Extraintestinal Nematodes Flashcards
Common name of Wuchereria bancrofti
Bancroft’s filarial worm
Common name of Brugia malayi
Malayan filarial worm
Intermediate host of Wuchereria bancrofti
- Anopheles
- Aedes
- Culex
Habitat of Wuchereria bancrofti
Lower lymphatics
Diagnostic stage of Wuchereria bancrofti
Microfilariae in blood
Wuchereria bancrofti infective stage
L3 filiform
MOT of Wuchereria bancrofti
Skin penetration
Intermediate host of Brugia malayi
- Mansonia
- Anopheles
Habitat of Brugia malayi
Upper lymphatics
Diagnostic stage of Brugia malayi
Microfilariae in blood
Brugia malayi infective stage
L3 filiform
MOT of Brugia malayi
Skin penetration
Periodicity of Wuchereria bancrofti
Nocturnal - 10pm to 2am
Periodicity of Brugia malayi
Subperiodic
- 12nn to 8pm
- Markell & Voge also states n nocturnal siya (10pm to 2am)
Sheath affinity to Giemsa ng Brugia malayi
pink-colored
Body nuclei of Wuchereria bancrofti
Regularly-spaced
Terminal nuclei of Wuchereria bancrofti
none
Appearance of Wuchereria bancrofti
Graceful curve
Drug of choice for Wuchereria bancrofti
DIethylcarbamazine
Sheath affinity to Giemsa ng Wuchereria bancrofti
Unstained
Body nuclei of Brugia malayi
Overlapping/Irregularly-spaced
Terminal nuclei of Brugia malayi
2
Appearance of Brugia malayi
Kinky, angular
Drug of choice for Brugia malayi
DIethylcarbamazine
Diagnostic test for Wuchereria bancrofti
- Blood smear using Giemsa (or Hematoxylin which is collected during night)
- Knott’s conc if low # of microfilariae in blood then conc w/ 2% formalin (1ml) then get sediment then stain w/ Giemsa
- Rapid Diagnostics
Diagnostic test for Brugia malayi
- Blood smear using Giemsa (or Hematoxylin which is collected during night)
- Knott’s conc if low # of microfilariae in blood then conc w/ 2% formalin (1ml) then get sediment then stain w/ Giemsa
- Rapid Diagnostics
Common name of Trichinella spiralis
- Trichina worm
- Muscle worm
Habitat of Trichinella spiralis
- Small intestine when adult
- Striated muscle when larva
Final host of Trichinella spiralis
swine
we are dead-end hosts (accidental hosts)
Diagnostic and Infective stage of Trichinella spiralis
Encysted larva (in muscle tissue)
MOT of Trichinella spiralis
ingestion of infected raw or undercooked pork
Diagnostic tests for Trichinella spiralis
- Muscle tissue biopsy (gastrocnemius usually)
- Ultrasound
- Bachmann intradermal test
- Beck’s xenodiagnoses
- Bentonite flocculation test
drug of choice for Trichinella spiralis
- Albendazole
- Mebendazole
- Prednisone (Corticosteroids)
removal of whole muscle :oo
What Brugia that has a cephalic space of 3:1 and body nuclei that extends up to the tip of the tail?
Brugia timori
Periodicity of Brugia timori
Nocturnal
10pm to 2am or 4am
Common name of Loa loa
African eye worm
or eye worm
Intermediate host of Loa loa
Chrysops
Mango fly
Habitat of Loa loa
Subcutaneous tissue
and deeper connective tissues
Periodicity of Loa loa
Diurnal
during the day
What do you call the localized subcutaneous edema as an indicative of Loaiasis?
allergic rxn indicative of Loa loa
Calabar swellings
also called fugitive swelling
In what filariae can u observe edema of conjunctivitis and eyelids?
+++ progressive keratitis
Loa loa
Treatment proposals for Loa loa
- Diethylcarbamazine
- Ivermectin
- Surgical removal of migrating adult worms
What is the only filaria parasitizing humans that is confined to the New World?
Mansonella ozzardi
Intermediate host of Mansonella ozzardi?
Culicoides gnats
Biting midges
Habitat of Mansonella ozzardi
Mesenteries & Visceral fat
Among the filarial worms, which are the only ones that are sheathed?
- Wuchereria
- Loa loa
- Brugia
True or False
Lahat ng filarial worms L3 ang infective kainis nmn
YES TRU N 2RU
Common name of Onchocerca volvulus
Blinding filarial worm
Craw craw
Habitat of Onchocerca volvulus
Subcutaneous tissue
Vector of Onchocerca volvulus
Simulium spp
or blackfly
Specimen required for Onchocerca volvulus
Skin Snips
Microfilaria characteristics of Onchocerca volvulus
nuclei & if sheathed or naur
- Unsheathed
- Nuclei does not extend to tail
Periodicity of Onchocerca volvulus
Non-periodic
Periodicity of Mansonella ozzardi
Non-periodic
Common name of Mansonella perstans
Persistent Filarial Worm
Habitat of Mansonella perstans
Deep Connectie Tissue
Periodicity of Mansonella perstans
Non-periodic
Vector that transmits Mansonella perstans
Culicoides gnat
Treatment for Mansonella perstans
Albendazole
for 10 days
Diethylcarbamazine & Ivermectin seem ineffective
Common name of Dracunculus medinensis
Guinea worm, Fiery serpent of the Israelites, Medina worm, Dragon worm
Infective stage of Dracunculus medinensis
larval stage in the infected copepod
Diagnostic stage of Dracunculus medinensis
larva obtained from ulcer
once ulcer is formed, larva may be obtained by flooding the area w/ water
MOT of Dracunculus medinensis
ingestion of infected copepods
Treatment for Dracunculus medinensis infections?
- Metronidazole
- Thiabendazole
- Mebendazole
- Metro & Thia = facilitates removal of worms
- Meben = kills the worms
What are the filarial worms responsible for Visceral Larva Migrans
- Toxocara canis
- Toxocara cati
Infective stage of Toxocara spp?
egg
ova
MOT of Toxocara spp.?
ingestion of infective egg
or ova
Diagnostic tests for Dracunculus medinensis
- Laparoscopy and biopsy of liver nodules
- Serologic tests (use of cultured 2nd-stage larva antigen)
Common name of Angiostrongylus cantonensis
Rat Lungworm
Definitive hosts of Angiostrongylus cantonensis
Rats
Rattus norvegicus &Rattus rattus
Intermediate hosts of Angiostrongylus cantonensis
Mollusks/Snails
Paratenic hosts of Angiostrongylus cantonensis
Prawn, Crab, Vegetation
Humans are what type of hosts in Angiostrongylus cantonensis infections?
Accidental hosts
Habitat of Angiostrongylus cantonensis
Lungs of definitive host
Infective stage of Angiostrongylus cantonensis to definitive hosts?
L3 larva
Infective stage of Angiostrongylus cantonensis to snails
L1 larva
MOT of Angiostrongylus cantonensis
ingestion of raw or undercooked snails, veggies, paratenic hosts, and water
paratenic hosts = prawn and crabs
Diagnostic tests for Angiostrongylus cantonensis
- CSF analysis
- CT-scan
- ELISA
- PCR
Treatment options for Angiostrongylus cantonensis infections?
- Thiabendazole
- Mebendazole