Trematodes Flashcards

1
Q

Describe trematodes

A
  • Morph:
    • flat, solid-bodies, unsegmented
    • oral sucker and acetabulum
    • blind digestive tract
  • Indirect life cycle
    • First IH usually an snail
  • Hermaphrodites
    • Asexual and sexual reproduction
    • Operculated eggs - except schistosomes
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2
Q

Describe the basic life cycle of trematodes

A
  • The adult in present in the DH (sheep)
  • operculated eggs released in feces
  • Once the egg hits the water, a ciliated miracidium is released
  • the IH (snail) ingests the miracidium, which develops into a sporocyst
  • Within the snail, the sporocyst develops into the redia
  • The redia develops into and releases a cercaria, which leaves the snail
  • The cercaria develops into a metacercaria and is ingested by the DH (sheep)
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3
Q

True or False: trematodes have evolved a system of ‘soldier’ and reproductive castes that prevent invasion of the IH by multiple trematodes

A

True

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4
Q

Describe the life cycle of Platynosomum fastosum (lizard poisoning flukes)

A
  • adults in bile ducts of cats
  • eggs shed in feces, miracidium develops
  • eggs ingested by terrestrial snail (1st IH)
    • mother sporocyst —> daughter sporocysts —> cercariae
  • cercariae encyst in Anolis lizards (2nd IH)
    • also toads, geckos
  • Lizards ingested by cats
  • metacercariae excyst —> juvenile flukes entire bile duct/gallbladder and mature
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5
Q

Describe Platynosomum Fastosum (lizard poisoning flukes)

A
  • Distribution: Florida, other SE states, Hawaii
  • Host: cats
  • Habitat: Bile duct
  • Morph: Adults are small, operculated eggs
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6
Q

How do you diagnose P. Fastosum?

A
  • eggs in fecal sedimentation
  • necropsy: flukes in bile duct, hepatic lesions
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7
Q

How do you treat P. fastosum?

A
  • No approved treatment
    • High dose praziquantel
    • Epsiprantel
    • Fenbendazole
  • Tx unrewarding in late stage disease - gets worse after flukes die off
  • prevent predation
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8
Q

Describe Paraginomus kellicotti (lung fluke)

A
  • Distribution: North America
  • DH: Dogs, cats, mink/muskrat (primary DH)
  • Habitat: lungs - live in pairs in cysts
  • Morph: adults - reddish brown, eggs - yellow brown, operculated, terminal spine
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9
Q

What is the life cycle of P. Kellicotti?

A
  • Adults in lungs
  • eggs pass in bronchi —> trachea —> coughed up and swallowed —> exit in feces
  • contact with water released miracidium —> enters stream snail (1st IH)
  • cercarie leave snail and penetrate crayfish (2nd IH), encyst
  • DH ingests the crayfish containing metacercariae
  • Juvenile flukes penetrate the SI and the diaphragm, enter the lungs
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10
Q

Describe the disease caused by P. Kellicotti

A
  • Migrating immature flukes
    • eosinophilic peritonitis, pleuritis, myositis, multifocal pleural hemorrhage
  • Adult flukes
    • chronic bronchitis, granulomatous pneumonia
    • heavy infections or rupture cysts —> hemorrhage or pneumothorax
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11
Q

What parasite are you looking at?

A

P. Kellicotti (lung fluke)

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12
Q

How do you diagnose P. Kellicotti?

A
  • Eggs in sedimentation or float
    • sputum, feces, TTW
  • thoracic rads might show pulmonary cysts
    • frequently right caudal lung lobe
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13
Q

How is P. Kellicotti treated?

