Trematodes Flashcards
Phylum of tramatodes
Platyhelminthes
Characteristic of all trematodes except blood flukes
Flat, leaf like
Hermaphrodite
Egg: operculated
MOT: ingestion
IS: metacercaria
IH: 2 IH
Characteristic of Schistosomes
Elongated and cylindrical
Separate sexes
Egg: non operculated
MOT: skin penetration
IS: cercaria
IH: 1 IH ( snail )
Eggs mature when laid (embryonated) : SHOC
Schistosoma
Heterophyes
Opistorchis
Clonorchis
Eggs are Immature when laid (unembryonated) : PEFF
Paragonimus
Echinostoma
Fasciola
Fasciolopsis
2 suckers used as attachment by trematodes
Oral and ventral (acetabulum)
Heterophyes 3rd attachment
Genital sucker
Life cycle of trematodes
Egg>Larva(Miracidium>Sporocyst>Redia>Cercaria>Metacercaria)>Adult
1st IH of trematodes
Snail
2nd IH of trematode
Fish, crab, plant/vegetation, snail
Fish are the 2nd IH of these Trematodes: SHOC
Schistosoma
Heteophyes
O. Felineus
C. Sinensis
2nd IH are snails
E. Ilocanum
2nd IH are plant/vegetation of these trematodes
F. Hepatica
F. Gigantica
F. Buski
Liver trematodes
F. Hepatica
F. Gigantica
C. Sinensis
O. Felineus
Small intestine trematodes
F. Buski
E. Ilocanum
H. Heterophyes
Lung trematode
P. Westermani
Causes sheep liver rot
Fasciola hepatica
Adult characteristics of F. Hepatica
With cephalic cone
Leaf like hermaphrodite
Most important liver fluke of man
Clonorchis sinensis
Egg characteristics of C. Sinensis
Old fashioned electric light bulb
MOT of C. Sinensis
Ingestion
Resembles C. Sinensis
Opistorchis felineus
Largest fluke parasitizing man
Fasciolopsis buski
Egg characteristics of F. Buski
Hen’s egg shaped
Indistinguishable from fasciola
Smallest but deadliest fluke of man
Heterophyes Heterophyes
MOT of H. Heterophyes
Ingestion
Causes endemic hemoptysis
Paragonimus westermani
Egg characteristics of P. Westermani
With thickened abopercular end opposite the operculum
Lab diagnosis of P. Westermani
Sputum and stool exam
MOT of P. Westermani
Ingestion
Most romantic parasite of man
Schistosoma
Adult characteristics of schistosoma
Male: with gynecophoral canal where the female is held
Lab diagnosis of Schistosoma
- Demonstration of eggs in feces, rectal or liver biopsies and urine
- Faust and Meleney’s eggs hatching technique
- Circumoval precipitin test (COP)
Pathology of Schistosoma
Larva Penetration
Human sp: slight allergic reaction
Nonhuman sp: Swimmer’s itch
Tissue damage by eggs
Causes Katayama’s disease
S. Japonicum
Habitat of S. Japonicum
Superior mesenteric veins in the small intestines
Egg characteristics of S. Japonicum
With small knob-like or recurved hook on one side
IH of S. Japonicum
Oncomelania quadrasi
Smallest blood fluke
Schistosoma mansoni
Habitat of S. Mansoni
Superior mesenteric veins of the colon
Vesical blood fluke causing bilharziasis or urinary schistosomiasis ( hematuria)
Schistosoma haematobium
Specimen for S. Haematobium
24 hr unpreserved urine
Cestode body
Scolex, neck, strobila
Anterior attachment organn
Scolex
Region of growth
Neck
Chains of segments or oroglottids
Strobila
False tapeworm
Pseudophyllidea
Stages of Pseudophyllidea
Coracidiu,>Procercoid>Plerocercoid
Scolex of Pseudophyllidea
Spoon shaped with bothria
Strobila of Pseudophyllidea
Anapolytic (not shedding segments)
Egg of Pseudophyllidea
Operculated with aboperculum, immature when laid
True tapeworm
Cyclophyllidea
Scolex of Cyclophyllidea
Quadrate with 4 cuplike suckers (rostellum with or without hooklets)
Strobila of Cyclophyllidea
Apolytic (shedding segments)
Egg of Cyclophyllidea
Non-operculated, embryonated (mature when laid) hexacanth embryo
Largest tapeworm of man
Causes Vit B12 deficiency anemia
Diphyllobothrium latum
Scolex of T. Saginata
None, no rostellar hooks
Scolex of T. Solium
With rostellum armed with 2 rows of large and small hooklets
Characteristic of eggs of T. Saginata and T. Solium
Spherical, striated, inside is an embryo with 6 hooklets
Pathogenesis of T. Solium
Taeniasis solium and cysticercosis
Pathogenesis of T. Saginata
Taeniasis saginata
Scolex of H. Nana
With rostellum armed with a ring of 20-30 spines
Scolex of H. Diminuta
With oncosphere enclosed in an inner membrane with 2 polar thickenings, but w/o filaments
Proglottids With double set of reproductive organs and genital pore on each side of the lateral margin
Dipylidium caninum
Shortest tapeworm. Anti-Tp1
E. Granulosis
Intermediate host of E. Granulosis
Definitive host of E. Granulosis
IH: sheep man
DH: Dog
Lab diagnosis of E. Granulosis
- Exploratory cyst puncture
- Roentgenogram
- Immunologic test: Bentonite flocculation test & Casoni