flukes Flashcards
S. japonicum
Common Name
Oriental Blood Fluke
S. japonicum
Reservoir host
Humans and other mammals (dogs,pigs, cats, carabaos, rodents, monkeys)
S. japonicum
Habitat
Superior mesenteric vein of the small intestine
S. japonicum
IH
Oncomelania hupensis quadrasi
S. japonicum
Adult Stages size
Largest
S. japonicum
Location of Ovary
Middle (pyramidal)
S. japonicum
Egg Production
Greatest (3000 eggs per worm pair per day)
S. japonicum
Integumentary Tuberculations
None
S. japonicum
Eggs
Oval with recurved hook or lateral knob
Smallest
S. japonicum
Testes
6-8
Arranged in a single file
Life span
up to 30 years
Schistosomes
Final host
Human
Schistosomes
Infective stage
Forked tail cercaria
Schistosomes
MOT
Skin penetration
S. japonicum
Disease
- Oriental Schistosomiasis
- Snail Fever
- Schistomiasis japonica
S. japonicum
Location
Asia
- China
- Indonesia
- Japan
- Phillipines
S. mansoni
Common Name
Manson’s Blood Fluke
S. mansoni
Reservoir host
Humans, non-human primates
S. mansoni
Habitat
Inferior mesenteric vein of the colon
S. mansoni
IH
Biomphalaria
S. mansoni
Adult Stages size
Smallest
S. mansoni
Location of Ovary
Anterior 1/2
S. mansoni
Egg Production
190-200 eggs/day
S. mansoni
Integumentary Tuberculations
Prominent
rough
S. mansoni
Eggs
Eliptical with lateral spine
S. mansoni
Testes
8-9
arranged in a zigzag row
S. mansoni
Disease
Intestinal Bilharziasis
S. mansoni
Location
Africa and in some parts of South
- America
- Africa
- Madagascar
- West indies
- Suriname
- Brazil
- Venezuela
S. mansoni
Treatment
Praziquantel
S. haematobium
Common Name
Vesical Blood Fluke
S. haematobium
Reservoir host
Humans
S. haematobium
Habitat
Vesical, prostatic, uterine plexuses of the venous circulation
S. haematobium
IH
Bulinus
S. haematobium
Adult Stages
medium
S. japonicum
Treatment
Praziquantel
S. haematobium
Location of Ovary
Posterior 1/2
S. haematobium
Egg Production
30 eggs/day
S. haematobium
Integumentary Tuberculations
Fine
S. haematobium
Eggs
Eliptical with terminal spine
S. haematobium
Testes
4-5
arranged in groups.
S. haematobium
Disease
- Urinary Bilharziasis
- Egyptian Hematuria
S. haematobium
Location
Middle East
- Africa
- Middle east
- India
- Portugal
S. haematobium
Treatment
Praziquantel
Metrifonate
Paragonimus westermani
Common Name
Oriental Lung Fluke
Paragonimus westermani
Final Host
Humans
Paragonimus westermani
Reservoir Host
Dogs, cats, field rats
(Paratenic host - Boars and Pigs)
Paragonimus westermani
Habitat
Lungs
Paragonimus westermani
Life span
20 years
Paragonimus westermani
1st Intermediate Host
2
- Antemelania/Brotia asperata
- Antemelania dactylus
Paragonimus westermani
2nd Intermediate Host
2
- Sundathelphusa philippina/Parathelphusa grapsoides (freshwater crab)
- cray fish. (in other countries)
Paragonimus westermani
MOT
Ingestion of undercooked crabs
Paragonimus westermani
Body color
Reddish brown
Paragonimus westermani
Body Shape
coffee bean shaped
Paragonimus westermani
Tegument
tegument is covered by spines
(Found in pairs or threes,enclosed in fibrotic capsules of the lungs)
Paragonimus westermani
Intestinal Ceca
Wavy
