nematodes Flashcards
Category
Details
Classification of Nematodes
Based on habitat
Intestinal - Small Intestine
Ascaris, Strongyloides, Hookworm
Intestinal - Large Intestine
Enterobius vermicularis, Trichiuris
Extraintestinal - Muscle
Trichinella spiralis
Trichuriasis or Whipworm
3rd most common roundworm infection in humans
Trichuriasis Description
Worm looks like a whip, with a thick posterior end, & a long, thin head. 3 - 5 cm long, males smaller than females.
Trichuriasis Infection Site
Infection of the human cecum, appendix, colon & rectum caused by Trichuris trichiura
Trichuriasis Distribution
Found worldwide, common in tropical areas with poor sanitation. Requires hot & humid environments to develop in soil.
Trichuriasis Transmission
Human feces as fertilizer increases infection risk. Hard to eliminate from the population.
Epidemiology
1 female Trichuris produces 3,000-10,000 barrel-shaped ova daily.
Egg Characteristics
Pass through human intestine, bile penetrates thick shell, making ova brownish. Barrel-shaped with polar plugs.
Egg Development
Eggs require 2-4 weeks to develop in warm damp soil; can remain infective for 1-2 years.
Transmission
Humans infected by ingesting contaminated soil, food, or water containing infective Trichuris eggs.
High-Risk Groups
Small children (3-9 years) more often infected.
Life Cycle
Unembryonated eggs passed with stool; soil development; ingestion; hatching in intestine; adult worms in colon.
Clinical Manifestation - Light Infections
Asymptomatic
Clinical Manifestation - Heavy Infections
GIT problems: abdominal pain, diarrhea, tenesmus, anemia, weight loss.
Complications
Rectal prolapse in heavy infections, bacterial infections due to mucosal damage.
Diagnosis
Microscopic identification of barrel-shaped eggs with polar plugs.
Treatment
Albendazole & mebendazole.
Prevention
Avoid ingesting contaminated soil, proper hygiene, washing hands & food.
Enterobius vermicularis (Pinworm)
Small, white, threadlike worms. Females 8-13 mm long, have pin-shaped posterior end.
Habitat
Cecum of large intestine; females migrate to lay eggs on perineum at night.