2. Nematodes Flashcards
Most common intestinal helminth infection worldwide
A. lumbricoides
Diagnostic stage (DS) of A. lumbricoides
Ova in stool
Infective stage (IS) of A. lumbricoides
Ova
Pinworm
Enterobius vermicularis
Specimen of choice for E. vermicularis
Scotch tape preparation
IS of E. vermicularis
Ova
DS of E. vermicularis
Ova
Larva
E. vermicularis ova is infective within
4-6 hours
Mechanism of retroinfection by E. vermicularis
Ova hatch in anus but migrate back into colon to reproduce
Mechanism of autoinfection by E. vermicularis
Infective ova are ingested, hand to mouth
E. vermicularis ova may cary _______________
Dientamoeba fragilis
New world hookworm
Necator americanus
DS of N. americanus
Ova
IS of N. americanus
Third-stage filariform larvae
Roundworm
Ascaris lumbricoides
Hookworm morphologic form with pointed tail
Third-stage filariform larva
Differentiate N. americanus and A. duodenale based on buccal cavity
N. americanus: cutting plates
A. duodenale: teeth
An intense dermal irritation due to repeated infections of hookworm
Ground itch
Old World hookworm
Ancylostoma duodenale
Threadworm
Strongyloides stercoralis
DS of S. stercoralis
Rhabditiform larva in stool
IS of S. stercoralis
Third-stage filariform larva
IS of A. duodenale
Third-stage filariform larva
Nematode with notched tail
S. stercoralis (filariform larva)
Nematode capable of indirect life cycle where it is free living
S. stercoralis
Nematode capable of autoinfection
S. stercoralis
Describe how autoinfection with S. stercoralis occurs
Filariform larva develop in host’s intestine, invades bloodstream
Whipworm
Trichuris trichiura
IS of T. trichiura
Ova
Describe the T. trichiura eggs
Barrel-shaped
Bipolar hyaline plugs
DS of T. trichiura
Ova
Trichina worm
Trichinella spiralis
Lab diagnosis of T. trichiura
Histologic preparation of encysted tissue
Guinea worm
Dracunculus medinensis
MOT of D. medinensis
Ingestion of infected copepods
Lab diagnosis of D. medinensis
Examination of emerging larva from skin ulcer
Nonintestinal nematodes
Trichinella spiralis
Dracunculus medinensis