Paragonimus westermani
Testes
lobed
opposite
Paragonimus westermani
Ovary
Lobed (6 long unbranched lobes)
Paragonimus westermani
Embryonation
2-3 weeks up to 7 weeks
(moist soil or water)
Paragonimus westermani
Egg color
golden brown
Paragonimus westermani
Egg distinct features
3
- abopercular thickening; opposite to operculum
- opercular shoulder; on the edge of the operculum
- Wide flat operculum thickening
Paragonimus westermani
Epidemiology
Japan, South Korea, Thailand, Taiwan, China and the Philippines
Paragonimus westermani
Drug of choice
Praziquantel
Bithionol (Alternative)
Fasciolopsis buski
Common Name
Giant Intestinal Fluke
Fasciolopsis buski
Final Host
Humans
Fasciolopsis buski
Reservoir Host
Dogs, pigs, and Rabbit
Fasciolopsis buski
Habitat
Duodenum and Jejunum (Small Intestine)
Fasciolopsis buski
Size
Largest Intestinal Fluke of Man
Fasciolopsis buski
Life span
1year
Fasciolopsis buski
1st Intermediate Host
2
- Genus Segmentina
- Genus Hippeutis
Fasciolopsis buski
2nd Intermediate Host
5
- Trapa bicornis (water caltrop)
- Eliocharis tuberosa (water chestnut)
- Ipomea aquatica (water morning glory)
- Ipomea obscura (kangkong)
- Nymphaea lotus (lotus)
Fasciolopsis buski
MOT
Ingestion of undercooked/raw water plants
Fasciolopsis buski
Body color
Flesh-colored
Fasciolopsis buski
Body Shape
Elongated and oval in shape
Fasciolopsis buski
Tegument
No spines
Fasciolopsis buski
Sucker
Ventral sucker is larger than the oral sucker
Fasciolopsis buski
Intestinal Ceca
simple
Fasciolopsis buski
Testes
- Dendritic
- in tandem
Fasciolopsis buski
Ovary
Branched
Fasciolopsis buski
Embryonation
3 to 7 weeks.
(freshwater)
Fasciolopsis buski
Egg color
Light brown
Fasciolopsis buski
Egg distinct features
3
- Large
- Indistinguishable from Fasciola; hence, if reported, it’s reported as Fascoplopsis/Fasciola
- Hen’s egg appearance
Fasciolopsis buski
Epidemiology
South East Asia, China, Korea, India and Bangladesh
Fasciolopsis buski
Drug of choice
Praziquantel
Echinostoma ilocanum
Common Name
Garrison’s Fluke
Echinostoma ilocanum
Final Host
Humans
Echinostoma ilocanum
Reservoir Host
Dogs, Pigs, Cats, Rats (important)
Echinostoma ilocanum
Habitat
Small Intestine
Echinostoma ilocanum
Size
Smaller than F. buski
Echinostoma ilocanum
Life span
1 year
Echinostoma ilocanum
1st Intermediate Host
2
- Gyrraulus convexiusculus
- Hippeutis umbilicalis
Echinostoma ilocanum
2nd Intermediate Host
2
- Pila luzonica (kuhol)
- Vivipara angularis (susong pampang)
Echinostoma ilocanum
MOT
Ingestion of Snail
Echinostoma ilocanum
Body color
Reddish gray
Echinostoma ilocanum
Body Shape
tapers at the posterior end
Echinostoma ilocanum
Tegument
Plaque-like scales, scaley tegument
Echinostoma ilocanum
Sucker
2
- Characteristic circumoral disk
(49-51 collar spines) - Ventral sucker is larger than the oral sucker
Echinostoma ilocanum
Intestinal Ceca
simple
Echinostoma ilocanum
Testes
- deeply bilobed
- in tandem
Echinostoma ilocanum
Ovary
Lobed
Echinostoma ilocanum
Embryonation
6-15 days
(freshwater)
Echinostoma ilocanum
Egg color
Straw colored
Echinostoma ilocanum
Egg distinct features
3
- Smaller than F. buski
