Trichuris tri. Flashcards
common name of Trichuris trichiura
human whipworm
order
Trichurata
size of male
30-45 mm
size of female
35-50 mm
posture of male
coiled posteriorly
posture of female
blently rounded
ventrally
Bacillary band
leads to vas deferens
single saccular testis
protrusible through retractable protective spicule sheath
single retracted spicule
leads to oviduct
single saccular ovary
continues as serpentine tubule to the vulva
vagina
located ventrally at anterior extremity of fleshy portion
vulva
what can be seen during colonoscopy
fleshy posterior part because anterior part is burrowed
eggs
barrel-shaped or japanese lantern-shaped
low egg laying capacity
1000 eggs/day
essential for development
moisture
infective stage
embryonated egg
ingestion of
fully embryonated eggs
eggs will hatch where
duodenum
larva enters the
crypts
establish firmly in the epithelium of the
cecum
grows to adult worm in
3 months
due to chronic inflammation
blunting of intestinal villi
acute phase
dysentery
chronic phase
loss of anal sphincter tone
due to heavy worm burden
rectal prolapse
directed against the mucosa
mechanical trauma
seen in allergic reaction
eosonophils and carcot leyden crystals
the eggs are embryonated where
external environment
important stages
infective and diagnostic stage
most commonly infected
children
sth
soil transmitted helminthiasis
______ resistant to dessication compared to Ascaris eggs
less
___________ to direct sunlight, intense cold, putrefying medium (e.g. decaying vegetation
susceptible
depends on
intensity of infection, duration of infection, age and nutrition of host
moderate or light infection
majority of patients
high burden
heavy
feeling of constantly needing to pass stools, despite an empty coon
tenesmus
hypochromic
anemia
atleast 6 months parasitemia
increased worm burden
due to ____________ trauma to the mucosa caused by the burrowing phase
mechanical trauma
Due to mechanical trauma to the
mucosa caused by the burrowing phase of the parasite leading to
covert bleeding
uncommon, not a striking symptom
eosinophilia
more reliable diagnosis
kato thick smear
10 eggs per smear
light/high infection
over 50 eggs per smear
heavy infection
too numerous to count
massive infection
reveal adult worms
proctoscopy
standard treatment
mebendazole