monoecious Flashcards
Monoecious flukes: The eggs are supplied from the ___ gland are
fertilized within the ___
vitelline gland; uterus
what surround the shells?
menis glands
They should be shed in a suitable environment in order to
continue the life-cycle
MONOECIOUS FLUKES
Paragonium westermani common name
oriental lung fluke or lung fluke
distribution of paragonimus westermani
japan, korea, china, nepal, philippines
They are usually resides in pairs in the lungs
Para.w
color of paragonimus westermani
reddish brown
para.w adult active stage shape
spoon shaped
para.w adult preserved state shape?
ova, flattened, coffee-bean shapes
It has a spinous cuticle and suckers that are of
equal size
Para.w
They have 2 large testes in the posterior part of
the body
Para.w
Lobed ovary
○ Anterior to the testes
Para.w
extreme lateral fields
Vitellaria; para.w
Flattened operculum
para,w ova
Immature when oviposited
para.w ova
Immature when laid with a germ cell and many yolk cells
when oviposited
para.w
4 stages of P.westermani
Miracidium
Rediae
Cercaria
Metacercaria
habitat of Para.w
Lung pockets
infective stage of para.w
metacercaria
1st intermediate host of para.w
1st IH: snail of genera:
○ Hua (semisulcospira, Syncera and Thiara,
Pomatiopsis, Pomacea)
○ Brotia asperata (Philippines)
2nd IH of para.w
2nd IH:
○ freshwater crabs
○ Crayfish
Clinical manifestation of this disease is
Chronic bronchitis
Hemoptysis
abdominal and chest pains
Low grade fever, fatigue, and myalgia
Paragoniamiasis
disease of para.w
paragoniamiasis
Dyspnea means?
P, westermani
Shortness of breath or air hunger
use to differentiate paragonimus to P.tb
Antibody detection
What parasite? and disease?
Characterized by dry cough and sputum sample with blood
P. wester
Hemoptysis
Standard test for paragoniamiasis
■ Highly sensitive for the diagnosis and
monitoring chemotherapy
complement fixation
■ Uses crude antigen extract of
Paragonimus westermani
immunoblot assays
specificity of immunoblot assay
> /= 99%
common name of Clonorchis sinensis
CHINESE LIVER FLUKE/ ORIENTAL LIVER FLUK
C.sinensis is found in what country?
Japan
Usually infect the liver, gallbladder, and bile ducts in man.
C.sinensis
tapering anterior rounded posterior
Ventral sucker is smaller than oral sucker
The cuticle is smooth and shiny
Highly branched testes
C.sinensis
In a human host, the adult worms are located in the bile duct
inside the liver. In very severe cases, the worms can also be
found in the gallbladder and pancreatic duct,
C.sinensis
C.sinensis in human host is located in what?
Bile duct inside the liver
in severe cases, the worms of C.sinensis is found in?
Gallbladder and pancreatic ducts
the metacercaria of C.sinensis exist in what part of the body?
duodenum
the immature worms of C.sinensis migrates to the what? via the what
Migrates to the bile duct via the ampulla of vater
first IH of c.sinensis
Freshwater snail
1st IH: operculated snails
❖ Bulimus
❖ Hua
❖ Alocinina
❖ Semisulcospira
❖ Thiara
2nd IH of c.sinensis
Freshwater fish
2nd IH: Freshwater fish
❖ Tingea tingea
❖ Barbus barbus
what ova of a prasite Resembles old-fashioned electric bulb
C.sinensis
ova of what parasite operculum distinctly convex
C.sinensis
ova of what parasite fully embryonated when laid
C.sinensis
habitat of C.sinensis
Bile passages/bile ducts
Infective stage of C.sinensis
Metacercaria
disease of C.sinensis
Clonorchiasis
disease associated with Cholangitis-inflammation of the bile duct
Clonorchiasis
disease? Leukocytosis and eosinophilia: early infection
Clonorchiasis
Disease associated with cholelithiasis-gall stone disease
Clonorchiasis
Disease associated with cholangiocarcinoma- bile duct cancer
Clonorchiasis
diagnosis of clonorchiasis
Eggs in biliary drainage
immunologic tests
liver scans
Eggs of clonorchis is very similar to what
Opistorchis
Cyst of this parasite can be detected via ultrasound, MRI and CT scan
C.sinensis
if there is a presence of adult fluke of C.sinensis what is the treatment
Surgery
Common name of Opistorchis felineus
Cat liver fluke
type of O.felin:
known as Southeast Asian Liver Fluke
Opistorchis viverrini
Found in northeast Thailand, Laos, Cambodia,
Central and Southern Vietnam
O.viverrini
Found in Italy, Germany, Belarus, Russia ,
Kazakhstan and Ukraine
O.felineus
Testes- lobate and oblique in position
O.feline
Both adult and ova resembles Chlonorchis sinensis
O.feline
infective stage of O.feline
Metacercaria
habitat of O.feline
❖ distal ducts and occasionally Pancreatic ducts
1st IH of O.feline
snails (bulimus)
2nd IH of O.feline
Freshwater fishes
disease of O.feline
opistorchiasis
Dyspepsia- symptoms of indigestion wherein there
is discomfort or pain that occurs in the upper
abdomen
Opistorchiasis
Disease: Hepatomegaly- enlargement of liver
opistorchiasis
Acute phase resembling Katayama fever -
Katayama fever is a manifestation of acute
schistosomiasis with the typical features like fever,
urticarial rash, enlarged liver and spleen and
bronchospasms
opistorchiasis
is a manifestation of acute
schistosomiasis with the typical features like fever,
urticarial rash, enlarged liver and spleen and
bronchospasms
Katayama Fever, O.felineus
the adult fluke of O.viver reside in>
Billiary and pancreatic ducts of the mammalian host
Testing the blood for this parasite is not useful for patient
management and no blood test to detect infection is
available
O.feline
More than 1 stool sample may be needed to identify the
eggs .
O.feline
Ova and parasite (O&P) stool examinations for liver fluke
eggs is the only available way to diagnos what?
Opistorchiasis
Common name of Fasciola hepatica
Common liver fluke/sheep liver fluke
Primarily found in domestic and wild ruminants which is their
main definitive host but also are causal agents of Fascioliasis in man where humans consume raw watercress.
F.hepatica
shouldered appearance which is actually the
distinguishing characteristic of the parasite?
Cephalic cone of Fasciola hepatica
Testes: tandem formation and highly branched
F.hep
Vitellaria: branched
Ovary: branched located posterior to uterus and anterior to
testes
Uterus: short and coiled
F.hep
ova of what? Unsegmented stage in the feces
F.hepatica
Large and ellipsoidal
Operculated
Yellowish to light brown
Thin-shelled with distinct operculum
F.hepatica
infective stage of F.hepatica
metacercaria
1st IH of F.hepatica
Water snail (lymnae)
2nd IH of F.hepatica
Watercress