Filarial Worms Flashcards
FILARIASIS
Is the Common name of ___________
any disease caused by filarial worms:
List the Pathogenic FILARIA worms
List 5/6
Wuchereria bancrofti, Brugia malayi;
Loa loa
Onchocerca volvulus
Brugia timori
W. bancrofti var. pacifica
List the Non-pathogenic FILARIA worms
All 3
Mansonella perstans
Mansonella streptocerca
Mansonella ozzardi
Transmission of filaria worms
For non-pathogenic species: _______ sp. (__________)
Culicoides
biting midges
Transmission of filaria worms
bites of _______ vectors
dipteran
Microfilarial periodicity:
nocturnal or diurnal
W. bancrofti var. pacifica*)
nocturnal
Microfilarial periodicity:
nocturnal or diurnal
B. malayi; B. timori
nocturnal
Microfilarial periodicity:
nocturnal or diurnal
Loa loa
diurnal
Microfilariae (mf) can either be ______ or ______
sheathed & unsheathed
The only unsheathed pathogenic filarial worm is ???
Onchocerca volvulus
The common unsheathed non pathogenic filarial worm is ???
Mansonella ozzardi
LYMPHATIC FILARIASIS Aetiologic agent(s):
______________
W. bancrofti
B. malayi
B. timori
Epidemiology
W. bancrofti: found _________
B. malayi: found _____
B. timori: small focus in _______
Worldwide
in Asia
Indonesia
Vectors:
W. bancrofti:
trans: spp. of ______________________
B. malayi
(trans: spp. of _____________)
B. timori:(trans: _____________)
Anopheles1; Culex1; Aedes; Mansonia
Mansonia & Aedes
Anopheles barbirostris
Microfilarial periodicity is dependent on the _____________
vector feeding time
Lymphatic filariasis is the Leading cause of permanent disability worldwide
T/F
T
Pathology/Clinical symptoms of lymphatic filariasis
Broad range: vary considerably from one endemic region to another
________ in _____ or _____ lymph nodes; → ________ lymph nodes: mild fever, headache & malaise
inflammation
inguinal &/or axillary
deep abdominal
Pathology/Clinical symptoms of lymphatic filariasis
Acute attack:
can ____________
____________ around lymph nodes; → ____
recur many times/yr
thickening and hardening of the skin
whole limb
Pathology/Clinical symptoms of lymphatic filariasis
Death (adults):
•W. bancrofti: ______ and _____, inflammation of the _______ , inflammation of the _______
• B. malayi: _______ at intervals » shivers, fever, & other general symptoms
lymphadenitis & lymphangitis
epididymis; Testicles
lymphadenitis
Pathology/Clinical symptoms of lymphatic filariasis
Chronicity (10 – 15 yr):
•Swelling of the _______ (____) & urine becomes ______(_____) (W. bancrofti)
•_____(>15 million) »_______* (≈ 30% of cases)
Scrotum( hydrocele)
Milky white (chyluria)
lymphedema; elephantiasis
Pathology/Clinical symptoms of lymphatic filariasis
Tropical pulmonary eosinophilia syndrome (TPES) may occur which is characterized by :
______ infiltrations
Increased ____ often + increased Ig__ & antifilarial Abs
lung
eosinophilia;E
Pathology/Clinical symptoms of lymphatic filariasis
Brugia filariasis typified by:
•_______ of the ______ and _____
elephantiasis; lower leg & lower arm
In chronic cases of Brugia filariases, there is presence of microfilaraemia
T/F
F
No microfilaraemia
Diagnosis of lymphatic filariasis
Microscopy
A ________ test
Biopsy of _________
__________ methods
provocation
palpable lymph nodes
Membrane filter
Diagnosis lymphatic filariasis
Microscopy:
_________ samples for motile microfilaria
(Thin or Thick?) smears stained with _______
fresh blood
Thick; Giemsa
Diagnosis of lymphatic filariasis
A provocation test: by ______ of 100 mg ______:
Leading to increased _______ after ________
severe _______ in areas with mixed filariasis
oral administration ; DEC-C
microfilaraemia; 30 – 60 min
Mazzotti-reaction
Prevention & Control of lymphatic filariasis
_________
Avoid _______
______ approach
Vector control
vector bites
Integrated