ATLASINTESTINAL PARASITES (Protozoa)
      SPOROZOEA Order: Eucoccidiida

      SARCOCYSTIS Spp.

      By the Editor: Pietro Caramello, MD.

      sarc1-ic

      Sarcocystis spp.: protozoa of the genus Sarcocystis have two distinct life cycles:
      carnivores are final hosts while herbivores are the intermediate hosts; omnivores,
      such as humans serve as both intermediate and definitive hosts of the coccidian.

      Humans may become infected by two species, S.hominis and S.suishominis.


      By the Editor: Pietro Caramello, MD.

      sarc2-ic

      Sarcocystis spp. (life cycle): when infective oocysts and sporocysts,
      wich are excreted with faeces by the definitive hosts, are swallowed
      by another susceptible host (the intermediate host),

      sporozoites are released and migrate to vessels
      where they develop into two generation of meronts.
      Two sporulated sporocysts containing 4 sporozoites.
      Sporocysts measure 15-19 by 8-10 µm.
      Wet mount preparation.


      By the Editor: Pietro Caramello, MD.

      sarc3-ic

      Sarcocystis spp.: merozoites emerging from the second generation meronts
      enter the mononucleate cells where they develop by endodyogeny.
      Merozoites subsequently released enter muscle cells and neural tissue
      where they develop to mature sarcocysts.
      Two sporulated sporocysts containing 4 sporozoites.
      Sporocysts measure 15-19 by 8-10 µm.
      Wet mount preparation in relief.

       


      By Dr. Marc Lontie

      Sarcocystis 1

      Sarcocystis spp.: mature sporocyst containing four sporozoites in faeces (unstained).

      Courtesy of Dr. Marc Lontie:
      Director of the laboratory of the
      Medisch Centrum voor Huisartsen,
      Maria Theresiastraat 63a; B-3000 Leuven, Belgium.


      By the Editor: Pietro Caramello, MD.

      sarc4-ic

      Sarcocystis spp. (pathology): intermediate hosts are the most affected
      by Sarcocystis in terms of disease.
      20-40 days after ingestion of sporocysts and subsequent migration
      of sporozoites throught the body vessels, acute lesions
      (edema, hemorrhages and necrosis) develop.
      Lesions are associated with maturation of second generation
      of meronts within the endothelial and subendothelials cells.
      Two sporulated sporocysts containing 4 sporozoites.
      Sporocysts measure 15-19 by 8-10 µm.
      Wet mount preparation.


      By the Editor: Pietro Caramello, MD.

      sarc5-ic

      Sarcocystis spp.: (pathology): the most common pathological alterations
      observed are myositis, petechial hemorrhages of heart and serosae,
      edema, necrosis and hemorrhages of lymph nodes.
      After the acute phase cysts of Sarcocystis may be found in
      various muscular tissues, generally without pathology.
      Most definitive hosts do not show any clinical sign or symptoms.
      In some issues mononuclear infiltration or hyperemia
      have been observed in the lamina propria of the small intestine.
      Two sporulated sporocysts containing 4 sporozoites.
      Sporocysts measure 15-19 by 8-10 µm.
      Wet mount preparation in relief.

      By M.Lisci MD and G.Cera MD. By M.Lisci MD and G.Cera MD. By M.Lisci MD and G.Cera MD.
      Sarc_09-50 Sarc_06-100 Sarc_07-250
      By M.Lisci MD and G.Cera MD. By M.Lisci MD and G.Cera MD.
      Sarc_08-250 Sarc_13-400


      Sarcocystis
      infection is common in domestic animals.
      Symptomatic disease in humans is rare; cysts are detected as incidental
      findings at autopsy or in a biopsy containing muscle, performed for other
      diagnostic purposes. There is no inflammatory reaction around the cysts.
      Basophilic intramuscural sarcocystis.

      Courtesy of M.Lisci MD and G.Cera MD:
      Pathology Unit, Ospedale di Mondovì ASL 16 Mondovì, Italy.