microbio - helminths Flashcards
Roundworms
Nematodes
T or F: within the normal human host, there is no immune reaction to living worms
True
Flatworms
Platyhelminthes
Intestinal nematodes that are acquired thru ingestion of eggs
Ascaris lumbricoides Trichuris trichiura (whipworm) Enterobius vermicularis (pinworm)
Intestinal nematodes that are acquired when their larvae penetrate the skin, usually of the foot
Necator americanus (hookworm) Strongyloides stercoralis
Intestinal nematode that is acquired by ingestion of encysted larvae in muscle (pork meat)
Trichinella spiralis
Nematodes that has larval form that migrates through the tissue and into the lung at some stage of their life cycle. The larvae grow in the lung, are coughed up and swallowed into the intestine, where they grow into adult worms.
Ascaris lumbricoides
Necator americanus
Strongyloides stercoralis
Scariest worm
Ascaris lumbricoides
Largest intestinal nematode
Ascaris lumbricoides
Tramway sign in X-ray
Ascaris lumbricoides
Nematode that causes loeffler’s syndrome -pneumonitis
Ascaris lumbricoides
Dot sign
Ascaris lumbricoides
Produces large eosinophilic exudates
Ascaris lumbricoides
Ascaris lumbricoides and Necator americanus have very similar life cycle, they differ only in the path that each larvae form takes to reach the lung:
Necator americanus: foot to lung
Ascaris lumbricoides: intestine to lung
New world hookworm
Necator americanus
Cutting plates
Necator americanus
Fasciolopsis buski
Cat/dog hookworm
Ancyclostoma braziliensis
Form of larva that can penetrate the skin (n.americanus and s.stercoralis)
Filariform larva
Cutaneous larva migrans aka creeping eruption (intensely pruritic, migratory skin infection)
Ancyclostoma braziliensis
Cochin china diarrhea
Strongyloides stercoralis
Has indirect and direct cycle and
Autoinfection where filariform larvae develop and penetrate intestinal wall
Strongyloides stercoralis
Principal host of Strongyloides stercoralis
Man
Diagnostic test for Strongyloides
Filter paper strip procedure
Agar plate method
Baermann’s technique
Treatment for Strongyloides stercoralis infection
Albendazole
Can be acquired thru ingestion of undercooked meat where in the encysted larvae of nematode live in striated muscle
Trichinella spiralis
May cause periorbital edema
Trichinella spiralis
Nurse cells
Trichinella spiralis
Whipworm
Trichuris trichiura
No filariform larvae stage, no tissue invasion, no lung involvement and the eosinophilic count is not elevated
Trichuris trichiura
Enterobius vermicularis
In trichuris trichiura, there is no auto infection, why is that?
Since the eggs must incubate in moist soil for 3-6weeks before they become infective.
Rectal prolapse
Trichuris trichiura
Lemon-shaped egg
Trichuris trichiura
Bipolar plugs
Trichuris trichiura
The life cycle of trichuris trichiura is
Slow
Causes Pruritus ani (perianal itching)
Enterobius vermicularis
Pin worm / seat worm
Enterobius vermicularis
Diagnostic test for Enterobius vermicularis infection
Scotch tape test on the perianal area
Cellophane tape swab
Pinworms mature in..
Cecum and ascending intestine
Vector of onchocerca volvulus
Black fly or buffalo gnat
Simulium flies
Black river blindness
Onchocerca volvulus
“Mal morado” or “erisipelas de la costa”
Onchocerca volvulus
The thickened skin may appear dry, scaly and thick (LEOPARD SKIN)
Onchocerca volvulus
Hanging groin
Onchocerca volvulus
“Craw-craw or “sowda”
Onchocerca volvulus
Reaction to proteins released by dying onchocerca, including fevers, rashes, ocular damage, joint and muscle pain, and lymphangitis as well as hypotension, pyrexia, respiratory distress, and prostration.
Drug reaction to DEC diethylcarbamazine
Mazzoti reaction
Infective stage of onchocerca volvulus in man
Micro filariae
Treatment for onchocerciasis
DEC diethylcarbamazine
Differentiate in dermal nodule
Onchocerca volvulus
Filariasis is caused by
Wuchereria bancrofti
Brugia malayi
Transmitted by genus mansonia
Brugia malayi
Vector of filariasis
Culex, aedes poicilus, and anopheles flavirostis mimimus mosquito
Filariasis, a wuchereria bancrofti and brugia malayi infection, causes what manifestations?
Elephantiasis
Elephantoid fever
Topical pulmonary eosinophilia
Filariasis
Treatment for filariasis
Ivermectin
Diethylcarbamazine DEC
Infective stage of filariasis in man
Microfilariae
Blood and tissue nematodes
Onchocerca volvulus
Wuchereria bancrofti and brugia malayi
Adult worms of blood and tissue nematodes lives in
Lymphatic tissue
Blood and tissue nematodes spread by ..
Bite of arthropod
Guinea worm
Dracunculus medinensis