Parasitic Infections Flashcards

1
Q

Cysticercosis- Eti

A

T. Solium cysts from contaminated food. Mexico, C & S. America, Philappenes & SE Asia

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2
Q

Cysticercosis- Sx

A

Calcified lesions in brain & spinal cord. Seizures, neuro defecits & psych disease

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3
Q

Cysticercosis- Dx

A

CSE ELISA, CT or MRI for cysts

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4
Q

Cysticercosis- Tx

A

Albendazole & corticosteroids

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5
Q

Ascariasis- Eti

A

Ascarias lumbricodes. Consumption of eggs in contaminated food- hatch in sm. intestine, penetrate lungs and travel back GI tract

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6
Q

Ascariasis- Sx

A

Asyomtomatic with light load. Heavy load- abd pain, obstruction of digestive ducts

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7
Q

Ascariasis- Dx

A

Feces or worm emerges from mouth, nose or anus

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8
Q

Ascariasis- Tx

A

Albendazole

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9
Q

Hookworm- Eti

A

Ancylostoma duodenale & Necator americanus. Skin contact with warm soil- travel through vessels to lungs-> GI tract

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10
Q

Hookworm- Sx

A

Rash at site of invasion, Resp issues durning larval migration, Epigastric pain, anorexia, diarrhea & anemia

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11
Q

Hookworm- Dx

A

Ova in feces

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12
Q

Hookworm- Tx

A

Albendazole

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13
Q

Enterobiasis- Eti

A

Enterobius vermicularis AKA Pinworm. Person to person, food & fomites. Eggs deposited in perineum- common in children

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14
Q

Enterobiasis- Sx

A

Perianal pruitis- excoriation and impetigo

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15
Q

Enterobiasis- Dx

A

Tape on anus- microscopic examination for eggs

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16
Q

Enterobiasis- Tx

A

Albendazole

17
Q

Trichanosis- Eti

A

Trichanella. Ingestion of undercooked pork. Travel through bloodstream and form cysts in muscles

18
Q

Trichanosis- Sx

A

Asymptomatic -> myalgia, periorbital edema, subconjunctival or retinal hemorrhage

19
Q

Trichanosis- Dx

A

Elevated serum muscle enzymes or ELISA

20
Q

Trichanosis- Tx

A

Albendazole, severe= supportive therapy

21
Q

Cutaneous Larvae Migrans- Eti

A

Dog & cat hookworms- SE USA. Migration of worm through skin- can’t complete lifecycle

22
Q

Cutaneous Larvae Migrans- Sx

A

Intensely pruitic, erythematous papules on hands & feet followed by serpegionus tracts

23
Q

Cutaneous Larvae Migrans- Dx

A

Characteristic appearance of lesions

24
Q

Cutaneous Larvae Migrans- Tx

A

Self clear, albendazole or topical thiabendazole

25
Q

Schistosomiasis- Eti

A

Fluke infection from water contact with snails- Africa, Arabia, S. America, Caribbean, SE. Asia. Invade skin- infects vessels and liver

26
Q

Schistosomiasis- Sx

A

Acute : fever, HA, myalgia, cough, urticaria, diarrhea, eosinophilia.
Intestinal schistosomiasis: abd pain, diarrhea, and hepatomegaly, anorexia, weight loss, portal hypertension.
Urinary schistosomiasis: hematuria and dysuria, hydroureter, hydronephrosis and urinary infections.

27
Q

Schistosomiasis- Dx

A

Ova in stool or urine, ELISA serology

28
Q

Schistosomiasis- Tx

A

Praziquantel

29
Q

Tapeworms- Eti

A

Beef, pork, fish & dwarf tapeworms. Ingestion for undercooked/ raw food. Dwarf is human to human

30
Q

Tapeworm- Sx

A

GI symptoms, anemia, abd. pain

31
Q

Tapeworm- Dx

A

Proglottids or eggs in stool

32
Q

Tapeworm- Tx

A

Praziquantel

33
Q

Scabies- Eti

A

Sarcoptes scabiei. Infested bedding or individual

34
Q

Scabies- Sx

A

Severe pruitis, pruetic excoriations, burrows in hand web spaces, elbows and axillae

35
Q

Scabies- Dx

A

Microscopic evaluation of org

36
Q

Scabies- Tx

A

Permethrin 5% cream, decontamination of household to prevent reinfection