- Less prominent operculum; dot like in appearance
- ovoid
Echinostoma ilocanum
Epidemiology
Northern luzon, leyte, samar, provinces in the philippines
Echinostoma ilocanum
Drug of choice
Praziquantel
Heterophyes heterophyes
Common Name
Von Siebold’s Fluke
Heterophyes heterophyes
Final Host
Man, birds, various fish eating mammals
Heterophyes heterophyes
Reservoir Host
Dogs, Cats and Birds
Heterophyes heterophyes
Habitat
Small Intestine
Heterophyes heterophyes
Size
Smallest fluke of man
Heterophyes heterophyes
Life span
<1 year
Heterophyes heterophyes
1st Intermediate Host
3
Freshwater, brackish water or marine species
- Pironella: H. heterophyes
- Melania juncea: H. taichui
- Semisulcospira: M. yokogawai
Heterophyes heterophyes
2nd Intermediate Host
2
- Fresh, brackish and salt water fish; (tilapia)
- Mugil cephalus - mullet (for H. heterophyes)
Heterophyes heterophyes
MOT
Ingestion fo fish
Heterophyes heterophyes
Body Shape
Elongated, oval or pyriform, pear
Heterophyes heterophyes
Tegument
Fine Scale Like Spines
Heterophyes heterophyes
Sucker
third sucker (GONOTYL)
Heterophyes heterophyes
Testes
- Lobed
- varied
Heterophyes heterophyes
Ovary
Lobed
Heterophyes heterophyes
Embryonation
Embryonated (unique characteristic) once released
Heterophyes heterophyes
Egg color
Light brown
Heterophyes heterophyes
Egg distinct features
3
- Very small eggs
- H. heterophes and M. yokogawai have similar appearance
- ovoid
Heterophyes heterophyes
Epidemiology
Egypt, Greece, Israel, Western India, Central and South China, Japan, Korea, Taiwan and Philippines
Heterophyes heterophyes
Drug of choice
Praziquantel
Eurytrema pancreaticum
Common Name
Pancreatic Fluke
Eurytrema pancreaticum
Final Host
Hogs, sheep, goat, cattle
Accidental - humans
Eurytrema pancreaticum
Habitat
Biliary Ducts and Pancreatic Ducts
Eurytrema pancreaticum
1st Intermediate Host
Macrochlamys indica
Eurytrema pancreaticum
2nd Intermediate Host
2
- Technomyrmex deterquens (ant)
- Grasshoppers; crickets
Eurytrema pancreaticum
MOT
Ingestion of ants
Eurytrema pancreaticum
Body Shape
Leaf shaped
Eurytrema pancreaticum
Tegument
ruffled border or body margin
Eurytrema pancreaticum
Sucker
Ventral sucker is larger than the oral sucker
Eurytrema pancreaticum
Testes
- 2 notched testis
- in-tandem,
Eurytrema pancreaticum
Ovary
1 notched ovary
Eurytrema pancreaticum
Embryonation
Embryonated once released
Eurytrema pancreaticum
Egg color
Brown
Eurytrema pancreaticum
Egg distinct features
Same with Dicrocoelium dendriticum, it has a thickened shell
Eurytrema pancreaticum
Drug of choice
Praziquantel
Fasciola hepatica
Common Name
2
- Sheep Liver Fluke
- Temperate Liver Fluke
Fasciola hepatica
Final Host
Sheep, cattle, and other herbivores
Humans (occasional)
Fasciola hepatica
Habitat
Biliary passages of the liver
Fasciola hepatica
1st Intermediate Host
2
- Lymnaea philippinensis
- Lymnaea auricularia rubiginosa
Fasciola hepatica
2nd Intermediate Host
2
- Ipomea obscura (kangkong)
- Nasturtium officinale (watercress)
Fasciola hepatica
MOT
Ingestion of undercooked or raw aquatic plants
Fasciola hepatica
Body
