Parasites Flashcards
what preservations are good for eggs, larvae, and cysts
refrigeration
10% formalin
MIF
what preservations are good for trophozoites
PVA (best)
SAF
advantages of formalin ethyl acetate sedimentation
indefinite
easy
detects all parasites
disadvantage of formalin ethyl acetate sedimentation
more debris
advantage of zinc sulfate flotation technique
no flammable chemicals
cleaner preparation
disadvantage of zinc sulfate flotation technique
large eggs and operculated eggs missed
general characterisitics of round worms
males smaller
unsegmented
complete digestive tract
largest nematode
ascaris lumbricoides
infection mode of ascaris lumbricoides
infective egg ingested
diagnosis of ascaris lumbricoides
adult worms or eggs in feces
larvae in sputum
most common helminth of humans
enterobius vermicularis (pinworm)
infection mode of enterobius vermicularis
infective eggs ingested
diagnosis of pinworm
scotch tape (eggs and larvae
infection mode of trichuris trichiuria (whipworm)
infective eggs ingested
diagnosis of whipworm
egg in feces
football shaped with mucoid polar plugs egg
tricguris trichuria
smallest nematode
strongyloides stercoralis (threadworm)
noninfective form of threadworm
rhabditiform larva
infective form of threadworm
filariform larva (penetrates skin)
short buccal cavity with notch at end of tail
larva
strongyloides stercoralis
diagnosis of strongyloides stercoralis
rhabditiform larvae / filariform larvae in stool
adult / larva/ eggs in sputum
characteristics of rhabditiform larvae of hookworm
long buccal cavity
infective stage of hookworm
filariform larvae
characteristics of filariform larvae of hookworm
long buccal cavity
pointed tail
diagnosis of hookworm
egg in feces
what organisms are hookworm
necator americanus (new world) ancylostoma duodenale (old world)
how do you differentiate hook worm adults?
necator - cutting plates
duodenale - 2 pair
infective stage of trichinella spiralis
ingestion of encysted larvae in pork
diagnosis of trichinella spiralis
muscle biopsy
encysted larvae in muscle
larval stage:
sheathed
no nuclei in tail
nocturnal periodicity
wuchereria bancrofti
diagnosis of wuchereria bancrofti
larvae in blood smear
what condition does wuchereria bancrofti cause?
elephantiasis
microfilaria:
sheathed
2 terminal nuclei at tip of tail
brugia malayi
diagnosis of brugia malayi
larvae in blood smear
microfilaria:
sheathed
nuclei in tip of tail
diurnal periodicity
loa loa (eye worm)
what organism causes calabar swellings
loa loa
diagnosis of loa loa
larvae in blood smear
microfilaria:
NOT sheathed
NO nuclei
nodules under skin NOT blood
onchocerca volvulus
what causes river blindness
onchocerca volvulus
diagnosis of onchocerca volvulus
larvae in skin / tissue scrapings
what two microfilaria are transmitted by mosquito?
wucheria bancrofti
brugia malayi
what two microfilaria are transmitted by fly?
loa loa
onchocerca volvulus
general characteristics of cestodes (tapeworms)
flat ribbon like segmented hermaphroditic 4 cup shaped suckers on scolex (except diphyllobothrium latum (2))
scolex: unarmed rostellum
2000 proglottids
taenia saginata (beef)
infective stage of taenia saginata
larval stage
diagnosis of taenia saginata
egg in feces (kiwi slice) stained proglottids (15-30 uterine branches)
scolex: armed rostellum
1000 proglottid
taenia solium (pork)
infective stage taenia solium
larval stage
what organism can cause cysticercosis where the human is intermediate host?
taenia solium
diagnostic stage of taenia solium
egg in feces stained proglottids (7 - 13 uterine branches)
most common tapeworm in US
hymenolepis nana (dwarf)
small tapeworm
200 segments
armed rostellum
hymenolepis nana
infective stage of hymenolepis nana
ingestion of eggs
diagnosis of hymenolepis nana
egg in feces
polar filaments
unarmed rostellum
rat definitive host
man accidental host
hymenolepis diminuta (rat)
infective stage of hymenolepis diminuta
ingestion of flea
diagnosis of hymenolepis diminuta
egg in feces
no polar filaments
scolex: two longitudinal grooves (bothria)
spoon shape
rosette uterus
3000 proglottids
diphyllobothrium latum (broad fish tapeworm)
infective stage of diphyllobothrium latum
ingestion of larvae in freshwater fish
diagnosis of diphyllobothrium latum
egg or proglottids in feces
what is the only cestode to produce operculated eggs?
diphyllobothrium latum
what diseases can diphyllobothrium latum cause?
megaloblastic anemia
sparganosis
very small tapeworm
3 proglottids
armed rostellum
echinococcus granulosus (hydatid)
what is the intermediate host for echinococcus granulosus?
sheep ingest eggs
what is the definitive host for echinococcus granulosus?
dog
infective stage of echinococcus granulosus
ingests eggs
diagnosis of echinococcus granulosus
hydatid cysts x -ray or surgery
scolex: armed rostellum
pumpkin/cucumber seed proglottids
dipylidium caninum (dog tapeworm)
infective stage of dipylidium caninum
ingests infected flea
diagnosis of dipylidium caninum
egg packet (5-30 eggs) in feces
general characteristics of trematodes (flukes)
flat leaf shaped hermaphroditic require intermediate host snail is ALWAYS 1st intermediate host operculated eggs
who is the definitive host in trematode infections
man
infective stage of fasciolopsis buski
raw aquatic vegetation with encysted metacercaria
giant intestinal fluke
fasciolopsis buski
diagnostic stage of fasciolopsis buski
eggs in feces (very large)
where is fasciolopsis buski found
asia
sheep liver fluke
fasciola hepatica
infective stage of fasciola hepatica
ingest raw aquatic vegetation with encysted metacercaria
diagnosis of fasciola hepatica
eggs in feces
what are the reservoir hosts in fasciola hepatica
sheep and cattle
chinese liver fluke
clonorchis sinensis
infective stage of clonorchis sinensis
ingestion of raw fish with metacercaria
diagnosis of clonorchis sinensis
eggs in feces (comma shaped appendage)
oriental lung fluke
paragonimus westermani
infective stage of paragonimus westermani
ingestion of crustacean with metacercaria
diagnosis of paragonimus westermani
egg in feces or sputum
operculated with shoulders
blood flukes
schistosomes
what is the most important trematode in man and why?
schistosomes
severity of infection
infective stage of schistosomes
cercariae in water directly penetrate skin
diagnosis of schistosomes
egg in feces or urine
may NOT be seen in flotation techniques
schistosome mansoni spine
conspicuous lateral
schistosome japonicum spine
inconspicuous lateral knob
schistosome haematobium spine
terminal spine
what disease can schistosomes cause?
swimmer’s itch