• Hospes perantara : manusia, mamalia • Penyakit : toxoplasmosis • Morfologi : stadium tropozoit, • stadium kista dan stadium ookista • Infeksi pada manusia terjadi karena tertelan ookista (terdapat dalam tinja kucing) atau memakan daging yang mengandung kista atau pseudokista. Bentuk Morfologi T. gondii • Ookista berbentuk lonjong, berisi dua sporokista yang masing2 berisi empat sporozoit. • Tropozoit ( takizoit ) bentuk bulan sabit. Salah satu ujungnya lebih bulat dari pada ujung lainnya. Sitoplasmanya berwarna biru pucat, inti warna merah. • Manusia dapat terkena infeksi karena menelan ookista atau memakan daging mentah atau setengah matang yang mengandung bentuk kista. Stadium tropozoit Toxoplasma gondii Stadium tropozoit Toxoplasma gondii Stadium Tropozoit Toxoplasma gondii Cyst of Toxoplasma gondii in tissue Siklus hidup Toxoplasma gondii Gejala klinis Toxoplasmosis • 1. Toxoplasmosis akuisita didapat dari lingkungan • 2. Toxoplasmosis kongenital di dpt pada saat hamil • Infeksi kongenital akan menjadi sangat berat apabila si ibu mendapatkan infeksi pada trimester pertama atau kedua dari kehamilannya.Gejala pada bayi yang lahir dapat berupa retinokoroiditis, perkapuran otak, dan kadang2 hidrosefalus atau mikrosefalus. • Pencegahan/ Pengobatan • - Penderita ---- diobati • - menghilangkan kebiasaan makan daging mentah atau dimasak kurang matang. • Menghindari kontaminasi pada makanan oleh ookista • Usually if a woman has been infected before becoming pregnant, the unborn baby is safe because the mother has developed immunity. • If a woman is pregnant and becomes infected with toxoplasmosis during or right before pregnancy, she can transmit the disease to her unborn child (congenital transmission). The earlier the transmission occurs the bigger the effects. Then again, the longer the pregnancy goes on, the more likely is the infection going to occur. This has something got to do with the penetrability of the placenta. Symptoms might include:miscarriage or stillborn baby • baby born with signs of toxoplasmosis (for example, abnormal enlargement or smallness of the head) • baby with brain or eye damage. • Usually the babies have no symptoms initially, but can develop mental disability, vision loss (ocular toxoplasmosis) and seizures later in life. • Diagnosis laboratorium • Pemeriksaan serologis yang biasanya digunakan untuk diagnosis toksoplasmosis : Tes warna Sabin- Feldman, ELISA, Fiksasi komplemen. Test Serology • The TSP (T. gondii serologic profile) consists of (1) the Sabin-Feldman dye test to measure immunoglobulin (Ig)G antibodies, (2) enzyme-linked immunosorbent assays (ELISAs) to measure IgM, IgA, and IgE antibodies, (3) immunosorbent agglutination assay to measure levels of IgE antibodies, and (4) differential agglutination test to measure levels of IgG antibodies. (4) differential agglutination test to measure levels of IgG antibodies. Prevention • Additional preventive measures for pregnant women and immunocompromised hosts should include avoiding consumption and handling of raw or undercooked meat and avoiding exposure to cat feces. • Routine serologic screening of patients before organ transplantation and early in the course of HIV infection is now being performed. • Individuals with positive serologic tests are at much higher risk for the development of disease and are now being considered for prophylaxis