Liver flukes Flashcards
Among the liver flukes, which of them are relatively elongate and narrow-bodied worms that tend to localize in the smaller, more distal parts of the biliary tree?
3 cla (technically apat)
- Clonorchis
- Opisthorchis
- Dicrocoelium
Only in heavy infections are these worms found in the common bile duct or gallbladder.
Among the liver flukes, which of them are larger and more rounded worms that tend to localize in the larger, more proximal parts of the biliary tree?
Fasciola spp.
Although Dicrocoelium dendriticum may be known as Fasciola dendriticum, sabi ni boss markell sa mas maliliit daw na biliary passage si Dicrocoelium eh
Which of the liver flukes are similar in the location of their vitellaria positioned in the middle third of the body, same level w/ its uterus?
- C. sinensis
- Opisthorchis spp.
only difference ay testes (shape & morphology)
Among the liver flukes that have the same location of vitellaria, which of the two has a highly branched, arranged in tandem testes that is located posteriorly?
Clonorchis sinensis
Among the liver flukes that have the same location of vitellaria, which of the two has a lobate, arranged obliquely testes that is located posteriorly?
Opisthorchis spp.
Opisthorchis viverrini and Opisthorchis felineus have testes that are lobate and arranged obliquely. However, which among the two have more deeply lobulated testes positioned close to each other?
Opisthorchis viverrini
The eggs of Opisthorchis spp. are similar in appearance w/ what spp.?
2 cla
- Clonorchis sinensis
- Heterophyids
Heterophyids = Heterophyes heterophyes and Metagonimus yokogawai
What is the common name of Clonorchis sinensis?
- Chinese liver fluke
- Oriental liver fluke
The eggs of Clonorchis sinensis have a distinct ____ operculum
convex or concave?
concave = paloob curve; convex = palabas
convex
The eggs of Clonorchis sinensis may resemble Heterophyes and Metagonimus but may have a small ____-shaped process at the abopercular end.
comma-shaped
tbh, same w/ Opisthorchis na may small protuberance sa abopercular end.
The eggs of Clonorchis sinensis have been described to have the appearance of what?
old-fashioned lightbulb
First Intermediate Hosts of Clonorchis sinensis
- Parafossarulus
- Bulinus
- Thiara
- Alocinma
- Melanoides
- Semisulcospira
PBTAMS
Second Intermediate Hosts of Clonorchis sinensis
- Cyprinidae
- freshwater shrimp
basta freshwater fish
Diagnosis of Clonorchis sinensis is by the recovery of eggs via what samples?
Kumbaga, what r the samples preferred for diagnosis?
- Stool
- Duodenal aspirate
The acute phase of clonorchiasis lasts for at least ____ and may be characterized by fever, diarrhea, epigastric pain, and sometimes jaundice
a month
eggs also appear in the feces abt a month after infection
The gallbladder may be inflamed and the formation of gallstones may manifest upon worm invasion. What do you call these two conditions?
or disease
- Cholecystitis
- Cholelithiasis
What do you call the inflammation of the bile duct system that manifests upon the invasion of the biliary passages by the liver flukes?
Cholangitis
Carcinomas, such as adenocarcinoma and cholangiocarcinoma, are commonly attributed to what liver fluke?
Clonorchis sinensis
Drug of choice for cholonorchiasis
Praziquantel
What is the common name of Opisthorchis felineus?
cat liver fluke
felineus = feline = cats
parasitizes cats; but, seen in humans too (same pathology w/ Clonorchis sinensis
The eggs of Opisthorchis viverrini are ____ than those of Clonorchis sinensis. Otherwise, they are indistinguishable.
narrower or wider
narrower
thus, operculated and may thickened abopercular end (similar also to heterophyids)
First Intermediate hosts of Opisthorchis spp.?
Bithynia
Second Intermediate hosts of Opisthorchis spp.?
- Cyprinidae
- Cobitidae
What is the common name of Opisthorchis viverrini?
- Southeast Asian liver fluke
- Siberian liver fluke
Drug of choice for Opisthorchis spp.?
Praziquantel
What is known as the common parasite of the biliary tree of herbivores?
Dicrocoelium dendriticum
also known as Fasciola dendriticum, Fasciola lanceolata
What is the common name of Fasciola dendriticum?
Lancet fluke
Lanceolate fluke
Fasciola dendriticum = Dicrocoelium dendriticum
The cercariae of Dicrocoelium dendriticum are liberated from the snails during rainy periods and become massed in “____” shed on vegetation which are eaten by the second intermediate host.
slime balls
slime balls = accumulated cercaria
For humans to acquire dicrocoeliasis, they must ingest the secondary host which is an?
ant
infected ant lmao
First Intermediate host of Dicrocoelium dendriticum
Cionella lubrica
Second Intermediate host of Dicrocoelium dendriticum?
Formica fusca
What is the common name of Fasciola hepatica?
sheep liver fluke
Temperate Liver Fluke
What do you call the characteristic of Fasciola spp. that resembles a shoulder and is found anteriorly?
cephalic cone
The eggs of Fasciola spp. is similar to the eggs of what flukes?
- Fasciolopsis
- Echinostomes
The maturation of metacercaria into adult liver flukes in human hosts may take how many months?
3-4 months
____ infections of Fasciola, in which eggs ingested during the consumption of infected liver appear in the stool.
Spurious
meaning it won’t infect
Adult worms in the liver may be viewed by what?
ultrasonography
ultrasound (via sonogram)
First Intermediate host of Fasciola spp.
Lymnaea spp.
Second Intermediate host of Fasciola spp.
- Ipomea obscura (kangkong)
- Nasturtium officinale (watercress)
What do you call the pharyngeal form of the disease that results from eating raw animal liver infected with Fasciola?
Halzoun
Drug of choice for Fasciola spp.?
- Bithionol
- Triclabendazole
Common name of Fasciola gigantica?
giant liver fluke
Tropical liver fluke
Fasciola gigantica has a more ____ shape than Fasciola hepatica.
attenuated
reduced; smaller; more elongated din