Worms Flashcards
Cestoda
dorsal-ventral flat suckers no gut hermaphroditic eggs with hexacanth larvae
Pseudophyllidea
scolex with two grooves, no suckers
operculate eggs
Diphyllobothrium latum
- live in small intestine, eggs in feces
- Hosts: human, dog, bear
- egg embryonates, coracdiium hatches–>ingested by copepod (water flea)–>ingested by fish, larvae goes to infected stage–>mammal ingests fish and larvae released–>tapeworm develops in intestine
- competes for Vit. B12
- non-specific abdominal disturbance
- Tx: praziquantel, epsiprantel
Spirometra mansonoides
- Hosts: cats, dogs, carnivores
- intermediate: 1st- copepods, 2nd-birds, reptiles,
amphibians - asymp in definitive
- larval stage=sporganum–>sporganosis in humans
- egg is small and operculate
Cyclophylidean Tapeworms
- body covered by tegument
- scolex has suckers and rostellum and row of hooks
- proglottids are shed and eggs released as segment degrades
- 4 forms: cysticercoid, cysticercus, coenurus, hyatid
Davainea proglottina
- Host: poultry
- Intermediate: snail or slug
- Patho: hemorrhagic enteritis, necrosis, wasting
- Dx: adults in duodenum, small egg w/ 6 hooks
- Tx: not, practiced, keep away from snails
Railletina echinobothridia
- VERY pathogenic
- Host: poultry
- Intermediate: ant
- TB type nodules in gut
Anoplocephalids (magna, perfoliata, paranoplocephala mamillana)
- scolex with 4 suckers, no rostellum, no hooks
- two repro systems
- egg has piriform app with 6 hooks
- intermediate host: oribatid mite, cysticercoids
- host: horses, mules, donkeys, zebras
- Magna: small intestine. Perfoliata: jejunum. Mamillana: proximal small intestine (most common in US)
- Upper midwest, summer into fall/winter
- not major patho, digestive problems
*magna- catarrhal enteritis
*perfoliata- most patho, ileocecal valve, occlusion
and ulceration
*mamillana- clinically insignificant - Dx: egg with pyriform app
- Tx: manure dispersal, pasture rotation, deworming-praziquantel
Moniezia (expansa, benedeni)
- Host: expansa-sheep, benedeni-cattle
- intermediate: oribatid mites
- no hooks or rostellum
- ingest mites while grazing
- non-patho
- Tx: albendazole, fenbendazole
Thysanosoma actinoides
Fringed tapeworm
- Host: sheep, goats–>small intestine, bile and pancreatic ducts
- western mountain states
- eggs seldom seen
Taeniid of livestock
associated with intermediate host infection
- metacestode infections–>ruminants serve as intermediate host–>larval stage=cysticercus
- causes little damage unless migrate to brain
- most of time in the muscle
- Taenia saginata: larva=cysticercus bovis in beef
muscle
* DH: human IH: cattle
* proglottids pass in feces then release eggs
* hexacanth embryo penetrates gut mucosa
* go through circ–>cysticercus ingested by human and it develops in small intestine
* humans- non-specific gastritis
* cattle- asymp
- T. Solium: cysticercus cellulosae
* DH: humans IH: swine
* humans can also be intermediate
* neurotropic in humans
* Tx: albendazole, praziquantel, no Tx for swine
- Taenia hydatigena (cysticercus tenuicollis)
- Taenia ovis (cysticercus ovis)
- Taenia krabbei (cysticercus tarandi)
- Taenia multiceps (coenurus cerebralis)
- T. pisiformis
- T. serialis
- T. taeniaeformis
- DH: dogs IH: pigs, sheep, ruminants
- DH: dogs IH: sheep
cysticercus in skeletal muscle and cardiac m. - DH: canids IH: cervids
- DH: adult-dogs, canids. larvae-sheep (bladderworm found in brain)
- DH: dog IH: rabbit
- DH: dog IH: rabbit, rodent
- DH: cat, felids, canids IH: mice, rats
Echinococcus granulosus
- DH: dogs IH: sheep, gaots, pigs, human(accidental)
- Hydatid cysts (metacestodes-unilocular)- liver, lungs, peritoneum, brain
- TX: surgical removal
- 2 rows of hooks, 4 suckers
- becomes hydatid cyst in IH, then DH ingests cyst
- meat condemned, otherwise no patho
Human patho: pressure necrosis, rupture–> anaphylaxis - depends on predator-prey relationship
