Medical Pharmacology Chapter 38: Antiparasitic Agents

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Trophozoites of Entamoeba histolytica/dispar
A B C D
  • Trophozoites of Entamoeba histolytica/dispar

    • (Reminder: in the absence of erythrophagocytosis, the pathogenic E. histolytica is morphologically indistinguishable from the nonpathogenic E. dispar!) 

  • Line drawing (A) and trichrome stain (B, C, D).  

  • Each trophozoite has a single nucleus, which has a centrally placed karyosome and uniformly distributed peripheral chromatin. 

    • (This typical appearance of the nucleus is not always observed: some trophozoites can have nuclei with an eccentric karyosome and unevenly distributed peripheral chromatin.) 

    • The cytoplasm has a granular or "ground-glass" appearance.  Entamoeba histolytica/dispar trophozoites measure usually 15 to 20 µm (range 10 to 60 µm), tending to be more elongated in diarrheal stool. 

  • (B:  specimen contributed by Dr. Ray Kaplan, SmithKline Beecham, Atlanta, GA.)

  • Courtesy of the Division of Parasitic Diseases at the National Center for Infectious Diseases, Centers for Disease Control and Prevension (public domain)

  • http://www.dpd.cdc.gov/DPDx/HTML/Amebiasis.htm

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