Final Exam - Helminths Flashcards

1
Q

Nemattode general characteristics

A

bisexual, cylindrical, inhabit intestinal sites, occasionally pass through intestinal mucosa or skin into lung and liver.

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2
Q

Enterobius vermicularis
(CNs+SSS+Notes)

A

Common names: pinworms or enterobiasis.

Nematode type

SSS: perianal itching, esp. at night, sometimes abdominal pain and anorexia.

Notes: Female worms lay eggs at night in the perianal area of the rectum

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3
Q

Ascaris lumbricoides
(CNs+SSS+Notes)

A

Common Names: Roundworms or ascariasis

Nematode type

SSS:
Light loads - asymptomatic
Heavy Loads - abdominal discomfort, diarrhea, malnutrition.
Rare - abdominal obstruction

Notes: May migrate to liver or lungs. One billion infections per year worldwide in tropical areas. Up to 30 cm long.

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4
Q

Trichuris trichuria
(CNs+SSS+Notes)

A

Common Names: Trichuriasis, whipworms

Nematode type

SSS: diarrhea, abdominal pain, anemia, and weight loss. If untreated, may lead to stunted growth and clubbing of fingers in children.

Notes: 600-800mil infected worldwide in tropics. Up to 4 cm long

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5
Q

Necator americanus
(CNs+SSS+Notes)

A

Common name: Hookworms

Nematode type

SSS: Enter skin via feet to cause ground itch, esp. in area where human feces used as fertilizer.
Intestinal infection - anorexia, diarrhea, weight loss, anemia.
Lung infections - pneumonitis, cough, dyspnea

Notes: Closely related to Ancylostoma duodenale. 9-13 mm long.

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6
Q

Ancylostoma duodenale
(CNs+SSS+Notes)

A

Common name: Hookworms

Nematode type

SSS: Enter skin via feet to cause ground itch, esp. in area where human feces used as fertilizer.
Intestinal infection - anorexia, diarrhea, weight loss, anemia.
Lung infections - pneumonitis, cough, dyspnea

Notes: Closely related to Necator americanus. 9-13 mm long.

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7
Q

Trichinella spiralis (or murelli)
(CNs+SSS+Mech+Notes)

A

Common names: Trichonellosis or trichinosis

Nematode type

SSS: Diarrhea, abdominal pain, nausea, muscle pain, periorbital edema, rash, CNS involvement.

Mechanism: Cysts containing larvae are ingested and attach to small intestine, where they mature and migrate to skeletal muscle via blood or lymphatic system.

Notes: Typically obtained by eating uncooked meat like pork and wild game (boar and bears)

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8
Q

Cestodes General Info

A

Also known as tapeworms

Anatomy: flat, elongated shape consisting of segments called proglottids. from 2 mm to 10 meters long. Anatomically have scolex (head), a neck, and a chain of segments. Cysts form in striated muscle. May cause seizures or other CNS symptoms.

Notes: Infections occur by eating uncooked beef, pork, or fish. Adult worms in intestine, larvae may locate to extracellular sites to form cysts. Rare in the USA

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9
Q

Taenia solium and asiatica
(CNs+Notes)

A

Common name: pork tapeworm

Notes: 3 meters in length

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10
Q

Taenia saginata
(CNs+Notes)

A

Common name: beef tapeworm

Notes: 10 meters in length

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11
Q

Diphyllobothrium latum
(CNs+Notes)

A

Common Names: fish or broad tapeworm

Notes: largest human tapeworm, up to 10 meters. 3000 proglottids and lay up to 1 mill eggs per day

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12
Q

Echinococcus granulosis
(CNs+SSS+Notes)

A

Common Name: Dog tapeworm

SSS: Hydatid cyst disease in liver, lung, heart, and brain.

Notes: contracted from sheep, dog, and wolf feces

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13
Q

Trematodes (flukes) general information

A

Contracted from free-swimming larvae given off from infected snails.

Penetrate through skin or by ingestion.

Adult flukes are leaf shaped flatworms

Rare in US, but common worldwide

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14
Q

Schistosoma diseases

A

(Flukes)

Schistosomal dermatitis

Acute schistosomiasis

Chronic schistosomiasis

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15
Q

Schistosomal dermatitis

A

(Flukes)

Itchy rash near penetration site of skin “swimmers itch”

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16
Q

Acute schistosomiasis
(SSS+Mech+Species)

A

(Flukes)

SSS: Fever 4-8 weeks after infection (Katayama fever) with hives, headache,weight loss, and cough.

SSS+Mech: Some eggs enter bloodstream and are deposited in liver and spleen leading to hepatosplenomegaly, lymphadenopathy, eosinophilia, and granuloma formation.

May be fatal in severe cases.

Species include: japonicum, mansoni, and haematobium

17
Q

Chronic schistosomiasis
(SSS)

A

(Flukes)

SSS: Abdominal pain, fatigue, diarrhea, hepatomegaly, splenomegaly, fibrosis of ureters and bile ducts, and bleeding esopageal varices (may be fatal). Fibrosis and chronic inflammation can lead to cancers in the bile duct and bladder.

18
Q

Paragonimus westermani

A

Lung flukes

19
Q

Fasciola hepatica

A

liver flukes