FINALS: LUNG TREMATODE Flashcards
“Oriental lung fluke”
Paragonimus westermani
Causes 90% of paragonimiasis in Asia
Paragonimus westermani
identified in cats
P. siamensis
Definitive host:
humans
Intermediate host:
o 1st
▪ Antemelania asperata
▪ Antemelania dactylus (formerly known as Brotia asperata)
formerly known as Brotia asperata
Antemelania dactylus
2nd
▪ Mountain crab:
Sundathelphusa philippina (formerly known as Parathelphusa grapsoides)
formerly known as Parathelphusa grapsoides
Sundathelphusa philippina
Infective Stage:
metacercariae
Diagnostic Stage:
unembryonated egg
EGGS
Shape
Somewhat oval
chronic bronchiectasis and pleural fibrosis, secondary-severe parenchymal and pleural damage
Sequelae
cause both pulmonary and ectopic paragonimiasis
Heavy intensity infections
releases IgE, resulting to an allergic reaction
Peritoneal macrophage
releases protease, resulting to eosinophil-associated tissue inflammation
Metacercariae