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29 Cards in this Set

  • Front
  • Back
metazoa
multicellular
nematodes, trematodes, cestodse
protozoa
unicellular, all fxns of repro, digestion, respiration, excretion
nematodes characteristics
body- noncellular cuticle secreted by underlying hypodermis, shed 4x during ontogeny

classes: separated by presence of phasmids or not

dioecious w/ sexual dimorphism

size 1mm- 1 meter
roundworms
Large Intestines
T. trichiura
E. vermicularis

Tissue
D. medinensis
T. spiralis larvae
Filarias


Small Intestines
A. lumbricoides
N. americanus
A. duodenale
C. philippinensis
T. spiralis
S. stercoralis
gen life cycle
eggs > fertilized, embryonated > larvae (rhadbiditiform, filiarform) > adults > eggs again
modes of transmission
Ingestion/Inhalation of embryonated ova
A. lumbricoides
T. trichiura
E. vermicularis
Skin penetration by filariform larvae
S. stercoralis
Hookworms
Bite of a vector
Filarias

Ingestion of encysted larvae
C. philippinensis
T. spiralis
D. medinensis

Autoinfection/Retroinfection
C. philippinensis
S. stercoralis
E. vermicularis
capillaria philippinesis morph
adults small 2.3-3.2 mm male, 2.5-4.3 females

males- small caudal alae, spineless spicule sheath

female; esophagus half long as body

eggs in stool- unembryonated, peanut shaped w/ flat bipolar mucous plugs
capillaria philippinens
Habitat: small intestines
Mode of Transmission: Ingestion of larvae in encysted fish muscles
Life Cycle: encysted larvae excyst and are released to mature into adults; some females lay eggs, others larvae (autoinfective stage); eggs in water are ingested by freshwater fishes
c. philippinens patho
worm penetrate mucosa SI > re enter lumen esp jejunum > progressive degeneration of epi and mucosa
>>>loss proteins, electro w/ mala fats, sugars

s/sx: diarrhea, abd pain > weight loss, anorexia, emaciation, death from electrolyte loss, <3 fail, bacterial infection

d/x: adults and eggs, larval forms in stools
tococara canis
cause visceral larvae migrans

toxocara cati
strongyloides stercoralis
Habitat: submucosa of small intestines
Mode of Transmission: penetration of skin by filariform larvae
Life Cycle: Filariform larvae penetrate the skin and go to the intestines through any possible route circulatory & pulmonary system included, to become parthenogenitic females which lay eggs that immediately become rhabditiform larvae
s. stercoralis epi, patho
Epidemiology: Primarily a parasite of the tropics but maybe seen in temperate zones; prevalent in low sanitation conditions where people are exposed to contaminated soil and water.

patho;
invasive> pulmo >intestinal
s. stercoralis d/x
rhabditiform larvae- short buccal cavity, large genital primordium @ post to midpoint of body) IN STOOLS
-culture fecal samples> filariform larvae in long standing stools, forked or blunted tails, esophagus body 1:1
serodiagnosis
ancylostoma duodenale
Habitat: small intestines
Mode of Transmission: penetration of skin by filariform larvae
Life Cycle: filariform larvae migrate to the lungs via the circulatory & pulmonary system and brought to the intestines by the swallowing reflex; males & females copulate; eggs are deposited
a. duodenale
eggs in stools are in 2, 4, cell stages, oval or ellipital in shape, colorless, transparent hyaline shell

rhabditiform larvae- long buccal cavity, tiny genital primordium @ post midpoint of body


Epidemiology:
favorable environmental conditions
presence of paratenic hosts
Pathology:
Cutaneous phase
Pulmonary phase
Intestinal phase
d/x a. duodenale
eggs/adults worms in feces
filiaform larvae on culture= pointed tails
esoph : body 1:3

secrete neutrophil inhibition factor, anticoagulant

blood loss 0.25 ml/worm/day
necator americanus
ant portion adults- pair dorsal and ventral cutting plates surrounding ant margin of buccal capsule, pair of subdorsal and subventral teeth near rear of buccal capsule
like anccylostoma eggs

life cycle same
MC species in humans
female: 5-10k eggs/day, live 3-5 yrs
same enviro conditions
n. americanus patho
Pathology:
Same as that of A. duodenale
Also secrete glutathione-S-transferase & superoxide dismutase interfering with ADCC
Blood loss at 0.03ml blood/day/worm
d/x n americanus
eggs FRESH STOOLS
long standing- rhabditiform larvae, long buccal cavity, small genital primordium @ midpoint/ant

filariform larvae- sharply pointed tails, esoph : body 1-3
causative agents of cutaneous larva migrans
a. caninum, a brazileiense, ancylstoma ceylanicum
wuchereria bancrofti
Habitat: Adults in lymphatic channels
microfilariae in the blood
Mode of Transmission: bite of an infected mosquito vector – Anopheles, Aedes, Mansonia & Culex
Life Cycle: occurs in 2 hosts, man and the mosquito vector
w. bancrofti
microfilaria
cephalic space length = width
somatic nuceli in rows
no terminal nuclei
body curved gracefully
w. bancrofti
epi, patho, d/x
Epidemiology
Nocturnal Periodicity/subperiodicity
Presence of mosquito vector
Pathology:
Asymptomatic Phase
Inflammatory (Acute) Phase
Obstructive Phase
Diagnosis:
Demonstration of microfilariae in the blood
brugia malayai
life cycle- same as w. bancrofti
microfilaria- cephalic space longer than wide, somatic nuclei @ random, presence terminal nuclei, body thrown into kinks/folds
b. malayai epi
patho, d/x
Epidemiology
Nocturnal Periodicity/subperiodicity
Presence of vector: aedes, culex, mansonia

Diagnosis:
Demonstration of microfilariae in the blood
other species filarias
Wuchereria pacifica – SE Asia
Brugia timori - Indonesia
Brugia pahangi – for experimental rodents
Onchocerca volvulus – Africa & Americas
Formation of nodules
Loa loa – West Africa esp. Sudan
In subcutaneous tissues
drancunculus medinensis habitat, mode transmission, life cycle
Habitat: subcutaneous connective tissue
Mode of Transmission: ingestion of intermediate host, the copepod in infected waters
Life Cycle: 2 hosts: man and an intermediate host, the copepod
drancunculus medinensis morph
very large
females: 800mm, 1 m,
mouth small, traingular surrounded by quadrangular sclerotized place, no lips, vulva atrophiedd, nonfunctional

males 12-40mm long, unequal spicules, gubernaculum
drancunculus medinensis
epi,and major disease (3)
3 conditions:
1. Skin of infected individual must come in contact with water
2. Water must contain appropriate species of microcrustacean
3. The water must be used for drinking


3 Major disease conditions due to:
Emergent adult worms
Secondary bacterial infection
Nonemergent worms