- Large, broad, and flat body (larger than gigantica)
- Longer cephalic cone
- Prominent shoulders
Fasciola hepatica
Intestinal Ceca
highly branched
Fasciola hepatica
Testes
highly branched
In-tandem
Fasciola hepatica
Ovary
Branched
Fasciola hepatica
Embryonation
9-15 days
Fasciola hepatica
Egg distinct features
2
- Large, ovoidal
- matter of reporting would be Fasciola egg
Fasciola hepatica
IH in other countries
3
- Lymnaea truncatula (Europe and North Asia)
- L. bulmoides (North America)
- L. tomentosa (Australia);
- Planorbida
Fasciola hepatica
Egg color
Brownish
Fasciola hepatica
Drug of choice
Triclabendazole
Bithionol
Fasciola gigantica
Common Name
2
- Tropical Liver Fluke
- Giant liver fluke
Fasciola gigantica
Final Host
Sheep, cattle, and other herbivores
Humans (occasional)
Fasciola gigantica
Habitat
Biliary passages of the liver
Fasciola gigantica
1st Intermediate Host
2
- Lymnaea philippinensis
- Lymnaea auricularia rubiginosa
Fasciola gigantica
2nd Intermediate Host
2
- Ipomea obscura (kangkong)
- Nasturtium officinale (watercress)
Fasciola gigantica
MOT
Ingestion of undercooked or raw aquatic plants
Fasciola gigantica
Body
3
- Longer but narrower
- Shorter cephalic cone
- Less developed shoulders
Fasciola gigantica
Intestinal Ceca
highly branched
Fasciola gigantica
Testes
highly branched
In-tandem
Fasciola gigantica
Ovary
Branched
(longer and more numerous)
Fasciola gigantica
Embryonation
9-15 days
Fasciola gigantica
Egg color
Brownish
Fasciola gigantica
Egg distinct features
2
- Bigger
- matter of reporting would be Fasciola egg
Fasciola gigantica
1st IH in other countries
3
- L. auricularia (Asia)
- L. acuminata (Indian Subcontinent)
- L. natalensis (Africa)
Fasciola gigantica
Drug of choice
Triclabendazole
Bithionol
Clonorchis sinensis
Common Name
Chinese/Oriental Liver Fluke
(most important)
Clonorchis sinensis
Final Host
Humans
Clonorchis sinensis
Reservoir Host
Cats, Dogs, Pigs, and other mammals
Clonorchis sinensis
Habitat
Bile ducts and bile passages, pancreatic duct, can also be found in the gallbladder
Clonorchis sinensis
1st Intermediate Host
6
- Parafossarulus (P. manchouricus, P. anomalospiralis, and P. stratulus)
- Bulinus (B. striatulus)
- Semisulcospira
- Alocinma (A. longicornis)
- Thiara (T. granifera)
- Melanoides (M. tuberculatus)
Clonorchis sinensis
2nd Intermediate Host
2
- freshwater fish (Cyprinidae)
- freshwater shrimp
Clonorchis sinensis
MOT
Ingestion of raw or undercooked fish
Clonorchis sinensis
Body
3
- Flat, transparent,
- attenuated anteriorly, and rounded posteriorly
- oral sucker is very large
Clonorchis sinensis
Intestinal Ceca
simple
Clonorchis sinensis
Testes
deeply branched
In-tandem
Clonorchis sinensis
Ovary
Lobed
Clonorchis sinensis
Embryonation
Embryonated when released
Clonorchis sinensis
Egg color
Yellowish brown
Clonorchis sinensis
Egg distinct features
4
- Distinct convex operculum
- Presence of abopercular protruberance (comma-shaped hooklike structure)
- Old fashioned bulb or pitcher
- Indistinguishable from other species
Clonorchis sinensis
Epidemiology
Endemic in china, Korea, Japan, and Vietnam
Clonorchis sinensis
