Tuesday, June 9, 2026

Pathogens and Parasites: Malaria, Ascariasis, Typhoid, Pneumonia, Common Cold, Amoebiasis, Ringworm, Dengue and Chikungunya

 

 


Pathogens and Parasites: Malaria, Ascariasis, Typhoid, Pneumonia, Common Cold, Amoebiasis, Ringworm, Dengue and Chikungunya

Notes for NEET UG

Introduction

Human beings are constantly exposed to a variety of disease-causing organisms called pathogens. These include viruses, bacteria, protozoa, fungi, helminths (worms), and ectoparasites.

Pathogen

A pathogen is any organism capable of causing disease in a host.

Parasite

A parasite is an organism that lives on or inside another organism (host) and derives nourishment at the host's expense.

Types of Human Pathogens

Group

Examples

Viruses

Dengue virus, Rhinovirus, Influenza virus

Bacteria

Salmonella typhi, Streptococcus pneumoniae

Protozoa

Plasmodium, Entamoeba histolytica

Fungi

Trichophyton, Microsporum

Helminths

Ascaris lumbricoides

1. MALARIA

Definition

Malaria is a mosquito-borne protozoan disease caused by species of Plasmodium.

Causative Organism

Most Dangerous Species

Plasmodium falciparum

Causes:

  • Cerebral malaria
  • Severe anemia
  • Multi-organ failure

Vector

Female Anopheles mosquito. Only female mosquitoes transmit malaria because they require blood meals for egg production.

Life Cycle of Plasmodium

Two Hosts

Host

Role

Human

Intermediate host

Female Anopheles

Definitive host

Infective Stage for Humans

Sporozoite

Injected during mosquito bite.

Human Phase

Liver Stage

  1. Sporozoites enter bloodstream.
  2. Reach liver cells.
  3. Multiply asexually.
  4. Produce merozoites.

RBC Stage

  1. Merozoites enter RBCs.
  2. Multiply repeatedly.
  3. RBC ruptures.
  4. More merozoites released.

Malarial Paroxysm

Symptoms occur due to rupture of RBCs and release of toxic substances.

Typical Pattern

  • Chills
  • High fever
  • Sweating

Occurs every:

  • 48 hours (tertian malaria)
  • 72 hours (quartan malaria)

Symptoms

  • Intermittent fever
  • Chills
  • Headache
  • Body pain
  • Anemia
  • Splenomegaly

Severe falciparum malaria:

  • Cerebral malaria
  • Coma
  • Death

Diagnosis

  • Peripheral blood smear
  • Rapid antigen tests

Prevention

  • Mosquito nets
  • Insecticides
  • Elimination of stagnant water
  • Protective clothing

Facts

Female Anopheles mosquito is vector.

Plasmodium enters human body as sporozoites.

Rupture of RBCs causes fever.

2. ASCARIASIS

Definition

Ascariasis is a helminthic disease caused by the roundworm Ascaris lumbricoides.

Transmission

Fecal-oral route through:

  • Contaminated food
  • Contaminated water
  • Unwashed vegetables

Habitat

Adult worms live in: small intestine

Life Cycle

Infective Stage

Embryonated egg

Migration Pathway

Intestine
→ Blood
→ Liver
→ Heart
→ Lungs
→ Trachea
→ Swallowed
→ Intestine

This is called heart-lung migration.

Symptoms

Mild Infection

  • Abdominal pain
  • Nausea
  • Weakness

Heavy Infection

  • Intestinal blockage
  • Malnutrition
  • Growth retardation
  • Appendicitis

Diagnosis

  • Stool examination

Prevention

  • Proper sanitation
  • Hand washing
  • Safe drinking water
  • Washing vegetables

Points

Infection occurs by ingesting Ascaris eggs.

Adult worms live in intestine.

Causes internal bleeding and muscular pain.

3. TYPHOID

Definition

Typhoid is an acute bacterial disease caused by Salmonella typhi.

Transmission

Fecal-oral route

Spread through:

  • Contaminated food
  • Contaminated water
  • Poor hygiene

Incubation Period

7–14 days

Symptoms

Early Symptoms

  • Sustained high fever
  • Weakness
  • Headache

Advanced Symptoms

  • Abdominal pain
  • Constipation or diarrhea
  • Enlarged spleen
  • Intestinal ulceration

Diagnosis

Widal Test: Detects antibodies against Salmonella.

Prevention

  • Safe drinking water
  • Proper sewage disposal
  • Food hygiene
  • Vaccination

Carrier State

Recovered individuals may continue to spread bacteria. Classic example:
"Typhoid Mary" Mary Mallon

4. PNEUMONIA

Definition

Pneumonia is a bacterial or viral infection of lung alveoli.

Causative Agents

Bacteria

  • Streptococcus pneumoniae
  • Haemophilus influenzae

Viruses

  • Influenza viruses
  • Respiratory viruses

Pathology

Alveoli become filled with:

  • Fluid
  • Pus

Gas exchange becomes difficult.

Symptoms

  • Fever
  • Chills
  • Cough
  • Chest pain
  • Difficulty breathing

Severe Cases

  • Cyanosis
  • Respiratory failure

Transmission

Droplet infection

Spread by:

  • Sneezing
  • Coughing
  • Shared utensils

Prevention

  • Vaccination
  • Respiratory hygiene
  • Good nutrition

Point

Alveoli fill with fluid causing breathing difficulty.

5. COMMON COLD

Definition

A viral infection affecting the upper respiratory tract.

Causative Agent

Mainly: Rhinoviruses

Transmission

  • Airborne droplets
  • Contaminated surfaces
  • Direct contact

Symptoms

  • Runny nose
  • Sneezing
  • Nasal congestion
  • Sore throat
  • Mild fever

Important Fact

Common cold does NOT affect: Lungs, Alveoli unlike pneumonia.

