Helminthic, Lect 8 Flashcards
Describe the shape of nematodes. Is there only one sex?
- Nematode = roundworm
- elongated cylindrical body that tapes at either end
- male and female
what is generalized life cycle of nematodes
- eggs become larvae in environment
- larvae become adult roundworms in humans
What is the common name of Enterobius vermicularis
pinworm
describe the Enterobius vermicularis worm
- small 8-12 mm
- whitish
how is Enterobius vermicularis transmitted
- person to person
- Or indirectly from environment
reservoir for Enterobius vermicularis
humans
what is the most common helminthic disease in US
Enterobius vermicularis
describe the life cycle of Enterobius vermicularis
- Eggs on perianal
- eggs and larvae hatch in Small intestine
- Adults mature in colon
- Gravid female migrates to perianal to deposit eggs
clinical presentation
- itching in anal region (Pruritis ani)
- heavy infections can lead to secondary bacterial infections, disturbed sleep, abd pain
E. vermicularis
how is E. vermicularis diagnosed
- presence of eggs on perianal skin
- cellophane tap method
what is the most effective means to minimize the spread of E. vermicularis
handwashing
what is the transmission of Ascaris lumbricoides
contaminated soil ingestion
how is Trichuris trichiura transmitted
contaminated soil ingestion
what is the common name of Trichuris trichiura
whipworm
Trichuris trichiura causes what disease
Trichuriasis
what is the common name of Ascaris lumbricoides
large intestinal roundworm
what disease does Ascaris lumbricoides cause
Ascariasis
describe the life cycle of Ascaris lumbricoides
- Eggs ingested and larvae released to duodenum
- Larvae penetrate mucosa and travel blood -> lungs, alveoli, trachea, then oropharynx.
- Once swallowed they mature in duodenum.
- Adult worms make eggs that are infective in soil
clinical presentation
- often asymptomatic
- worm burden determines extent of disease
- due to blockage
- pulmonary-Loeffler’s syndrome
- abd pain
Ascaris lumbricoides
how is Ascaris lumbricoides diagnosed
eggs in stool
what makes the eggs of Trichuris trichiura different from other worm eggs
egg capsules (two ends taper off)
what is the life cycle of Trichuris trichiura
- Infective eggs ingested
- larvae are released in duodenum
- maturation in colon
- released eggs can mature in soil
clinical presentation
- can be asymptomatic
- heavy infections
- frequent painful passage of stool (with associated mucus and blood)
- rectal prolapse can occur
Trichuris trichiura
how is Trichuris trichiura diagnosed
eggs in stool