Parasitology Lab
Parasitology Lab
Parasitology
PBS 3
Laboratory Manual
Group No:
Name: Date:
Section:
I. Objective of the Activity
1. Differentiate the types of microscopes in terms of features,
advantages/disadvantages, and their principal uses
2. Identify the parts of a microscope
3. Demonstrate the proper use of microscopes
II. Instruction: Answer the following questions regarding Microscope. Make your
answers concise and use reliable references. Please write all your references at
the last page of the activity.
1. What is Microbiology?
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2. What is a Microscope?
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Darkfield
Phase Contrast
Differential
Interference
Contrast
Fluorescence
ELECTRON MICROSCOPE
Transmission
Electron
Microscopes
OTHERS
Confocal
Two Photon
Scanning
Acoustic
Scanning
Tunneling
Atomic Force
V. Reference
Disinfection
5. Why are ethyl and isopropyl alcohol believed to be more potent at 70% than at
higher concentrations?
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Sterile Slant
Bacterial Slant
Bacterial Slant
to Sterile Slant
Bacterial Slant
to Sterile Broth
Preparation of Smear
From Broth with
Fixing
From Slant
without Fixing
From a Pipette
1. Aseptic Technique:
Link: https://www.healthline.com/health/aseptic-technique
IV. Activity
o Audio Visual Presentation:
i. How to Properly Inoculate from Broth to Broth, Broth to Slant, and
Broth to Plate
https://www.youtube.com/watch?v=Y1QaQY8NxH0
https://www.youtube.com/watch?v=I9XBRyl7nPo
ii. How to properly inoculate from Bacterial Slant to Sterile Slant
https://www.youtube.com/watch?v=IiGGmHXLm1o
iii. Preparation of Smear
https://www.youtube.com/watch?v=4evK8HV-0ZY
https://www.youtube.com/watch?v=c2BPE7wIK20
iv. Pouring of Media
https://www.youtube.com/watch?v=cneascR3OEc
II. Instruction: Answer the following questions regarding different culture media.
Make your answers concise and use reliable references. Please write all your
references at the last page of the activity.
Semi-solid
Biphasic
BASED ON FUNCTIONAL
Basal (Simple)
Media
Enriched
Media
Selective
Media
Differential
Media
Reducing
Media
Lowenstein-
Jensen (L-J)
Media
Mueller Hinton
Agar
Thayer-Martin
Agar
MacConkey
Agar
Mannitol Salt
Agar
Disadvantage
Principle
Involved
Steps
IV. Reference
Acid-Fast
Spore
Capsule
After addition of
Gram’s Iodine
After
decolorization with
alcohol
After addition of
counterstain
4. What are the advantages of negative stain over other staining methods?
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9. Is the location (position) of a spore in a bacterial cell the same for all spore-
forming bacteria?
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11. What are some of the physiological roles ascribed to capsular substances?
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Staining Reagents
Gram
Negative
Acid-Fast
Spore
III. Activity
1. Audiovisual Presentation
i. Gram Staining: https://www.youtube.com/watch?v=sxa46xKfIOY
ii. Negative Staining: https://www.youtube.com/watch?v=HlP0Wha6f_E
iii. Acid-Fast Staining:
https://www.youtube.com/watch?v=yMxUHAsjo8k
iv. Spore Staining: https://www.youtube.com/watch?v=-sSE-hEYrVY
v. Capsule Staining: https://www.youtube.com/watch?v=0_cEdk1gx2A
IV. Reference
Dysentery
Gastroenteritis
Peptic Ulcer
Disease
Shigellosis
Salmonellosis
Cholera
E. Coli
Gastroenteritis
Campylobacter
Gastroenteritis
Acute
Endocarditis
Sub-acute
Endocarditis
Rheumatic
Fever
After a 24–48 h, some symptoms begin with the sudden onset of painless watery
diarrhea that quickly become voluminous and is often followed by vomiting. Its main
symptoms are vomiting and diarrhea and because of this disease, the patient suffers
severe dehydration.
