Nematodes Flashcards
Life cycle of nematodes
Egg stage >Larval stage>Adult stage
Nematodes that are aphasmids
TCT
Trichuris
Capillaria
Trichinella
Nematodes with caudal chemoreceptors
Hookworm
S. Stercoralis
W. Bancrofti
B. Malayi
Cephalic chemoreceptors
Amphid
Caudal chemoreceptor
Phasmid
Lays eggs in unsegmented stage (unembryonated)
Oviparous
Lays eggs in segmented stage (embryonated)
Ovoviviparous/ oviviparous
Frequent nematode
EAT
Enterobius
Ascaris
Trichuris
Nematodes in small intestines
CASH
Capillaria
Ascaris
Strongyloides
Hookworm
Nematodes in large intestines
ET
Enterobius
Trichuris
Nematodes that migrate from heart to lung
ASH
Ascaris
Strongyloides
Hookworm
Nematode in lymphatics and subcutaneous tissues
Filarial worms
Nematode in muscles
T. Spiralis
Nematode in meninges
A. Cantonensis
Visceral larva migrans
T. Canis and T. Cati
Unholy 3/ Triad of Infection
Hiokworm
Ascaris
Trichuris
Buccal cavity of adult ascaris
Triangular, trilobate lips
MOT of Ascaris
Ingestion
Symptoms and Pathology of Ascaris
Larval migration: Eosinophilia
Erratic leads to Extraintestinal sites
Intestinal perforation
Diagnostic stage of ascaris
Egg
Indication of negative stool exam in ascaris
No infection
Early infection
All male worm infection
Characteristics of E. Vermicularis
Autoinfection
External autoinfection
Egg characteristics of E. Vermicularis
Elongated, flattened in 1 side. D shape
Adult characteristic of enterobius
With lateral wings or cephalic alae
MOT of E. Vermicularis
Ingestion
Symptoms and pathology of E. Vermicularis
Mother’s complex:
Pruritis ani
Lack of sleep
Extraintestinal enterobiasis
Lab diagnosis of enterobius
Scotch tape swab
T. Trichiura causes
Trichocephaliasis
Egg characteristic of trichuris
Barrel shaped with bipolar mucus plug. Resembles Japanese lantern
Adult characteristics of trichuris
Slender or attenuated in the anterior. Resembles a whip
MOT of trichuris
Ingestion
Symptoms and pathology of trichuris
Rectal prolapse (heavy infection)
Lab diagnosis and DS of trichuris
Stool exam: Egg
C. Philippinensis causes what dxs
Pudoc disease or mystery disease
Egg characteristics of capillaria
W/ bipolar mucus plugs that are not asa protruded as trichuris egg. Guitar, peanut-shaped
Adult characteristics of capillaria: male and female
Male: w/ chitinized spicuke (spicule sheath)
Female: have eggs in utero
MOT of capillaria
Ingestion of freshwater fishes
Intermediate host of capillaria
Freshwater fishes:
Hypselotris bipartite
Birot
Bagsang
Bagtu
Symptoms and pahtology of capillaria
Malabsorption
Borborygmi
LBM alternating w/ condtipation
Lab diagnosis and diagnostic stage of capillaria
Stool exam: egg
Agent of laziness in poor white population and tropical anemia in Puerto Rico
Hookworm
Egg char. of hookworm
Ovoidal, thin shelled colorless
Adult char. of N. Americanus
S-shaped with semilunar cutting plates
Adult char. of A. Duodenale
C-shaped, with 2 pairs of teeth
MOT of Hookworm
Skin penetration
Symptoms and pathology of Hookworm
Mazza Mora/ Water sore or ground itch
Severe itching/ allergic reaction at the site of skin penetration
IDA
Cutaneous larva migrans (Creeping eruption)
Lab diagnosis of hookworm
Stool exam
Harada Mori culture
Baermann funnel technique
Causes Cochin-China diarrhea
Strongyloides stercoralis
MOT of S. Stercoralis
Skin penetration
Symptoms and pathology of Strongyloides
Skin: Allergic reaction
Larval migration: pneumonia
Intestines: abdominal pain, diarrhea, vomiting
Requires 2 host to complete its life cycle.
Propagated by black and brown rats
Trichinella spiralis
Adult characteristics of T. Spiralis: male and female
Male: w/ conical papillae
Female: w/ club-shaped uterus
MOT of T. Spiralis
Ingestion if meat
Symptoms and pathology of T. Spiralis: Larva and Adult
Larva: muscle can cause edema, muscle pain, difficulty in breathing and swallowing
Adult: intestine can cause abdominal pain and diarrhea
Lab diagnosis of T. Spiralis
Muscle biopsy (DS: Encysted larva)
Immunotest: Bentonite flocculation, Intradermal test
Xenodiagnostic tests
Lab diagnosis of filarial worm
Knott’s technique
Habitat of W. Bancrofti
Lymphatics
Vector of W. Bancrofti
Aedes and Anopheles
Habitat of B. Malayi
Lymphatics
Vector of B. Malayi
Mansonia
Characteristics if microfilaria of W. Bancrofti
Sheathed, nuclei absent in tail
Characteristic of Microfilaria of B. Malayi
Sheathed, tail w/ 2 separate nuclei
Periodicity of W. Bancrofti
Nocturnal (10pm-2am)
Periodicity of B. Malayi
Subperiodic, Nocturnal
Habitat of loa loa
Subcutaneous tissue
Vector of loa loa
Chrysops, Tabanid (mango fly)
Microfilaria characteristic of Loa loa
Sheathed, nuclei continuous up to the tip of the tail
Periodicity of Loa loa
Diurnal
Habitat of O. Volvulus
Subcutaneous tissue
Vector of O. Volvulus
Simulium (black fly)
Specimen of O. Volvulus
Skin snips/ shavings
Microfilaria characteristic of O. Volvulus
Unsheathed, nuclei absent in tail
Periodicity of O. Volvulus
Nonperiodic
Habitat of Dipetaloma perstans
Body cavities
Another name of Dipetaloma perstans
Acanthoculonema perstans
Vector of Dipetaloma perstans
Cylicoides
Micro characteristic of Dipetaloma perstans
Unsheathed, nuclei up to the tip of the tail
Periodicity of Dipetaloma perstans
Nonperiodic
Habitat of Mansonella ozzardi
Body cavities
Vector of Mansonella ozzardi
Culicoides
Microfilaria characteristic of Mansonella ozzardi
Unsheathed, tail is free of nuclei
Human infection of Dirofilaria immitis
Solitary, peripheral nodules in the lung (coin lesions) or as subcutaneous nodule
Longest nematode of man
Drancuculus medisnensis
Intermediate host of D. Medinensis
Cyclops (copepods)
MOT of D. Medinensis
Ingestion of crustaceans
Causes human eosinophilic meningoencephalitis
Angiostrongylus cantonensis
Intermediate host of A. Cantonensis
Mollusks:
Achatina fulica
Japanese snail
Pila luzonica
Brotia asperata
Definitive host of Angiostrongylus cantonensis
Rats
Adult characteristics of female Angiostrongylus cantonensis
“Barber’s pole appearance”
Looking of whitish uterus to red digestive tract
Causes Herring’s disease
Anisakis
MOT of Anisakis
Ingestion of raw fish