Hookworms Flashcards
New World hookworm, American hookworm
Necator americanus
Adults are
stout. Cervical curvature (appear s like a “hook” )
N.a
Disease of N.a
Necatoriasis Uncinariasis
Common name of Ancylostoma duodenale
Old World Hookworm
Common name of Ancylostoma caninum
Dog hookworm
Common name of Ancylostoma braziliense
Cat and dog hookworm
Adults are
stout Cervical curvature (appear s like a “hook” )
Necator americanus and Ancylostoma duodenale
Tends to
follow the general curvature of the body
Looks like a
letter
“C”
Ancylostoma caninum and Ancylostoma braziliense
Adult hookworm form and color?
Fusiform and grayish white
Male adult hookworm distinguishing charac
Broad, caudal bursa with rib-like rays
No teeth; Pair of triangular subventral lancets/ semilunar cutting plates
N.a
Adults: small, cylindrical fusiform, greyish white nematodes
where the females are larger than the males
N.a
The posterior end of the males are usually broad,
membranous, it has a caudal bursa with ribbed like rays for copulation
N.a
Parasite?The posterior end of the males are usually broad,
membranous, it has a caudal bursa with —- for copulation
N.a; ribbed like rays
2 pairs of unfused ventral teeth similar size
A.d
Adult ———, is slightly larger than your ———
A.d ; N. a
Can cause cutaneous larval migrant causing creeping eruption
A.caninum
bursa is supported by long, slender rays
A.d
slightly larger than your Necator americanus
A.ceylanicum
in the Philippines the first human case was reported in 1968
from a 53-year-old woman from Ilocos Norte, where 23 adult
worms were collected from the patient
A.ceylanicum
Rhabditiform buccal cavity of s. Stercoralis is?
Short
Rhabditiform buccal cavity of hookworm is?
Long
Rhabditiform genital primordium is s.stercoralis is?
Large
Rhabditiform genutalmprimordium of hookworms is?
Small
Filariform esophagus of s.stercoralis is?
Long
Filariform esophagus of hookworms is?
Short
Filariform tail of s.stercoralis is?
Notched
Filariform tail of hookworm is?
Pointed
Tends to follow the general
curvature of the body
- Looks like a letter “C”
A. caninum A. brazilinse
New World Hookworm
Necator americanus
cat hookworm
Ancylostoma braziliense
dog hookworm
Ancylostoma caninum
how many cell stage when passed in the feces
4-8
With Uncleaved Yolk mass or a Cleaved Embryo surrounded by a Clear Zone
hookworm ova
how many stages in cleaved embryo?
2-8
form of larva with Very small genital primordium
rhabditiform larva
form of larva with Longer and slender with a pointed posterior end
Filariform larva
form of larva with Mouth is close with a protecting sheath
filariform larva
well-developed buccal capsule
adult hookworms
buccal cavity of ______ with 1 pair of semilunar cutting plates,
dorsal median tooth, deep pair of
Triangular Subventral Lancets
Necator americanus
buccal cavity of ____ with 2 pairs of fused ventral teeth
ancylostoma duodenale
buccal cavity of ___ with 3 pairs of ventral teeth
ancylostoma caninum
buccal cavity of ___ with 1 pair of larger outer teeth and 1 pair
of very inconspicuous median teeth
ancylostoma braziliense
copulatory bursa of ____ with Fused spicules; deep cleft, bioartite dorsal rays
necator americanus
copulatory bursa of ____ with Unfused spicules; shallow cleft
- Tripartite dorsal rays
a. duodenale
copulatory bursa of ___ with bursa is supported by long,
slender rays
a.caninum
copulatory bursa of ___ with bursa is supported by short
stubby rays
a.braziliense
9,000 eggs/day
n.americanusq
parasite? Passed din feces and produce the Rhabditiform larvae in _____ days under
favorable conditions ( ___ degrees celsius)
n.america; 1-2 days; 23-33 deg C
Can lay 30, 000 eggs/day
a. duo
Eggs: die in few hours at 45 deg C
a.duo
eggs survive in 7 days at O deg C
a. duo
Cause cutaneous larval migrans causing creeping eruption
a.cani
eggs of _____ is Slightly large then N. americanum
a.ceyla
1st Human case: 1968 in Ilocos Norte from 53 years old woman where 23 adult worms collected
a.ceyla
disease of n.america
necatoriasis/uncinariasis
disease of ancylostoma species
ancylostomiasis
transmission of ground itch, coolie itch/due itch
skin penetration
Related to contact with the soil
o Dermatitis at the site of entrance of
filariform
. Ground itch / Coolie itch / Dew itch
Intense Itching, Edema and Erythema and
later Papulovesicular Eruption / Lesion
Ground itch / Coolie itch / Dew itch
where bacteria enter the skin
pyogenic
pathologic larval stage last up to ?