He vomits if he eats or drinks anything. After a day, his color become pale yellow, and
he became weak due to dehydration (severe loss in water) by loose motions and
vomiting. In the first day of infection, he drank some rehydration solutions, but it was
not very effective. He also felt severe pain in stomach.
He experienced accompanying abdominal cramps and no fever was recorded.
Guide questions:
1. What is the causative agent of the infection?
2. What are the general characteristics of the bacterium present?
3. What is the common mode of transmission of the infection?
4. Described the signs and symptoms of the infection
5. What is the other diagnostic test that can be used to diagnose the infection?
6. Provide prevention strategies for this infection
7. Provide the primary treatment for this infection
Case 2: Patient CDR, a normally fit Tahitian boy aged 10 years, presented to his
community clinic with a 1-week history of fever, worsening breathlessness and nausea
leading to loss of appetite in August 2016. On clinical examination, he was sweating,
tachycardic and a murmur of grade 3/6 was noted. He also stated he had a sore
throat 3 months previously, which was dismissed as trivial due to its intermittent
nature. His mother highlighted a rash on the upper aspects of both thighs. He had
intermittent hip and knee pain for the 12 months, resulting in limping and reduced
mobility—emphasised by the fact he was visiting his neighbour much less than usual.
He commented on a 3-month history of a change in handwriting at school, and a
greater tendency to drop objects, suggestive of a subtle chorea. There was no
significant medical history. The birth history includes a 2-week stay in hospital after
birth due to ongoing fevers. The social history includes residing with three other
family members in a two-bedroom apartment; however, there are occasions when
family members stay for periods of time and the household can exceed nine persons.
Guide Questions:
1. What is the causative agent of the infection?
2. What are the general characteristics of the bacterium present?
3. What is the common mode of transmission/pathophysiology of the infection?
4. Described the signs and symptoms of the infection
5. What is the other diagnostic test that can be used to diagnose the infection?
6. Provide prevention strategies for this infection
7. Provide the primary treatment for this infection
IV. Reference
1. Provide the common causative agents for the infection that targets the skin and
eyes.
Region Common Causative Agent
Skin
Eyes
Inflammatory
Nodular
Cystic
Erysipelas
Necrotizing
Fasciitis
Ophthalmia
neonatorum
Anthrax
Plague
Tularemia
Rickettsia
Infection
Case 2: Patient CKS was a 65-year-old blind man, living in countryside of Birjand, the
center of South Khorasan province located in southeast of Iran. The case-patient
mainly lived alone in the past 3 months due to his wife’s death. He had a history of
keeping animals including some sheep and goats at home, but his animals were not
infected. He had a long history of COPD. But his symptoms had started a week ago.
The symptoms had not improved despite antibiotic treatment and therefore, the
patient was referred to us at the medical center of the province. He characterized with
mild fever, dyspnea, non-bloody sputum, anorexia, and myalgia. In primary
examination, he had a blood pressure of 120/80 mmHg, respiratory rate of 24 per
minute, pulse rate of 90 beats per minute, and a temperature of 37.6 °C. In physical
examination, he had no skin rash, ulcer, and necrosis in his face and extremities, and
also no symptoms of icterus were observed. Lung auscultation revealed a slightly
hoarse voice. The patient had no signs of meningeal irritation and chest x-ray was
normal.
Initial tests of the patient were as follows: White blood cell = 7.3 × 103/µL,
Neutrophils = 85 %, Hemoglobin = 13.2 g/dl, Hematocrit = 42.2 %, Platelet = 137 ×
103/µL, ESR = 19, CRP = 2+, Urine analysis = normal.
By physical examination, patient was diagnosed as exacerbation of COPD or
pneumonia and received intravenous ceftriaxone and azithromycin. Despite 3 days of
treatment, his symptoms did not change and the patient became slightly disoriented.
Because of the intermittent sleepiness, lack of signs of meningeal irritation and lack of
his next of kin consent, the patient did not undergo lumbar puncture, but blood
samples were sent to the laboratory for examination.
