Trematodes Flashcards
Most important digenetic trematode of man
TREMATODES DIOECIOUS
Delicate cylindroidal parasites
TREMATODES DIOECIOUS
Live typically in pairs in portal blood vessels or in the vessical
venules
TREMATODES DIOECIOUS
Larger compared to the female
TREMATODES DIOECIOUS male
Gynecophoral canal on the ventral side
TREMATODES DIOECIOUS male
Smaller and are thread like
TREMATODES DIOECIOUS female
Mot of trematodes
Skin penetration of cercariae
first human infection of trematodes
bilharziasis
Teodor bilharz 1951
are commonly isolated from
the feces. Although occasionally they can also obtain in the
urine
The S. mansoni and S. japonicum
is primarily isolated in the urine
Schistosoma haematobium
Egg will hatch releasing the
miracidia
will be the one to penetrate the tissue.
miracidia
will be developed in the snail
sporocyts
stage will be released by the snail to the water and
free swimming, this will penetrate the skin
cercariae
In side the man, Cercariae will lose it tails during the
penetration which will become ____ before going
to the circulation
schistosomulae
3 stages of infection:
● Skin penetration to arrival of adults in venules
● Pathologic changes:
❖ Negligible to mild cutaneous lesions
❖ Tissue reactions to the immature worms
❖ Associated toxic and allergic reactions
- PRE-PATENT OR DEVELOPMENTAL
3 stages of infection:
● Active egg deposition and extrusion
● Appearance of eggs in the stool
● Symptoms:
❖ Daily fever
❖ Epigastric pain
❖ Continuous increase in the size of the liver
❖ Loss of weight
❖ Relapse of pain
- ACUTE STAGE
3 STAGES OF INFECTION :
● Invasion of the tissues by the migrating larva and adult worms:
❖ Petechial hemorrhage
❖ Small foci of eosinophilia
❖ Neutrophilic infiltration in the lungs
❖ Cough and hemoptysis
❖ Acute inflammation reactions in the liver with fever
● Stable egg output and tissue proliferation
- CHRONIC STAGE
LABORATORY DIAGNOSIS:
● Eggs in urine (dysuria and hematuria: presence of blood in
urine)
● Bladder biopsy
- SCHISTOSOMA HAEMATOBIUM
Specimen of choice for recovery of haematobium:
presence
of eggs in a concentrated urine specimen or bladder biopsy
LABORATORY DIAGNOSIS:
Accomplished by recovery of eggs in the stool or through
rectal biopsy
S. JAPONICUM AND S. MANSONI
Schis.j common name?
Oriental blood fluke or visceral blood fluke
Utilize glucose at a fairly fast rate
SCHISTOSOMA JAPONICUM
life span of schis.j
3-8 years
is the smallest
of the Schistosoma spp measuring 50-85 um x 38-60 um
SCHISTOSOMA JAPONICUM
Egg is characterized by the presence of small lateral spine
which is often difficult to detect on microscopic examination
SCHISTOSOMA JAPONICUM
Ovoidal testes: single row behind acetabulum
schis.j male
Union of ceca and testes of schis. j male
posterior to the middle half of the body
schis.j male has what kind of canal?
gynecophoral canal
schis.j has what shape of ovary?
pyramidal ovary at the center of the body
Adherent to bits of tissues or RBCs
schis.j ova
Non-operculated ova of?
schis.j