Intestinal flukes Flashcards
What is the common name of Fasciolopsis buski?
Giant intestinal fluke
First intermediate host of Fasciolopsis buski
- Segmentina spp.
- Hippeutis spp.
Gyraulus din daw pwde sabi ma’am diana
Second intermediate host of Fasciolopsis buski
- Trapa bicornis (water caltrop)
- Eliocharis tuberosa (water chestnut)
- Ipomea obscura (kangkong)
- Nymphaea lotus (lotus)
Adult worms of Fasciolopsis buski inhabit the small intestine, specifically where? (portions of d small intestine)
duodenum & jejunum
To differentiate Fasciolopsis from Fasciola, the intestinal ceca of Fasciolopsis buski is ____.
branched or unbranched
unbranched
The ellipsoid eggs of Fasciolopsis buski are yellow-brown in color and its appearance is generally described as what?
Hen’s egg appearance
The shell is transparent, with a small operculum at the more pointed end
The attachment of Fasciolopsis buski to the mucosa of the bowel causes local inflammation and ulceration, sometimes accompanied by ____.
bleeding from a dmgd vessel
hemorrhage
Heavier infections of Fasciolopsis buski is suggestive of what diseases/manifestations?
- Duodenal ulcer disease
- Malabsorption
- Intestinal obstruction
- Diarrhea
Drug of choice for fasciolopsiasis
Praziquantel
What are the two species under Echinostomes?
- Echinostoma ilocanum
- Artyfechinostomum malayanum
True or False
Only Echinostomes have a collarette spine on a circumoral disk surrounding the sucker
True
True or False
The secondary intermediate host of Echinostomes are snails.
True
First intermediate host of Echinostoma ilocanum
- Gyraulus convexiusculus
- Hippeutis umbilicalis
Second intermediate host of Echinostoma ilocanum
- Vivipara angularis (Susong pampang)
- Pila luzonica (Kuhol)
First intermediate host of Artyfechinostomum malayanum
- Gyraulus convexiusculus
- Hippeutis umbilicalis
not yet identified but suspected to tbe d same w/ Echinostoma ilocanum
Second intermediate host of Artyfechinostomum malayanum
- Lymnaea cumingiana
- Ampullaris canaliculatus
common name of Echinostoma ilocanum
Garrison’s fluke
common name of Artyfechinostomum malayanum
wala haha
Adult Echinostoma ilocanum is a reddish-gray worm tapered posteriorly and has ____ to ____ collarette of spines.
how many?
49 to 51
how many collarette of spines does Artyfechinostomum malayanum have?
43 to 45
Echinostoma ilocanum eggs are straw-colored, operculated, and are ____ than Artyfechinostomum malayanum
larger or smaller
smaller
Artyfechinostomum malayanum eggs are golden-brown and are operculated that are ____ than Echinostoma ilocanum
larger or smaller
larger
The unembryonated eggs of Echinostomes are similar in shape to those of what spp.?
Fasciolopsis
Drug of choice for Echinostomes?
Praziquantel
Tetrachloroethylene is effective too
What are the two species under Heterophyids?
- Heterophyes heterophyes
- Metagonimus yokogawai
Among the two Heterophyids, which is somewhat larger?
Metagonimus yokogawai
First intermediate host of Heterophyes heterophyes
Pironella conica
Second intermediate hosts of Heterophyes heterophyes
Brackish and saltwater fishes; Tilapia; Mullet
Mullet = Mugil cephalus
First intermediate host of Metagonimus yokogawai
Semisulcospira spp.
from CDC
Second intermediate host of Metagonimus yokogawai
Brackish and saltwater fishes; Tilapia; Mullet
Mullet = Mugil cephalus
Heterophyes heterophyes is said to be ____- or ____-shaped with three suckers
avocado-shaped or pear-shaped
Heterophyes heterophyes is also called as the ____ fluke of man
largest or smallest
smallest
The eggs of Heterophyids closely resemble the eggs of what spp.?
Clonorchis & Opisthorchis
also, magkamukha rin H. heterophyes & M. yokogawai
Occasionally, the eggs of what flukes invade the intestinal mucosa and their eggs deposited in the tissues may gain access to the circulation leading to formation of brain or spinal cord embolisms?
Heterophyids
Seizures, neurologic deficits, and cardiac insufficiency have been ascribed to granulomas that form around these eggs.
14% of the cardiac failures in the Ph is associated with what intestinal fluke?
Heterophyids
thus, heterophyid myocarditis
Drug of choice for Heterophyid infections
Praziquantel
Tetrachloroethylene is possible too
Among the intestinal flukes, which of them inhabits the large intestine, particularly the cecum and ascending colon?
Gastrodiscoides hominis
Drug of choice for Gastrodiscoides hominis
Tetrachloroethylene
Praziquantel
First intermediate host of Gastrodiscoides hominis
Helicorbis coenosus
Second intermediate host of Gastrodiscoides hominis
Water plants
Common name of Heterophyes heterophyes
Von Siebold’s fluke
Common name of Metagonimus yokogawai
Yokogawa fluke
Common name of Gastrodiscoides hominis
Colonic fluke
Fasciolopsiasis is suggestive of a malabsorptive process such as is seen in what parasitic disease?
giardiasis
The absorption of vitamin ____ has been found to be impaired in some persons w/ fasciolopsiasis.
Vitamin B12