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36 Cards in this Set

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