Nematodes Flashcards

1
Q

outline the characteristics of the phylum Nematoda

A
  • 28,000 spp with 16,000 sp being parasitic
  • step up in complexity with complete digestive system open at both ends (simple tube)
  • secretes ammonia through body wall
  • adapted to nearly every habitat
    very successful parasite
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2
Q

outline the body plan of nematodes

A

2.5mm long but can be longer if parasitic

ornamented with ridges, rings, warts and bristles

bilaterally symmetrical body and radially symmetrical head

series of teeth on inner edge of mouth

4 nerves run length of the body which branch at the head to form a ring around pharynx = brain (more complex compared to previously studied parasites)

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3
Q

outline the structure of a cross section of a nematode

A

Tube within a tube
Thick cuticle outside with intestine as an inner tube
also has a series of long tubes running the length of the animals which are organs such as kidneys, testes, ovaries etc

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4
Q

outline some symptoms of soil transmitted helminths

A

light infections have no/few symptoms
heavy infections: abdominal pain, diarrhoea, anaemia, physical and cognitive growth retardation

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4
Q

outline the general nematode life cycle

A

separate sexes = male and female
fertilisation between sexes produces an embryonated egg (if fertilisation doesn’t occur then embryonated egg produced, non-infective)

egg hatches producing larvae which undergo many moults, getting larger at each one
larvae progress through first stage larval to fourth stage larva before they are considered mature

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4
Q

what are the species of soil transmitted helminths which infect humans through contaminated soils

A

1) Acaris lumbricoides (roundworm)
2) Trichuris trichiura ( whipworm)
3) Anclostoma dunodenale & Necator americanus (hookworms)
burrow through the skin of feet, enter the circulatory system, reach lungs, coughed into oesophagus and into digestive system

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4
Q

what are the names of two human hookworms which are usually discussed together as the cause of hookworm infection

A

1) Ancylostoma duodenale
2 )Necator americanus
found in the digestive system where they rasp using rasping plates to create an inflammatory response which they then feed on

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5
Q

outline the lifecycle of soil transmitted helminths

A

Eggs passed into the faeces of infected person
eggs deposited into the soil where they hatch releasing larvae
mature larvae penetrate skin of humans through the sole of feet
travel in circulatory system to lungs
from lungs coughed into oesophagus and into digestive tract where adults live
= common in areas where people have no shoes, children especially as dont have shoes until feet stop growing

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5
Q

how much of the world population is infected with soil transmitted helminths

A

800m- 1.1b with Ascaris
600m- 800m with whipworm
575-750m with hookworm
= warm and moist climates where sanitisation and hygiene are poor
= considered a neglected tropical disease as they inflict suffering but can be controlled

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6
Q

outline the lifecycle of the most common nematode worm Strongyloides stercoralis (strongyls)

A

1) larvae excreted in stool
2) develop into free living adult worms which produce fertlized eggs
3) eggs hatch forming larvae which developing filarial form which penetrate skin of definitive host
4) larvae migrate by various pathways to small intestine where they become adults
5) parasitic adult female in small intestine produces eggs and are either excreted or autoinfection occurs where larvae hatch and penetrate intestinal mucosa/ migrate to other organs

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6
Q

what species of nematode helminths use faceco-oral infection pathways

A

Ascaris species:
Ascaris lumbricoides: parasites to human intestine
A.summ (from pigs)

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7
Q

outline the Ascaris life cycle

A

1) Adult worms live in the lumen of the small intestine and produce 200,00 eggs per day passed out in faeces
2) unfertilized eggs are non-infective
3) fertile eggs take 18days- several months to develop into mature larvae
4) mature eggs ingested by hosts and larvae hatch out either:
- burrow through intestinal mucosa
- into the HPS, system circulation onto lungs
- mature on the lung surface for 10-14 days, then burrowing into alveoli
- climb up bronchial trees and coughed into digestive system
5) develop into diecious adults in small intestine (2-3 months)

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7
Q

what can Ascaris parasite species cause in humans

A

heavy infestations in children cause stunted growth due to malnutrition (this is rare)
- abdominal pain and intestinal obstruction
- potential perforation

migrating worms can cause blockages
nasopharyngeal expulsion= usually when just single female

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7
Q

outline how filarial nematode species are spread differently compared to other species

A

= Vector borne, not contamination
- blood feeding insects or copepod crustaceans (Dracunclus mediensis)

Adults = live in various host tissues
juveniles= wander in the circulatory system/ lymphatic system

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8
Q

what disease do filarial nematodes cause

A

Filariasis

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9
Q

what are the groups which filarial nematodes are split into

A

Split into 3 groups based on where they affect the body
1) Lymphatic filariasis
Wuchereria bancrofti
Brugia malayi
Brugia timori
= elephantitis

2) Subcutaneous filariasis
Loa loa
Mansonella streptocerca
Onchocerca volvulus
Dracunculus medinensis
= River blindness and Guinea worm

3) Serous cavity filariasis
Mansonella perstans
M. ozzardi
serous cavity of the abdomen

10
Q

outline the distribution of onchocerca volvulus

A

found in 31 countries in sub-saharan africa
foci of limited transmission in brazil, venezuela, yemen
disease thought to have been imported into latin america through the slave trade

onchocerciasis was eliminated from Columbia in 2013, Ecudor in 2014, Mexico in 2015 and Guatemala in 2016
= completely eradicated in large parts of central and southern amercia

11
Q

how is onchocerca volvulus treated

A

mass chemotherapy with ivermectin provided to everyone infected or not

an education programme explaining why youre mass administering ivermectin is essential to improve uptake

cataract surgery 100% effective

12
Q

outline characteristics of loa loa

A

infects 20 million people in central and west africa
vector= Chrysops spp biting fly
adults live in subcutaneous tissues and microfilariae enter blood
pathology is not as severe as other filarial species = sweeling = painful but temporary

13
Q

outline the spread of loa loa

A

adult worm burden cant increase once individuals are no longer exposed to infective larvae such as leaving an endemic region

vectors (Mosquitos) are not efficient transmitters so only get heavy infections if prolonged exposure in endemic regions

14
Q

how are filarial nematodes diagnosed

A
  • Lymphatic filariae
    – Detection of microfilariae in blood
    – Blood sample should be taken at night - periodicity
  • Onchocerca volvulus
    – Detection of microfilariae in skin sample
  • Loa loa
    – Detection of microfilariae in blood
    – Recovery of worms from subconjunctival space tissues
15
Q

how is filarial nematodes treated

A

no vaccine available
- chemotherapy with Diethylacarmazine and ivermectin = not effective against adult worms, can cause allergic reactions, treatment not cure
- surgical intervention= restores lymph flow, removal of nodules, removal of worms from the eye

16
Q

outline how understanding the lifecycle and transmission of a parasite can cause complete eradication with no drugs, vaccine or immunity

A

community based health car interventions and education programmes e.g. preventing humans from bathing in waters or filter straws which are cheap, easy to fix and easy to distributed so dont need to rely on healthcare systems