Drug of choice
Praziquantel
Opisthorchis felineus
Common Name
Cat Liver Fluke
Opisthorchis felineus
Final Host
Humans
Opisthorchis felineus
Reservoir Host
Cats, Dogs, Pigs, and other mammals
Opisthorchis felineus
Habitat
Bile ducts and bile passages, pancreatic duct, can also be found in the gallbladder
Opisthorchis felineus
1st Intermediate Host
Bithynia
Opisthorchis felineus
2nd Intermediate Host
Cyprinidae and Cobitidae
Opisthorchis felineus
MOT
Ingestion of raw or undercooked fish
Opisthorchis felineus
Body
reddish brown
Opisthorchis felineus
Intestinal Ceca
simple
Opisthorchis felineus
Testes
Lobed
In-tandem (oblique)
Opisthorchis felineus
Ovary
Lobed
Opisthorchis felineus
Embryonation
Embryonated when released
Opisthorchis felineus
Egg color
Yellowish brown
Opisthorchis felineus
Egg distinct features
4
- Distinct convex operculum
- Presence of abopercular protruberance (comma-shaped hooklike structure)
- Old fashioned bulb or pitcher
- Indistinguishable from other species
Opisthorchis felineus
Epidemiology
Endemic in china, Korea, Japan, and Vietnam
Opisthorchis felineus
Drug of choice
Praziquantel
Opisthorchis viverrini
Common Name
Southeast Asian liver fluke
Opisthorchis viverrini
Final Host
Humans
Opisthorchis viverrini
Reservoir Host
Cats, Dogs, Pigs, and other mammals
Opisthorchis viverrini
Habitat
Bile ducts and bile passages, pancreatic duct, can also be found in the gallbladder
Opisthorchis viverrini
1st Intermediate Host
Bithynia
Opisthorchis viverrini
2nd Intermediate Host
Cyprinidae and Cobitidae
Opisthorchis viverrini
MOT
Ingestion of raw or undercooked fish
Opisthorchis viverrini
Body
ventral sucker is larger
Opisthorchis viverrini
Intestinal Ceca
simple
Opisthorchis viverrini
Testes
Lobed (deeply)
Opisthorchis viverrini
Ovary
Lobed (deeply)
Opisthorchis viverrini
Embryonation
Embryonated when released
Opisthorchis viverrini
Egg color
Yellowish brown
Opisthorchis viverrini
Egg distinct features
4
- Distinct convex operculum
- Presence of abopercular protruberance (comma-shaped hooklike structure)
- Old fashioned bulb or pitcher
- Indistinguishable from other species
Opisthorchis viverrini
Epidemiology
Thailand, Laos, Malaysia
Opisthorchis viverrini
Drug of choice
Praziquantel
Dicrocoelium dendriticum
Common Name
2
- Lanceolate Fluke
- Lancet Fluke
Dicrocoelium dendriticum
Final Host
Herbivores (Ruminants)
Humans
Dicrocoelium dendriticum
Habitat
liver
Dicrocoelium dendriticum
1st Intermediate Host
Cionella lubrica
Slime balls - accumulated cercaria
Dicrocoelium dendriticum
2nd Intermediate Host
Formica fusca (ants)
Dicrocoelium dendriticum
MOT
Ingestion of undercooked or raw aquatic plants
Dicrocoelium dendriticum
Body
Blade-like; lancet like
Aspinous
Dicrocoelium dendriticum
Intestinal Ceca
simple
Dicrocoelium dendriticum
Testes
found in the anterior third
Dicrocoelium dendriticum
Embryonation
Embryonated when released
Dicrocoelium dendriticum
Egg distinct features
2
- thick shelled
large operculum - Similar to eggs of pancreatic fluke
Dicrocoelium dendriticum
Drug of choice
Praziquantel
Dicrocoelium dendriticum
Egg color
Dark brown