation of roads, streets, lanes and
open drains.