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13 Cards in this Set

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Enterobiasis (most common Helminth infx US)
Enterobius vermicularis (pinworm)
Egg Ingestion (autoinfection)
Larvae Infx: lumen small int.
Adult Infx: cecum, appendix
Sx: anal pruritis (itch), restless sleep
Lab: Scotch Tape
most common Helminth Infx in US
Trichuriasis (3rd most common Helminth World)
Trichuris trichuria (whipworm)
Egg ingestion
Larvae Infx: mucosa of Small Int.
Adult Infx: Cecum, Appendix
Sx: Abd. pain, mucous diarrhea, Eosinophilia, RECTAL PROLAPSE
Lab: undeveloped eggs in stool (footballs)
Ascariasis (1st most common Helminth World)
Ascaris lumbricoides (roundworm)
Ingest eggs
Larvae Infx: lungs
Adult: Small Intestine (lumen)
-larvae coughed up then swallowed
Sx: cough, pneumonitis, cramps, Intestinal Obstruction, Oral Expulsion
Lab: undeveloped eggs in stool
Ancylostomiasis
Necatoriasis
(2nd most common Helminth World)
Ancylostoma duodenale, Necator americanus (hookworms)
larvae penetrate skin
Larvae Infx: lungs, skin
Adult Infx: small intestine (attached)
-larvae coughed up then swallowed
Sx: Abd. pain, cough, dermatitis, diarrhea, Eosinophilia, Pneumonia, Fe Deficiency, Cardiac Problems
Lab: undeveloped eggs in stool
Strongyloidiasis
Strongyloides stercoralis (threadworm)
Larvae penetrate the skin; autoinfection possible
Infx: skin, lungs then duodenal mucosa
-penetrate lumen instead of coughed up
Sx: epigastric pain, cough, diarrhea, Eosinophilia
Lab: RHABDITIFORM LARVAE in stool, Aspirates, String Test
Trichinosis
Trichinella spiralis
Ingest. larvae in meat (pork)
Larvae Infx: striated muscle,
Adult Infx: small Int. (mucosa)
Sx: fever, Eosinophilia, muscle pain, orbital edema, SPlinter Hemorrhage, death if reaches CNS
Lab: larvae in muscle biopsy, sero. test
Anisakiasis
Anisakis species
Ingest. larvae in marine fish
Larvae Infx: stomach, Intestine (mucosa)
Adult Infx: none
Sx: Epigastric pain, naus/vom, Diarrhea, Eosinophilia
Lab: ID of larvae
Visceral larva migrans
Ocular larva migrans
Toxocara canis, Toxocara cati (ascarids)
Ingest. eggs
Larvae Infx: Liver, lungs, eyes, brain
Adult Infx: none
Sx: Hepatomegaly, Hyper-eosinophilia, Hyper-globulinemia
Lab: Sero. test, eggs in stool
TQ- clinical exposure to puppies
Cutaneous larva migrans
Ancylostoma braziliense, Ancylostoma caninum (dog/cat hookworms)
Larvae penetrate skin
Larvae Infx: skin
Adult Infx: none
Sx: Dermatitis, Pruritus
Lab: raised larval tracks in skin
Filariasis
Wuchereria bancrofti, Brugia malayi (elaphentitus)
Mosquitos
Larvae Infx: skin, lymphatics
Adult Infx: lymphatic system
Sx: Fever, lymphangitis, lymphadenitis, eosinophilia
Lab: MICROFILARIAE (not eggs) in blood, Sero. test
Onchocerciasis
Onchocerca volvulus (river blindness, africa, S.-Central America)
Black fly
Larvae Infx: skin subcutaneous
Adult Infx: subcutaneous nodules
Sx: blindness, Eosinophilia, hypersensitivity, pruritus and several skin conditions, visual impairment
Lab: MICROFILARIAE in skin biospy
Loiasis
Loa Loa (eye worm)
Deer Fly
Larvae Infx: Subcutaneous Infx
Adult Infx: migrate in subcutaneous tissue across eye
Sx: Calabar (red itchy swelling), Pruritus, Eosinophilia
Lab: MICROFILARIAE in blood
Dracunculiasis
Dracunculus mediniensis (Guinea worm)
Ingest. larvae and infected Copepods
Larvae Infx: Intestinal tract, deep connective tissue, retroperitoneal cavity
Adult Infx: CT, subcutaneous tissue, dermis
Sx: Pruritus, blister, ulcer, eosinophilia, Allergic rxn
Lab: adult worm in lesion, larvae from ulcer