Parasites Flashcards
Diphyllobothriasis
largest tapeworm >10m long
Raw freshwater fish
Megablastic anemia
RX: Praziquantel
Echinococcus
Small, cysts
Granulosus: liver>lung>brain/muscle/kidney
multilocularis: liver, usually symptomatic
Surgery
RX: albendazole
Schistosomiasis
FLUKE
freshwater skin penetration
*Most prominent in SSA
Acute: swimmers itch»>Katayama fever (eosinophilia)
Chronic:
periportal fibrosis
bladder fibrosis
RX: praziquantel
Liver/biliary flukes
undercooked freshwater fish
SEAsia
Cholangiocarcinoma
Lung fluke
Far East
Undercooked seafood
Lung fibrosis
RX: praziquantel
Lung fluke
Far East
Undercooked seafood
Lung fibrosis
RX: praziquantel
Entamoeba
Amebiasis
liver abcess, bloody diarrhea
RX: metronidazole follow with luminal agent
crypto/iso/cyclospora
watery diarrhea, esp in immunocompromised
giardia
steatorrhea, daycare, hikes
Roundworm
.
tapeworm
.
flukes
.
Cryptosporidiosis
Conataminated H2O, even rec
Chronic diarrhea in HIV
watery diarreha
severe in immunocompromised
RX: ORS, Nitazoxanide
Isosporiasis
Contaminated water
Severe volume depletion
Isosporiasis
Contaminated water
Severe volume depletion
chronic diarrhea in immunocompromised
Rx: ORS, TMP/SMX