- DX: eggs don’t float
- TX: dog-praziquantel, epsiprantel
sheep- condemned
human- surgery, albendazole
Echinococcus multilocularis
- alveolar hydatid cyst- multilocular
- in MN
- patho: fox- no clinical prob
rodent- fatal
human- most lethal parasite, 50-70% cases
die - TX: surgery, albendazole
Dipylidium caninum
double pored worm, flea tapeworm, cucumber seed tapeworm
- DH: dog, cat, children IH: flea, biting louse
- small intestine, cycticercoid in flea or louse
- egg packets
- little patho- diarrhea, weight loss,
- TX: prazi, epsiprantel
Mesocestoides
- DH: dog, cat IH: 1st-oribatid mite, coprophagous
2nd-amphibians, reptiles, dog,
cat, rodents–>develops to
tetrathyridium (long division) - harmless in DH, peritonitis and ascites in IH
- DX: eggs and proglottid in feces
TX: prazi
Nematodes
- unsegmented
- females larger, male has curved tail
- cuticle
- alae and bursa
- body cavitiy
- muscle- locomotion
- alimentary tract- simple tube, prominent esophagus
- excretory system
- nervous system- rudimentary
- egg–>L1, hatches–>L2, L3 (infective)–>L4 in the host–>L5 (needs to moult to grow)
Ascaris suum–swine roundworm
- adults: cream, 3 lips, spicules, no bursa
- eggs: thick shelled, mammilated surface, very resistant (last FOREVER)
- host: swine and human–small intestine, stomach, bile duct, liver
- develop to infective L2 in egg, egg is ingested, moults in liver–>mig via circ, into air space–>trach mig up bronchial tree–>coughed up, swallowed and to intestine
- paratenic host: earthworm, maybe rodent
- patho: Liver- scarring, hem, fibrosis (milk spots)
Lung- hem, cough, edema, pneumonia
Intestine- catarrhal enteritis, obstruction if migrate up bile duct - impact productivity
- DX: thumps, malaise, debilitation, eggs
- TX: endectocides (ivermectin, doramectin)
bendzimidazoles (fenbendazole)
parascaris equorum- large roundworm of horses
- 3 lips, thick shelled and sub-globular eggs
- horses, small intestine
- direct life cycle with trach migration
- horizontal trans- foals
- eggs weak, killed by lysol
- summer colds in foals
- DX: eggs, clinical signs
- TX: deworm foals, fenbend, iver, moxi, oxibend, oxfendazole, pyrantel
Toxocara vitulorum (neoascaris)- cattle
- thick shelled and sub-globular eggs, 3 lips
- cattle, water buffalo, common in calves- small intestine
- NOT in MN , recently in FL
- direct with tracheal and somatic mig
- ingestion, LACTOGENIC, and PRENATAL trans
- TX: none approved
Ascaridia galli- poultry
- ducks, geese, chickens, turkeys
- 3 lips, males has narrow caudal aloe and preanal sucker
- direct cycle, no migration, burrow in mucosa
- severe in young bids, hem destruction, blockage, weight loss, diarrhea
- may get to chicken egg
- TX: piperazine, fenbend and iver
Heterakis gallinarum- cecal worm
- most common poultry worm
- vector for histomonas
- 3 lips, male preanal sucker
- ingestion of L2 in egg, direct to gut, some mig into mucosa
- paratenic host- earthworm
- little patho
- DX: thick, smooth shelled egg, adults in cecum
- TX: levamisole, fenbend, iver
Toxocara Canis
- common roundworm of dogs, small intestine
- cream,grey,white worms
- eggs: round to sub-globular, thick finely PITTED shell, brown, little space b/t cell and shell
- ingestion of L2 in egg, tracheal migration (mig to liver via mesenteric vein to lung, into alveoli, up bronchial tree, reswallowed
- somatic migration: penetrate intestine, to liver via mes vein, to lung, return to heart, migrate through body, enter muscle and become dormant–>dead end cycle unless eaten by something
- PRENATAL tran–somatic resume mig and go to placenta, enter fetus and go to liver, after birth have trach mig
- LACTOGENIC trans–mig into mammary glands, ingested during suckling
- paratenic hosts: rodents, pigs, birds
- patho: fetal puppy-accum in liver and fatal
newborn-pulm hem
nursing-digestive
