Examination of duodenal contents revealed some pyriform protozoa with twin nuclei and four pairs of flagella. There were two supporting filaments between the nuclei and a suctorial disc on the ventral side. What representative of protozoa was revealed in this patient?
Correct Answer: A
Rationale: Rationale for Correct Answer A (Lamblia):
1. Pyriform protozoa with twin nuclei, four pairs of flagella, and a suctorial disc match the characteristics of Giardia lamblia.
2. The presence of two supporting filaments between the nuclei is a unique feature of Giardia lamblia.
3. Giardia lamblia is known to infect the duodenum and cause symptoms such as diarrhea and abdominal pain.
Summary of Incorrect Choices:
B: Toxoplasma - Toxoplasma gondii is not characterized by four pairs of flagella or supporting filaments in the nuclei.
C: Leishmania - Leishmania species do not typically have the described morphology or location in the duodenum.
D: Intestinal trichomonad - Intestinal trichomonads do not exhibit the specific features mentioned in the question, such as twin nuclei and supporting filaments.