CAPILLARIA, ENTEROBIUS, STRONGYLOIDES, HOOKWORM Flashcards
Capillaria Philippinensis
Infective stage:
Diagnostic stage:
Mode of transmission:
Autoinfection:
Larva lung migration:
Infective stage: encysted larva
Diagnostic stage: unembryonated ova
Mode of transmission: Eating raw freshwater
Autoinfection: YES-larviparous females
Larva lung migration: No
In what year and place pudoc worm happen?
1967 - epidemic in pudoc, Ilocos sur
Another term Capillaria Philippinensis
pudoc worm
Example of Capillaria Philippinensis
BBB
Bagsit, Birut, Bagsang
These embryonated eggs are peanut shape and measure 36-45
Capillaria Philppinensis
Capillariasis (6)
Abdominal pain
Gurgling
Diarrhea
Weight loss
Malaise
Edema
AGDWME
The main capillariasis
Gurgling
Protein losing enterophy
Malabsorption of fats and sugar
Electrocyte imbalance
PME
capillaria P.
Albendazole
Mebendazole
Fluid and Electrocyte replacement
General Characteristics
- Soil transmitted (2)
- Food-borne (1)
- Larva lung migration (1)
- Autoinfection (1)
SFLA
Soild transmitted
1. Ascaris Lumbricoides
2. Trichuris Trichuria
Food-borne
1. Capillaria Philippinensis
Larva lung migration
1. Ascaris Lumbricoides
Autoinfection
1. Capillaria Philippinensis
Enterobius vermicularis
Infective stage:
Diagnostic stage:
Mode of transmission:
Autoinfection:
Larva lung migration:
Enterobius vermicularis
Infective stage: embryonated ova
Diagnostic stage: female adult or embryonated ova
Mode of transmission: per-oral, ingestion of embryonated ovum, inhalation and RETROINFECTION
Autoinfection: Yes
Larval lung migration: No
Enterobius vermicularis
Adult worms have cuticular alar expansion (cephalic alae) at the anterior end and a esophageal bulb prominent posterior
Cervical alae Double bulb esophagus
Enterobius vermicularis
Enterobius vermicularis
Male (______mm long)
Female (______mm long)
2-5 mm
8-13 mm
curve tail with spicule
with long pointed tail
male
female
Asymmetrical with one side flattened and the other convex (D-shaped)
Enterobius vermicularis ovum
_________um by _______um in size
50-60 and 20-30 um
Embryonates within ____________
4-6 hrs
Pathogenesis and Clinical Manifestations
- Enterobiasis or Oxyuriasis
Relatively innocuous parasite and rarely produce serious problems
- Mild inflammation of the intestinal mucosa and secondary bacterial infection may occur due to attachment of worms to the walls
Migration of the egg-laying females to the anus causes irritation of perineal region - itching and scratching - secondary bacterial infection
Enterobius Vermicularis Ovum
Children infected may suffer from insomnia
Enterobius Vermicularis Ovum
Complications
Appendicitis
Vaginitis
Endometritis
Salpingitis
AVES
Enterobius Vermicularis Ovum
Diagnosis microscopic examination
___________ - only 5% will turn to be positive
____________ - Graham’s scotch adhesive tape (perianal cellulose tape swab)
Feces
Perianal region
enterobius vermicularis
Treatment
____________ drug of choice
_____________ and _________ alternative drugs
____________may be necessary due to high reinfection rates
___________ may be considered only after seven negative perianal swabs
____________ of the whole family is highly suggested
pyrantel pamoate
albendazole and mebendazole
second dose
curate
chemotheraphy
Prevention
(5)
Personal hygiene
Fingernails should be cut short
Handwashing
Infected person should be alone
Underwears, blankets, and night clothes
Common name of strongyloides stercoralis
Threadworm
Disease of strongyloides stercoralis
strongyloidiasis
Cochin-china diarrhea