Trematodes (Flukes) Flashcards
1
Q
This specimen was retrieved during an ERCP
- Name this parasite (size: 30 mm) to the genus level
- State your reasons
- Name one intermediate host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Fasciola hepatica
- Characteristic large and broadly flattened fluke
* Within the size range (up to 30 x 15 mm) for F. hepatica sp. adults
* Located in biliary ducts where F. hepatica reside
* Cone shaped anterior end (unlike rounded end of F. buski) - Snail
- Sheep, cattle
- Consuming watercress that are encysted with metacercariae
- Triclabendazole
2
Q
- Name this parasite (size: 25 um) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Opthisthorchis spp.
- Characteristic egg
* Within the size range (19-30 um) for Opthisthorchis sp.
* Operculum resting on ‘shoulders’
* Abopercular knob
* Containing a mature miracidium - Snail; Freshwater fish
- Consuming freshwater fish that are encysted with metacercariae
- Praziquantel
3
Q
- Name this parasite (size: 112 um) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Paragonimus sp (e.g. westermani)
- Characteristic ovoid/elongated egg
* Within the size range (80-120 um) for Paragonimus eggs
* Operculum
* Thick shell
* Unembryonated - Snail, crab/crayfish
- Pigs, dogs, cats
- Consuming undercooked or pickles crab/crayfish with encysted metacercariae
- Praziquantel
4
Q
- Name this parasite (size: 9 mm) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Echinostoma
- Features:
* Within size range (2-10 mm long by 1-2 mm wide) for Echinostoma sp.
* Single ovary next to paired testes
* Oral sucker surrounded by a collar of spines - Snail (1st) -> Snail (2nd) or Frog (2nd)
- Ducks, rodents
- Ingesting snails or frogs encysted with metacercariae
- Praziquantel
5
Q
- Name this parasite (size: 105 um) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Paragonimus sp (e.g. westermani)
- Characteristic ovoid/elongated egg
* Within the size range (80-120 um) for Paragonimus eggs
* Operculum
* Thick shell
* Unembryonated - Snail, crab/crayfish
- Pigs, dogs, cats
- Consuming undercooked or pickles crab/crayfish with encysted metacercariae
- Praziquantel
6
Q
- Name this parasite (size: 134 um) to the species level
- State your reasons
- Name one intermediate host for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Fasciolopsis buski (or report as Fasciola/Fasciolopsis)
- Characteristic ellipsoidal egg
* Within the size range (130-150 um) for F. buski eggs
* Operculum
* Lack of roughened/irregular abopercular area
* Unembryonated - Snail
- Pigs
- Consuming aquatic plants that are encysted with metacercariae
- Praziquantel
N.b. may report as Fasciola/Fasciolopsis and have to identify based on serology or morphology and location of the adult fluke
7
Q
A histological section of lung tissue is shown
- Name this parasite (size: 93 um) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Paragonimus sp (e.g. westermani)
- Characteristic ovoid/elongated egg
* Within the size range (80-120 um) for Paragonimus eggs
* Operculum
* Thick shell
* Unembryonated - Snail, crab/crayfish
- Pigs, dogs, cats
- Consuming undercooked or pickles crab/crayfish with encysted metacercariae
- Praziquantel
8
Q
This specimen was retrieved during an ERCP
- Name this parasite (size: 7 mm) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Opisthorchis sp.
- Characteristic flattened, lanced-shape fluke
* Within the size range (7 mm) for Opisthorchis sp. adults
* Located in biliary ducts where Opisthorchis reside
* Rounded testes (vs highly branched in Clonorchis) - Snail; Freshwater fish
- Consuming freshwater fish that are encysted with metacercariae
- Praziquantel
9
Q
This specimen was retrieved during a bronchoscopy
- Name this parasite (size: 9 mm) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Paragonimus sp (e.g. westermani)
- Characteristic large ovoid adult fluke
* Within the size range (7-15 mm) for Paragonimus adults
* Contains two branching testes
* Retrieved from the lungs where adult Paragonimus reside - Snail, crab/crayfish
- Pigs, dogs, cats
- Consuming undercooked or pickles crab/crayfish with encysted metacercariae
- Praziquantel
10
Q
- Name this parasite (size: 141 um) to the species level
- State your reasons
- Name one intermediate host for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Fasciola hepatica
- Characteristic ellipsoidal egg
* Within the size range (130-150 um) for F. hepatica eggs
* Operculum
* Roughened/irregular abopercular end
* Unembryonated - Snail
- Sheep, cattle
- Consuming watercress that are encysted with metacercariae
- Triclabendazole
N.b. may report as Fasciola/Fasciolopsis and have to identify based on morphology and location of the adult fluke
11
Q
This specimen was retrieved during a bronchoscopy
- Name this parasite (size: 12 mm) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Paragonimus sp (e.g. westermani)
- Characteristic large ovoid adult fluke
* Within the size range (7-15 mm) for Paragonimus adults
* Contains two branching testes
* Retrieved from the lungs where adult Paragonimus reside - Snail, crab/crayfish
- Pigs, dogs, cats
- Consuming undercooked or pickles crab/crayfish with encysted metacercariae
- Praziquantel
12
Q
- Name this parasite (size: 36 um) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Dicrocoelium sp
- Features
* Ovoid egg within size range (35-45 um) of Dicrocoelium
* Operculum
* Thick shell
* Fully embryonated - Snail (1st); Ant (2nd)
- Cattle
- Ingesting infected ants
- Praziquantel
13
Q
This specimen was retrieved during an ERCP
- Name this parasite (size: 12 mm) to the species level
- State your reasons
- Name two intermediate hosts for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Clonorchis sinensis
- Characteristic flattened, lanced-shape fluke
* Within the size range (10-25 mm) for C. sinensis adults
* Located in biliary ducts where C. sinensis reside
* Highly branched testes (vs rounded in Opisthorchis) - Snail; Freshwater fish
- Consuming freshwater fish that are encysted with metacercariae
- Praziquantel
14
Q
- Name this parasite (size: 97 um) to the genus level
- State your reasons
- Name two intermediate hosts for this parasite
- Name one non-human definitive host for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Paragonimus sp (e.g. westermani)
- Characteristic ovoid/elongated egg
* Within the size range (80-120 um) for Paragonimus eggs
* Operculum
* Thick shell
* Unembryonated - Snail, crab/crayfish
- Pigs, dogs, cats
- Consuming undercooked or pickles crab/crayfish with encysted metacercariae
- Praziquantel
15
Q
- Name this parasite (size: 33 um) to the species level
- State your reasons
- Name two intermediate hosts for this parasite
- How do humans become infected with this parasite
- Name one drug used to treat infection with this parasite
A
- Clonorchis sinensis
- Characteristic egg
* Within the size range (27-35 um) for C. sinensis
* Operculum resting on ‘shoulders’
* Abopercular knob
* Containing a mature miracidium - Snail; Freshwater fish
- Consuming freshwater fish that are encysted with metacercariae
- Praziquantel