Parasitology Flashcards
How is pinworm transmitted?
Ingestion of eggs; direct person to person
Pinworm is also called _____
Enterobius vermicularius
What is the pinworm definitive host? Intermediate host?
Definitive host: Humans
Intermediate host: Not needed
Describe pinworm life cycle
Female comes out at night and emerges from anus; lays up to 20,000 eggs. Perianal scratching and transfer to mouth -> auto-reinfection. Eggs in bedclothes easily transmitted to others, eggs swallowed, hatch in intestines. Adults mate and migrate to COLON.
What immunity is present with pinworm?
None; reinfection is possible and common
How do you diagnose pinworm?
Persistent perianal itch, restlessness, insomnia
Observation of eggs, scotch tape test
Whipworm is also known as:
Trichuris trichiura
Whipworm definitive host?
Humans only
How is whipworm transmitted?
Ingestion of embryonated eggs
NO DIRECT PERSON TO PERSON
Explain the whipworm life cycle
Eggs swallowed, hatch in intestine, adults mate and migrate to colon (just like PINWORMS!)
Adults attach in colon, larvae passed in feces (3,000 - 20,000), eggs mature in soil for about 10 days. (OBLIGATE SOIL TIME)
How do you diagnose whipworm?
Only way is by eggs in stool
Pathology of whipworm is based on _____ and leads to _____
Worm burden.
Low - moderate: none, bleeding, bacteremia
High: disrupted colonic mucosa, blood stool, prolapse, anemia
Heavy burden: in children, leads to impaired growth cognitive ability
What are the features of Ascariasis? Location, host, transmission?
Location: Adults free in upper intestine
Definitive host: humans
Transmission: ingestion of eggs from soil, NO DIRECT PERSON TO PERSON
Explain life cycle of ascariasis
Eggs swallowed, larvae hatch and invade intestinal mucosa, enter venous circulation to the lungs (coughed up and swallowed again)
Mature and mate in small intestine, females lay 200,000 eggs/day, passed in feces, OBLIGATE SOIL TIME, eggs mature in soil for 3 weeks and swallowed
How do you diagnose ascariasis?
Eggs in stool
Pathology of ascariasis?
Usually none with low/moderate worm burden
Heavy worm loads can lead to intestinal obstruction
*Stressed worms can migrate to nose, ear, peritoneal, through body wall
Hookworms are also known as:
Necator americanus (global) Ancylostoma duodenale (asia)
Hookworms location, definitive host, transmission?
Location: small intestine
Definitive host: humans
Transmission: invasive skin in contact with soil, NO DIRECT PERSON TO PERSON