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36 Cards in this Set
- Front
- Back
When diagnosing helminthic infections, what two exposure criteria should you consider?
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area of the world; vector
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What will labs show
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eosinophilia
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When is eosinophilia not present?
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protozoa infections; in the trematode intestinal phase.
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When does eosinophilia occur?
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With the migrating phase
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what is the definition of a trematode?
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any of numerous flatworms of the class Trematoda, including both external and internal parasites of animal hosts, that have a thick outer cuticle and one or more suckers or hoos for attaching to host tissue
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What is another name for trematode?
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fluke
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Are trematodes parasitic or free-living?
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can be both free-living and parasitic
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What is another name for blood fluke?
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schistomiasis
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Name three subtypes of schistosomiasis
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S. haematobium, S. japonicum, S. mansoni
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What is another name for Liver Fluke?
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Fasciola hepatica
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What is the name of the Fluke that invades the lung?
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Paragonimus westermani
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Name the blood fluke that invades the vesical plexus
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S. haematobium
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Name the blood fluke that invades the Superior mesenteric vein
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S. Japonicum
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Name the blood fluke that invades the Inferior mesenteric vein
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S. mansoni
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Where is S. mansoni found?
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Amazon, S. Amercia/caribbean, Africa, Middle East
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Does the Schistomsoma spp have male and female worms?
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Yes. All other trematodes spp are hermaphrodites
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Where is S. Japonicum found?
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In the far East
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Where is S. Haematobium found?
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Africa and the middle east
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Which subtype causes ascites
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S. mansoni
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In which subtype do the eggs get excreted in human urine?
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S. haematobium
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In which subtype do the eggs get excreted in human feces?
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S. japonicum and S. Mansoni
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Where do the Schistomytes mature?
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They mature outside the human host
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Where outside of the human do Schistomytes mature?
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They infect snails to mature (U.S. Lacks these types of snails, which is why this type of infection is uncommon)
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How do the Schistomytes infect humans?
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They penetrate the skin (contact with water is necessary)
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"How do they get to their ""preferred"" veins?"
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They migrate through several tissues
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What is another name for acute schistosomiasis?
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Katayama's fever
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When does the pt show signs of Katayama's fever?
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Weeks after the initial infection
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In which two subtypes is Katayama's fever more associated with?
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S. Mansoni and S. Japonicum
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What are the signs and sxs associated with Katayama's fever?
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Fever, Cough, Abd pain, Diarrhea, Hepatosplenomegaly, Eosinophillia
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What reaction discribes the etiology?
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Serum sickness reaction
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What is the most practical way to diagnose schistosomiasis?
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Microscopic identification of eggs in the stool or urine
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Might it be necessary for repeat exams?
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Yes
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For S. Haematobium, when is the best time to collect a urine sample?
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Between noon and 3 pm
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What is the availble test that is good for clinical management
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antibody detection
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What is the treatment for Schistosomiasis?
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Praziquantel
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Catch phrases from case from study
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1. Spent time in the Amazon, 2. Swimming or wading in local creeks and rivers, 3. occasional Bloody diarrhea, 4. Diffuse abdominal tenderness, 5.
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