The first blood sampling was taken on the 1st day of admission but the results were
reported to the ward on the 3rd day. According to laboratory reports, microscopic
blood samples revealed presence of gram-positive streptobacilli. Blood culture on
blood agar showed growth of creamy coarse grayish texture with irregular borders
colonies without hemolysis looking like a jellyfish. In the next stage, by conducting a
number of microbial enzymatic and metabolic tests, including motility, gelatin
Guide Questions:
1. What is the causative agent of the infection?
2. What are the general characteristics of the bacterium present?
3. What is the common mode of transmission/pathophysiology of the infection?
4. Described the signs and symptoms of the infection
5. What is the other diagnostic test that can be used to diagnose the infection?
6. Provide prevention strategies for this infection
7. Provide the primary treatment for this infection
1. Differentiate the following Upper and Lower Infection based on the following
criteria:
Diphtheria
Tuberculosis
Legionnaire’s
Disease
Mycoplasma
Pneumocystis
pneumonia
Female
Genitalia
Male
Genitalia
Leptospirosis
Gonorrhea
Vaginosis
Syphilis
Case 2: Patient ZND, 21-year-old Swiss female clerk, residing since her birth in a
countryside village in the canton of Zurich, presented with painless red patches and
scaling, ulcerated, weeping nodules of up to 2 cm in diameter. The skin lesions were
symmetrically located in the face, neck and upper parts of the trunk and arms.
Mucous membranes, palms and soles were not affected, and regional
lymphadenopathy was absent. Aside skin lesions, the patient suffered from
Figure 3 Clinical images of the 21-year-old patient. (A) Erythematous patches, papules and plaque-like skin lesions
in the face. (B) Excoriated plaques on the neck
Guide Questions:
1. What is the causative agent of the infection?
2. What are the general characteristics of the bacterium present?
3. What is the common mode of transmission/pathophysiology of the infection?
4. Described the signs and symptoms of the infection
5. What is the other diagnostic test that can be used to diagnose the infection?
6. Provide prevention strategies for this infection
7. Provide the primary treatment for this infection
II. Instruction: Answer the following questions regarding fungal infections. Make
your answers concise and use reliable references. Please write all your
references at the last page of the activity.
Cutaneous
Subcutaneous
Opportunistic
2. Complete the table below regarding the drugs for Fungal Infection:
Class MOA Example Side Effects
Polyene
Azoles
Allylamine
Echinocandins
Antimetabolites
Ringworm*
Candidiasis
Sporotrichosis
Coccidioidomycosis
Histoplasmosis
Pneumocystis
Pneumonia
Guide Questions:
1. What is the causative agent of the infection?
2. What are the general characteristics of the bacterium present?
3. What is the common mode of transmission/pathophysiology of the infection?
4. Described the signs and symptoms of the infection
5. What is the other diagnostic test that can be used to diagnose the infection?
6. Provide prevention strategies for this infection
7. Provide the primary treatment for this infection
Case 2: A 37-year-old Japanese man presented to our hospital with a nonproductive
cough of two weeks in duration. He did not have fever or dyspnea. He had a history of
right hemiparesis, intellectual disability with pica, and symptomatic epilepsy caused
by intracerebral hemorrhage, which occurred at two years of age. He had never
smoked or consumed alcoholic beverages.
His initial vital signs were as follows: blood pressure, 105/55 mm Hg; pulse rate, 70
beats/minute; respiratory rate, 18 breaths/min; SpO2, 93% in room air; body
temperature, 36.5°C. There was no lymphadenopathy. Auscultation revealed no
chest rales. A cardiovascular examination was normal, and no murmurs, rubs, or
gallops were detected. Abdominal and neurological examinations were
unremarkable, and the patient had no rash or petechiae. A chest radiograph revealed
bilateral diffuse infiltration.
