[6] Trematodes Flashcards
trematodes class
Trematoda
trematodes phylum
Platyhelminthes
trematodes common name
Flukes
types of flukes (4)
intestinal
liver
kung
blood flukes
covered by cuticle (spiny or smooth)
- Trematode Body
presence of 2 oral suckers for attachment:
○ anterior oral sucker
○ ventral sucker (posterior acetabulum)
- Trematode Body
has excretory, neuromuscular, digestive, reproductive system
Trematode Body
lacks circulatory and respiratory system
Trematode Body
Reproductive organs and their associated structures occupy most
of the parasite’s body
Trematode Body
possess single ovaries and two testes
Trematode Body
uterus (houses eggs) is the largest organ of most trematodes
Trematode Body
Covered with a smooth, transparent, yellow-brown to
brown-colored hard shell.
Their miracidium, except that of ? , emerges through an
opening or cap, called operculum, located at one end of the egg.
schistosomes
Meanwhile, ? is released as the egg ruptures
in water.
schistosome miracidium
Many genera and species of intestinal, lung, and liver trematodes
are pathogenic for humans.
yes
Severity of the disease depends on the original infective dose of the
?
metacercariae.
Some cases may even be asymptomatic/symptomatic
asymptomatic
All or not all schistosomes are definitely pathogenic for humans.
all
The loading dose of ? present from infected water sources
predicts the severity of the infection.
cercaria
FASCIOLOPSIS BUSKI; Commonly known
Large Intestinal Fluke
FASCIOLOPSIS BUSKI; Mode of Transmission
ingestion of infected aquatic plants
FASCIOLOPSIS BUSKI; Diagnostic stage:
unembryonated eggs
FASCIOLOPSIS BUSKI;Intermediate host:
nail
FASCIOLOPSIS BUSKI; Definitive host:
man and pigs
FASCIOLOPSIS BUSKI; Habitat of adults in man:
maill inestine
FASCIOLOPSIS BUSKI; Infective stage:
metacercariae
MORPHOLOGY: FASCIOLOPSIS BUSKI;Yellowish brown
EGG
MORPHOLOGY: FASCIOLOPSIS BUSKI; has a clear, thin shell with a small operculum but
no opercular shoulders
EGG
MORPHOLOGY: FASCIOLOPSIS BUSKI; the less mature the egg, the more difficult it is to
see the operculum “breaks” in the shell outline
EGG
MORPHOLOGY: FASCIOLOPSIS BUSKI;Fleshy, dark red, and elongate-ovoid
ADULT
MORPHOLOGY: FASCIOLOPSIS BUSKI;have no cephalic cone structures
ADULT
adults inhabit the duodenum and jejunum; fasciolapsis
light infections
adults found in the stomach and most of the
intestinal tract; fasciolapsis
heavy infections
Attachment of worms to the mucosal wall (5)
● local inflammation
● hypersecretion of mucus
● hemorrhage
● ulceration
● possible abscess formation
- Heavy infections (8)
● bowel obstruction,
● edema and ascites
● impaired vitamin B12 absorption
● marked eosinophilia and leukocytosis
● profuse and yellow-green stool
● malabsorption
● symptoms may be confused with giardiasis or peptic ulcer or with
other causes of bowel obstruction
● depending on the worm burden - severe cachexia, prostration,
and even death
Fasciolopsiasis; Laboratory diagnosis
- Eggs are found in the stool; rarely, adult worms are found during
heavy infections - Eggs when passed do not contain mature larvae but
undifferentiated embryos - Formalin-ethyl acetate sedimentation concentration is
recommended for egg recovery - The less mature the egg, the more difficult it may be to see the
actual operculum - Egg has no opercular shoulders
Fasciolopsiasis; treatment
drug of choice – praziquantel
● alternative drug – niclosamide
Fasciolopsiasis; Prevention and Control:
● Cook all aquatic plants well before eating them (in boiling
water).
● 2. In endemic areas, prevent fecal contamination (from
● humans or pigs) of water where aquatic plants are
● grown. Do not feed raw aquatic plants to pigs.
FASCIOLA HEPATICA; common name
Liver fluke or sheep liver fluke
FASCIOLA HEPATICA;Mode of Transmission:
Ingestion of infected aquatic plants
FASCIOLA HEPATICA;Infective stage:
metacercariae
FASCIOLA HEPATICA;- Diagnostic stage:
Unembryonated eggs
FASCIOLA HEPATICA;Intermediate host:
Snail
FASCIOLA HEPATICA;Definitive host:
Man and sheep
FASCIOLA HEPATICA; Habitat of adults in man:
Small intestines
MORPHOLOGY: FASCIOLA HEPATICA; Identical to the eggs of F. buski in all respects.
egg
MORPHOLOGY: FASCIOLA HEPATICA;both consist of an oblong undeveloped
miracidium equipped with a distinct operculum
egg
MORPHOLOGY: FASCIOLA HEPATICA;comparable in size to F. buski
adult