dogs-asymp, aberrant mig=neuro - DX: worms in stool and vomit, eggs
- TX: heartworm drugs, fenbendazole, pretty much everything ***treat puppies at 2,4,6,8 weeks and bitch 2-3 weeks post-whelping
toxocara cati
- cats, small intestine
- arrow like cervical alae
- eggs: thick, finely pitted shell, brown
- most, trach mig
- some, somatic
- NO prenatal
- LACTOGENIC trans
- paratenic hosts
- can infect humans
- not pathogenic–kittens coughing and some diarrhea, adults asymp
- DX: worms and eggs in feces
- TX: kittens at 6, 8, 10 weeks, and nursing queens, pretty much any drug will work
Toxascaris leonina- dogs and cats
- long narrow cervial alae
- eggs: slightly oval, smooth, space b/t shell, light yellow to brown, resistant
- direct cycle
- paratenic hosts: chickens, mice, rabbits
- more common in dogs
- NO prenatal or lacto trans
- least pathogenic, maybe intestine irritation
- DX: eggs
- TX: anything
Visceral Larva Migrans
prolonged somatic migration of larval parasites in an abnormal host
- human infection with toxacara canis
- migrate to liver, lungs, brain, or eye
- irritating, fever, weight loss, hepatosplenomegaly, hyperglobulinemia
- DX: clincial, larvae on biopsy, ELISA
- ocular is often misdiagnosed as retinoblastoma
Baylisascaris procyonis
- raccoon
- paratenic host: mice, rabbits, squirrels
- in MN
- eggs: round/oval, golden brown, thick pitted shell
- direct cycle, tracheal migration
- non-patho
- human VLM: very patho and neurotropic
- dog can be DH
- TX: deworm captive raccoons, most drugs work
Oxyuris equi
- Equine pinworm
- Well-developed bulb
- Direct life cycle, live in colon/rectum
- Eggs: flattened on one side, operculum, LARVATED
- Adults migrate out of anus and lay eggs in perianal region , eggs fall off, develop to L3, ingested, go to crypts
- Adults do little damage, larvae can cause problems, eggs are irritatingrat tail
- DX: eggs in perianal region, adults in feces
- TX: remove eggs, treat with and drug
Enterobius vermicularis
- Human pinworm
- Do NOT come from dog or cat
Subulara brumpti
- Avain pinworm
- Caeca
- Not common
- Thin shelled egg in feces
- TX: none
Rodent pinworms
- Syphacia abvelata- mouse
- Syphacia muris- rat
- Aspicularis tetraptera- mouse
- Passalurus ambiguous- rabbit
Pelodera strongyloides
- Free living nematodes, found in decaying matter
- Host: dog, horses, cattle, swine, rodents
- Skin and hair follicles
- Loss of hair, erythema, pruritis, crusting, pustules
- DX: skin lesion, larvae from skin scraping
- TX: remove wet bedding, none approved, avermectin off label
Strongyloides
- Tiny worms in itestines
- LACTOGENIC
- Parthenogenesis—development from an unfertilized egg
Strongyloides ransomi
- Swine
- Females in small intestine, larvae in somatic tissue
- Thin shelled, larvated egg
- Parthenogenetic females buried in small intestine
- Indirect life cycle—free living organism—adults mate and lay eggs on ground that attach and develop to infective stage on ground
- If weather is unfavorable—direct life cycle—homogonic cycle
- Parthenogenetic females produce eggs that are 1X, 2X, or 3Xhatch to male 1X and female 2Xthey mate and lay 3X eggs—indirect or hetergonic cycle
- Parthenogenetic females in small intestine lay 3X eggshatch to infective L3 on ground—direct or homogonic cycle
- Larvae ingested or penetratetrach migration
- Some migrate to mammary gland and arrestcan mobilize during preg—LACTOGENIC trans
- Infection primarily penetration and lactogenic
- Patho: skin hypersensitivity, hemorrhage in lung, catarrhal enteritis, 75% of babies die, acute dysentery
- DX: egg in feces is larvated, parallel sides
- TX: ivermectin, levamisole
Strongyloides westeri
- Threadworm of equines
- Females in small intestine, larvae dispersed in somatic tissue
- Young foals (2wk-6mo)
- Eggs: long filariform app, thin shelled, larvated
- Patho: catarrhal enteritis , diarrhea, self-limiting