The patient’s laboratory test values were as follows: hemoglobin, 14.9 g/dl; white
blood cell count, 8,850/mm3 with a left shift; platelets, 329,000/mm3; serum
aspartate aminotransferase 29 U/L (normal, 0-35 U/l); serum alanine
IV. Reference
Infection Infestation
Giardiasis
Trichomoniasis
Malaria
American
Sleeping
Sickness
Cestodes
Nematodes
Schistosomiasis
Taeniasis
Filariasis
Ascariasis
The complete blood count showed a leukocyte count of 7800 μL with eosinophilia of
7%. The results of biochemistry tests were as follows: Na (130.0 mEq/L), Ca
(10.4 mg/dL), and total protein (4.6 g/dL). The urine analysis and culture were normal
and negative, respectively. Direct examination of fresh fecal samples using Lugol's
iodine solution and the concentration technique showed like a colorless (transparent)
jelly moving across the field very slowly as they change shape.
Laboratory Results:
Fine needle aspiration cytology (FNAC) was done, with aspiration of about 0.3ml of
clear fluid. The smear showed presence of thin, slender colorless thread like larvae
with blunt head and tail tip free of nuclei were identified. The patient was started on
oral Diethylcarbamazine 100mg thrice a day for 21 days. There was a tremendous
decrease in the swelling at the end of four weeks. There was disappearance of the
axillary lymphadenopathy at the end of three months. The patient was closely
followed-up for two years and showed no signs of recurrence.
Guide Questions:
1. What is the causative agent of the infection?
2. What are the general characteristics of the bacterium present?
3. What is the common mode of transmission/pathophysiology of the infection?
4. Described the signs and symptoms of the infection
5. What is the other diagnostic test that can be used to diagnose the infection?
6. Provide prevention strategies for this infection
7. Provide the primary treatment for this infection
II. Instruction: Answer the following questions regarding Viral Infection. Make
your answers concise and use reliable references. Please write all your
references at the last page of the activity.
HSV 2
Infectious
Mononucleosis
Cytomegalovirus
Disease
Roseola
Kaposi Sarcoma
Hepatitis B
Infection
Hepatitis C
Infection
Hepatitis D
Infection
Hepatitis E
Infection
Dengue
Fever
Covid-19
Rabies
HIV
QUARANTINE ISOLATION
Guide Questions:
1. What is the causative agent of the infection?
2. What are the general characteristics of the bacterium present?
3. What is the common mode of transmission/pathophysiology of the infection?
4. Described the signs and symptoms of the infection
5. What is the other diagnostic test that can be used to diagnose the infection?
6. Provide prevention strategies for this infection
7. Provide the primary treatment for this infection
Number of
Total Percentage
Households
Households without
1,826 5,754 31.73%
Electrical Connection
The road network of the municipality represents only 2% of its total land area.
Because of this road condition, most barangays remain not easily accessible. There is
no regular transportation across all barangays and the utilization of pedicabs is quite
No Toilets 99 2%
Commercial Establishments
There is only one (1) public market in the community and most remote barangays
have difficulty accessing it. Some residents visit adjacent municipalities for their food
and grocery needs. In total, there are 83 commercial establishments, and 41 are sari-
sari stores. There are also fruit and vegetable stalls, fish and meat shops, and farm
suppliers. Currently, there are 29 existing food establishments (e.g.
bakeries, carinderias, etc.), but only 59% have sanitary permits. Only 49% of the 86
food handlers in the municipality have been issued health certificates.
Table 3. Number of Sanitary Permit and Health Certificate Granted in Celebes,
2019
No. Percentage
Food Establishment 29
Food Handlers 86
Around schools, food vendors sell their products. Not only school children buy from
these vendors but also majority of the residents since most are not used to cooking
meals at home. They prefer to buy food from vendors since it is more convenient—it
saves time so they can have more time watching their favorite soap operas. When
vendors were asked what food products are usually bought from them, they
answered that residents usually buy fish balls, kikiam, fried orange quail eggs, gizzard
barbecue, one-day old, and sweet beverages. There are also vendors of burgers,
fries, and chips in food stalls around the schools. At home, especially for the fisher
folks, water products like fish, small crabs, and snails are the usual meals. Since not all
have cooking appliances, they usually it these seafood “kinilaw” or “paksiw” style.
During special occasions such as birthdays, backyard-raised pigs are slaughtered,
and fresh meat is simply soaked in salt, vinegar, and certain spices.
Low 976
Normal 2877
Normal 2409