Prevention

  • Hand hygiene
  • Mask use
  • Avoid touching face

6. AMOEBIASIS (AMOEBIC DYSENTERY)

Definition

A protozoan disease caused by Entamoeba histolytica.

Habitat

Large intestine

Transmission

Fecal-oral route

Through:

  • Contaminated food
  • Contaminated water

Reservoir

Humans carrying cysts.

Symptoms

Intestinal Symptoms

  • Abdominal pain
  • Constipation
  • Diarrhea

Characteristic Stool

Contains:

  • Mucus
  • Blood

Hence called amoebic dysentery.

Complications

  • Liver abscess
  • Intestinal ulceration

Prevention

  • Sanitation
  • Safe drinking water
  • Personal hygiene

Fact

Houseflies act as mechanical carriers.

7. RINGWORM

Definition

Ringworm is a fungal infection of skin, hair or nails. Despite the name, no worm is involved.

Causative Fungi

  • Microsporum
  • Trichophyton
  • Epidermophyton

Trichophyton

Site of Infection

  • Skin
  • Nails
  • Scalp

Symptoms

  • Circular lesions
  • Intense itching
  • Redness
  • Scaling

Favoring Conditions

  • Heat
  • Moisture
  • Poor hygiene

Common in:

  • Skin folds
  • Between toes

Transmission

  • Direct contact
  • Shared towels
  • Shared clothes

Prevention

  • Dry skin properly
  • Avoid sharing personal items
  • Maintain hygiene

8. DENGUE FEVER

Definition

A mosquito-borne viral disease caused by Dengue virus.

Vector

Female Aedes aegypti mosquito

Characteristics of Vector

  • Day-biting mosquito
  • Breeds in clean stagnant water

Incubation Period

4–10 days

Symptoms

Classical Dengue

  • Sudden high fever
  • Severe headache
  • Retro-orbital pain
  • Muscle pain

Nickname: Breakbone fever

Laboratory Findings

  • Thrombocytopenia
  • Leukopenia

Severe Dengue

Dengue Hemorrhagic Fever

  • Bleeding
  • Plasma leakage
  • Shock

Dengue Shock Syndrome

Life-threatening condition.

Prevention

  • Eliminate breeding sites
  • Mosquito nets
  • Larval control

9. CHIKUNGUNYA

Definition

A viral disease caused by Chikungunya virus.

Vector

Aedes aegypti

Aedes albopictus

Aedes albopictus

Symptoms

Major Features

Distinguishing Feature

Persistent joint pain may continue for: Weeks, Months, sometimes years.

Complications

Usually, non-fatal but highly debilitating.

Prevention

Same as dengue:

  • Avoid mosquito bites
  • Destroy breeding sites

COMPARISON TABLE FOR NEET

Disease

Pathogen

Type

Vector/Transmission

Malaria

Plasmodium

Protozoan

Female Anopheles

Ascariasis

Ascaris lumbricoides

Helminth

Contaminated food/water

Typhoid

Salmonella typhi

Bacterium

Fecal-oral

Pneumonia

Streptococcus pneumoniae

Bacterium

Droplet infection

Common Cold

Rhinovirus

Virus

Airborne droplets

Amoebiasis

Entamoeba histolytica

Protozoan

Contaminated food/water

Ringworm

Trichophyton/Microsporum

Fungus

Direct contact

Dengue

Dengue virus

Virus

Aedes aegypti

Chikungunya

Chikungunya virus

Virus

Aedes mosquitoes

 

HIGH-YIELD NEET ONE-LINERS

  1. Malaria is caused by Plasmodium and transmitted by female Anopheles mosquito.
  2. Infective stage of Plasmodium for humans is sporozoite.
  3. Ascariasis is caused by Ascaris lumbricoides.
  4. Typhoid is caused by Salmonella typhi.
  5. Widal test is used for diagnosis of typhoid.
  6. Pneumonia affects alveoli of lungs.
  7. Common cold is mainly caused by rhinoviruses.
  8. Amoebiasis is caused by Entamoeba histolytica.
  9. Houseflies act as mechanical carriers of amoebiasis.
  10. Ringworm is caused by dermatophyte fungi.
  11. Dengue is transmitted by Aedes aegypti mosquito.
  12. Chikungunya is characterized by severe persistent joint pain.
  13. Dengue is also known as breakbone fever.
  14. Plasmodium falciparum causes the most severe malaria.
  15. Ringworm is a fungal disease and not caused by a worm.

NEET RAPID REVISION TABLE

Disease

Causative Agent

Key Symptom

Diagnostic Clue

Malaria

Plasmodium

Periodic fever

Blood smear

Ascariasis

Ascaris

Intestinal blockage

Stool exam

Typhoid

Salmonella typhi

Sustained fever

Widal test

Pneumonia

S. pneumoniae

Breathing difficulty

Chest findings

Common Cold

Rhinovirus

Sneezing

Clinical diagnosis

Amoebiasis

Entamoeba histolytica

Bloody mucus stool

Stool examination

Ringworm

Trichophyton

Circular itchy lesions

Fungal examination

Dengue

Dengue virus

Breakbone fever

NS1/serology

Chikungunya

Chikungunya virus

Severe joint pain

Serology/PCR

Must Memorize for NEET

Protozoan Diseases: Malaria, Amoebiasis
Helminthic Disease: Ascariasis
Bacterial Diseases: Typhoid, Pneumonia
Viral Diseases: Common Cold, Dengue, Chikungunya
Fungal Disease: Ringworm