2 weeks
distinguishing charac of ground itch?
Papulovesicular Eruption / Lesion
rate of several mm to a few cm per day
Creeping eruption/Cutaneous larval migrans (Plumber’s itch/ Duck Hunter’s itch)
Pruritus: provokes scratching with subsequent pyogenic infection
Creeping eruption/Cutaneous larval migrans (Plumber’s itch/ Duck Hunter’s itch)
Due to the exposure of the skin to the filariform larvae of A. braziliense and A.
caninum, occasionally of N. americanus and A. duodenale.
Creeping eruption/Cutaneous larval migrans (Plumber’s itch/ Duck Hunter’s itch)
Creeping eruption/Cutaneous larval migrans (Plumber’s itch/ Duck Hunter’s itch) distinguishing characteristic
“Serpiginous tunnel” in the stratum germinativum of the skin
Petechial hemorrhages with Eosinophilic and Leukocytic Infiltration that induces
Cough and Pyrexia due to location of parasite
Pulmonary lesions: Wakana disease
Migrating larvae break out of bronchial capilliaries
Pumonary lesions: Wakana disease
Patient usually show no signs and symptoms
Pumonary lesions: Wakana disease
____ secondary to creeping eruption
bacterial infection
Chronic blood loss due to continuous mechanical suction of blood from the
intestinal mucosa
Hookworm anemia
presence of bleeding areas left by the adult as they transfer to new areas
hookworm anemia
Blood Loss:
N. americanus:
0.03-0.05 ml/day
Blood Loss: A duodenale:
0.16 – 0.34 ml/day
Blood picture of hookworm anemia
mycrocytic hypochromic anemia
hookworm anemia is dependent on?
Iron content of the host diet
State of Iron reserves
Intensity and duration of the infection
Presence of bleeding areas in the intestinal mucosa
Hookworm anemia
blood picture:
Dyspnea on exertion, Weakness and Dizziness
2g of Hgb/1000mL of blood:
Loss of protein due to a combined loss of blood and lymph
Hypoalbuminemia
Protein loss is as well in excess of the loss of RBC
Hypoalbuminemia
is it possible to avoid hookworm anemia?
yes
Pathology of Hookworm Infection:
The skin at site of entry
The lung
The small intestine (Habitat)
characteristic of the lesion
Ground itch and creeping eruption
the heart of the person infected is?
enlarge
the pulse of infected person is ?
rapid
what stage enters the body?
filariform larvae
organ affected during larval migration; wakana disease?
lungs
adult worm habitat
small intestinal
recovery of egg where it is onyl important if the infection is heavy
DFS
recovery of eggs where it provides quantitative diagnosis allowing eggs to be counted
KTS
eosinophilic anf leukocytic infection
pulmonary lesion: wakana disease
this diagnosis would increase positive findings several folds, this is recommended for determining whether the stool is to be positive or negative with hookworms
Concentration methods
culture technique
harada mori
recommended for identification of filariform larva?
culture media/ harada mori
prevention of hookworms
Avoiding ingestion of raw vegetables