- DX: larvated eggs
- TX: iver, oxibend
Strongyloides papillosus
- Intestinal threadworm of ruminants
- Females in small intestine, larvae in somatic tissue
- Eggs: long filiform app, thin shelled, larvated, parallel, blunt ends
- Not pathogenic in cattle, more severe in sheep—diarrhea, self-limiting
- DX: clinical, larvated eggs
- TX: albend, doramectin, fenbend, iver, moxi
Strongyloides stercoralis
- Threadworm of dogs and primates
- Host: dogs, cats, primates (humans)
- Small intestine, larvae in somatic
- Eggs same as rest
- Diarrhea, ZOONOTIC
- DX: larvae in feces
- TX: fenbend, iver
Strongyloides fuelleborni
- Threadworm of primates
- Egg in feces, not larvae
Equine Strongyles
- Adults in small intestine, life cycle in direct, females are oviparous, male well developed bursa
- Large buccal capsule with leaf crowns
- S. vulgaris
o Larvae pen gut wallL4mig to arteriesmesenteric veinback to cecum—nodules around larvaeruptures nodule, mature, mate, eggs
o Patho: large # in foals due to mig, verminous colic, fever, anorexia, depression, infarct of caecum and colon, stasis of intestine, intestine problems most common - S. edentatus
o Penmig to portal veinliverabdominal wall—subperitoneal cysts (hemorrhagic)back to bowel (edema)back to lumen
o Patho due to larvae mig—damage liver, peritonitis, inflammation, ect. - S. equinus
o Pen large bowelencyst in subserosal nodulesliver via peritoneal cavitylumen of large bowel
o No patho unless lots - Small strongyles
o Pen large bowelcysts remain for long time or short—L4lumen
o Patho from cysts—acute onset, fever, diarrhea, depression—larval cyathostomiasis: potential death—natural cyathostome infection: lots of adults, ulceration, weight loss - Assumed all horses have it
- Temp and moisture determine larval devel
- DX: eggs, clinical, culture to infective for ID
- TX: management, deworming rotate drugs:
o fenbendazole—against migrating and inhibited larvae
o macrocyclic lactones (iver)
o some resistance
Parasitic gastroenteritis
- mixed infections
- haemonchus, ostertagia, trichostrongylus
Trichostrongylidae axei
- Small, in stomach and intestine
- Direct life cycle
- Abomasum of ruminants and stomach of horses
- Usually secondary to ostertagia
- Catarrhal enteritis
- Don’t grade cattle and horses together
Ostertagia ostertagi (brown stomach worm)
- Median or Western stomach worm
- Abomasum of cattle—most important nematode in cattle
- Strongyle type eggs
- L3 ingested while grazing—direct life cycle
- Larvae enter gastric glandL4, increasing in size 10X, L5leave gastric gland, destroying itlumen
- Can be HYPOBIOTIC—enter gastric gland and stop developing, wait for better conditions
- Can survive winter under snow, or hypobiotic in animal—susceptible to sunlight
- Patho: MOROCCAN LEATHER
o phase 1- L3 invade gastric—damage secreting cells, replaced by un-differentiated cells
o Phase 2- leave gland—parietal cells destroyed—HCl production stops, bac prolif, no pepsinogen to pepsin, cell junctions break down and pepsinogen moves into plasma, plasma proteins lost to gut—mucosa is hyperplastic and non-functioning—hyperemia and edema
o Phase 3- gradual loss of worms, return to normal function
o Type I—rapid acquisition of larvae, late summer/early fall or late winter/early spring, high morbidity (diarrhea, weight loss, anorexia, submandibular edema), hyperplastic abomasum, elevated pH
o Pre-type II—non-clinical when larvae are inhibited—fall to spring (north), spring to fall (south)
o Type II—large numbers of larvae resume development—based on timing
o DX: clinical (weight loss, bottle jaw, diarrhea), eggs, abomasal lesions
o TX: must remove inhibited larvae, short acting (fenbend, albend, oxfend), long-acting (iver, moxi, dora—kill hypobiotic larvae)
o Cattle may develop immunity slowly—eggs drop first, then adults start to die off