Toxoplasma Gondii
The T. gondii life cycle has
three stages: tachyzoite, bradyzoite, and sporozoite. During the acute stage of
T. gondii infection, tachyzoites invade and replicate within cells and are
responsible for congenital infection. The tachyzoites invade all organs,
especially the muscles (including the heart), liver, spleen, lymph nodes, and
central nervous system (CNS). During latent infection, bradyzoites are present
in tissue cysts. Sporozoites are found in environmentally resistant oocysts
formed after the sexual stage of the life cycle.
Cats are the definitive hosts for
the sexual stage of T. gondii, which takes place in their intestinal
mucosa. During acute infection, cats excrete non-infectious oocysts in their
feces. Depending on environmental conditions, the oocysts sporulate and become
infectious after one day to several weeks. Under favorable conditions (i.e., in
warm, moist soil), oocysts remain infectious for a year or more.
T. gondii is transmitted to
humans by three principal routes.
First, humans can acquire T. gondii by
eating raw or inadequately cooked infected meat, especially pork, mutton, and
wild game, or uncooked foods that have come in contact with infected meat.
Second, humans can inadvertently
ingest oocysts that cats have passed in their feces, either from a litter box
or from soil.
Third, women can transmit the
infection transplacentally to their unborn fetus. In adults, the incubation
period for T. gondii infection ranges from 10 to 23 days after the ingestion of
undercooked meat and from five to 20 days after the ingestion of oocysts from
cat feces.
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