Intestinal Nematodes - ASCARIS LUMBRICOIDES Flashcards

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1
Q

Giant Roundworm/Ascariasis

MC and largest nematode

soil transmitted helminth (STH)

A

Ascaris lumbricoides

  • SMALL intestine
  • ingestion of embryonated eggs
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2
Q

Diagnostic test for Ascaris

A

Direct Fecal Smear

Kato-Katz technique

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3
Q

Pathogenesis of Ascaris

A

Major damage occurs during LARVAL MIGRATION

LUNGS - principal site of tissue reaction
*inflammation w/ EOSINOPHILIC exudate occurs

heavy worm burden – MALNUTRITION

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4
Q

LUNG PHASE

A

L3 – L5

LOEFFLER’S SYNDROME - hypersensitivity pneumonitis

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5
Q

INTESTINAL PHASE

A

L5 – ADULT WORMS
acute intestinal obstruction
Malabsorption syndrome
nutrient deficiencies

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6
Q

WANDERING WORMS

A

d.t. erratic behavior of adult worms

HEPATOBILIARY ASCARIASIS
PANCREATITIS, APPENDICITIS

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7
Q

Treatment of Ascariasis

A

Albendazole

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8
Q

cough, eosinophilia and pulmonary infiltrates

A

LOFFLER SYNDROME

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