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
- Plasmodium vivax
- Plasmodium falciparum
- Plasmodium malariae
- Plasmodium ovale
- Plasmodium knowlesi
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
- Sporozoites enter bloodstream.
- Reach liver cells.
- Multiply asexually.
- Produce merozoites.
RBC Stage
- Merozoites enter RBCs.
- Multiply repeatedly.
- RBC ruptures.
- 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
- High fever
- Severe joint pain
- Rash
- Headache
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
- Malaria is caused by Plasmodium
and transmitted by female Anopheles mosquito.
- Infective stage of Plasmodium for
humans is sporozoite.
- Ascariasis is caused by Ascaris
lumbricoides.
- Typhoid is caused by Salmonella
typhi.
- Widal test is used for diagnosis
of typhoid.
- Pneumonia affects alveoli of
lungs.
- Common cold is mainly caused by
rhinoviruses.
- Amoebiasis is caused by Entamoeba
histolytica.
- Houseflies act as mechanical
carriers of amoebiasis.
- Ringworm is caused by
dermatophyte fungi.
- Dengue is transmitted by Aedes
aegypti mosquito.
- Chikungunya is characterized by
severe persistent joint pain.
- Dengue is also known as breakbone
fever.
- Plasmodium falciparum causes the
most severe malaria.
- 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