A
  • No approved treatment
    • praziquantel
    • epsiquantel
    • fenbendazole
  • prevent ingestion of uncooked crayfish
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14
Q

Describe Nanophyetus salmonicola (salmon poisoning worm)

A
  • Dist: Pacific NW
  • DH: Dogs, cats, fish-eating mammals including humans
  • Habitat: SI crypts
  • Morph: eggs yellow brown, operculated
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15
Q

Describe the life cycle of N. Salmonicola

A
  • Adults in SI, eggs released in feces
  • in water, miracidium released and penetrates aquatic snail (1st IH)
  • cercarie leave and penetrate fish (2nd IH), encyst
    • trout and salmon most susceptible
    • metacercariae most abundant in kidneys, fins, muscle
  • DH ingests fish
  • Flukes excyst, mature in SI
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16
Q

Describe the disease caused by N. Salmonicola

A
  • Adults usually cause little disease
  • Enteritis in heavy infections
  • “Salmon poisoning” in dogs caused by Neorickettsia helmenthica carried by flukes
    • fever, anorexia, vomiting, profuse diarrhea
    • 90% mortality if untreated
17
Q

How do you diagnose N. Salmonicola?

A
  • History of eating fish in last 5-7 days
  • clincal signs
  • eggs in fecal sedimentation (PPP = 4-5 d)
18
Q

How do you treat N. Salmonicola?

A
  • No approved tx
    • Praziquantel
    • Epsiquantel
    • Fenbendazole
  • Antibiotics and fluid therapy for salmon poisoning
  • Prevent eating of wild fish
19
Q

Describe Heterbilharzia americana (canine blood fluke)

A
  • Dist: Gulf Coast, south Atlantic coast, as far north as Kansas and Indiana
  • Host: dogs, raccoons (natural DH), bobcat, horses
  • Morph: Adults - dioecious, egg - non-operculated, contains miracidium
20
Q

Describe the life cycle of H. Americana

A
  • Adults in hepatic and mesenteric veins
  • Eggs pass thru intestinal wall, shed in feces
  • upon contact with water, miracidium released
  • miracidium penetrates freshwater snail (1st IH)
    • mother sporocyst —> daughter sporocyst —> cercariae
  • Cercarie leave snail, directly penetrate DH
  • Migrate lungs —> liver —> mesenteric veins
  • Pair up, mate
  • Prepatent periods - 10 weeks
21
Q

Describe the disease caused by H. Americana

A
  • Usually asyptomatic
  • Cercarial penetrations —> possible rash with pustular eruptions
    • Zoonosis: cercarial dermatitis
  • Eggs in tissue - granulomatous dermatitis, calcification
  • Possible clinical signs: lethargy, weight loss, inappetence, diarrhea
22
Q

How do you diagnose H. Americana?

A
  • Eggs in feces
    • sedimentation best - 0.9% saline, not water!
  • Fecal PCR
  • Histopath
23
Q

How do you treat H. Americana?

A
  • No approved treatment
    • Praziquantel
    • Epsiquantel
    • Fenbendazole
  • Avoid canals or ponds with snails
24
Q

Describe Alaria spp.

A
  • Dist: North America
  • Host: Dogs, cats
  • Habitat: SI
  • Morph: eggs light brown, operculated
25
Q

Describe the life cycle of Alaria spp.

A
  • Adults in SI, passed in feces
  • in water, miracidium released —> penetrates freshwater snail (1st IH)
  • Cercaria leave snail, penetrate tadpole (2nd IH)
    • remain as mesocercariae
  • DH ingests tadpole or paratenic host (frog, snake, bird, small mammal)
    • Mesocercariae penetrate diaphragm, migrate to lungs, develop into metacercariae
    • Metacercariae carried up thru trachea, swallowed, matures in SI
  • If lactating queen ingests mesocercariae —> migrate to mammary glands and develop in kittens, some remain in queen to infect future litters
26
Q

Describe the disease caused by Alaria spp.

A
  • Adults usually non pathogenic
  • migrating flukes can cause pulmonary hemorrhage
27
Q

How do you diagnose and treat Alaria spp?

A
  • Dx: eggs in fecal sedimentation
  • Tx: No approved treatment - Epsiquantel, Praziquantel, Fenbendazole
    • Prevention predation
28
Q

Describe the disease caused by P. Fastosum

A
  • Disease: normally not severe (inappetence)
  • Chronic infection — biliary hyperplasia —> fibrosis, cholestasis, hepatic failure
  • Severe infections — V/D, anorexia, lethargy, depression, fever, jaundice