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37 Cards in this Set

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Which eggs are going to be the easiest to identify?
Ascarid eggs.

Maybe add the pictures - slide 4/76
What is the unique aspect of ascarid eggs?
They embryo develops into L3 in the egg and that is what is ingested.
When might you see unfertilized eggs in the feces?
When there are no males in the GI.

The signifigance is that the female worms will go looking and could crawl up the throat, or out the nose.
Do cool, dry conditions that kill hookworm eggs kill ascarid eggs?
No, they are very resistant.

Their thick shell and lipid layer around the egg allows this resilience.
What is the life cycle of Ascarids?
slide 9

Usually involve only one host, so have a direct life cycle, but can have a paratenic host.

The tracheal migration of ascarids go from intestine, to lungs, to trachea, and back to gut (right?)

Pre-patent period ~2 months
missed slides up to 13
go get them
What are the systemic effects of Ascaris?
Migrating worms get lost and can cause inflammatory reaction

Migrating worms can cause significant damage to lungs. Cause haemorrhaging where break out of capillaries
-Heavy infections: edema clogging of air spaces, Ascaris pneumonitis, secondary bacterial infections

Adult worms eat gastro-intestinal contents

Usually generalised symptoms of intestinal upset

Intestinal blockage

worms are robust - may perforate gut, may migrate up bile duct. “Wandering worms”
Are Ascarids blood suckers?
No, they eat what the host eats. Anemia is not a symptom
What is the most important pathological helminth of swine?

What are the clinical and pathological manifestations?
Ascaris suum

Clinical & pathological manifestations
1. Milk spot liver – chronic inflammatory changes associated with hypersensitivity to migrating larvae. Livers condemned.
2. Lung lesions = respiratory problems in young pigs (coughing, etc)
3. Adults in intestine. Diarrhea, malnutrition, stunted growth
Clinical signs not always present. Even so, growth rate may be reduced by 2-10% and food conversion by 5-13% (experimental infections). Reduction in the digestibility of food has been demonstrated
4. May impair response to vaccines (Mycoplasma hyopneumonia)

Overall: respiratory distress, pneumonia, poor growth, emaciation
What is this?
Milk spot liver– chronic inflammatory changes associated with hypersensitivity to migrating larvae. Livers condemned.
What are the controls and treatments of A. suum?
Egg removal from animals
Bathe every 2 wks with warm, soapy water to remove eggs (e.g., sticky eggs on hair)
Eggs resistant to disinfectants
Frequent treatment
Treatment:
Ivermectin  
Levamisole   8mg / kg body wt.
Fenbendazole
Pyrantel tartrate
What is the pathology of ascaris in humans?
Juveniles penetrate lungs

Intestinal: blockage,
Humans: 35% cases of acute abdomen
deaths in Cape Town

Murder weapon: http://en.wikipedia.org/wiki/1970_ascariasis_poisoning_incident
What is the life cycle of Parascaris equorum?

What is the signifigance to age in horses?

Where do they hang out?

What is their pathology?
Parascaris equorum of equids, a parasite of foals

50 cm long
Similar life cycle as Ascaris spp.
Older horses immune to infection
Intestinal: heavy infections = malnutrition, enlarged abdomen, dull coat, colic, impaction
Penetration of bowel = fatal peritonitis
Lung and liver damage in sensitized hosts
How do you control parascaris?
1. Adult roundworms, drug treatment: avermectins (ivermectin, eqvalan), benzimadazoles (panacur) and pyrantels (strongid-P).
2. Recommended to worm all horses that are stabled together at the same time
Resistance to macrocyclic lactones
3. Pick-up manure from grazing areas, difficult to remove eggs from environment
4. Feed foals off of the ground
What is the ascarid of cattle?

What is the life cycle? What kind of transmission occurs along with ingestion?
Toxocara vitulorum
Direct life cycle
Young cattle
Ingest eggs
Lung migration
Mature in small intestine. Egg production 3-5 weeks after infection.
Worms do not mature in adult cattle if have had previous exposure (> 4 months old).

Transmammary transmission
Older animals ingest eggs
Larvae migrate through tissues and encyst
In pregnant females, reactivate and move to mammary glands
Calves ingest larvae and worms mature into adults in their intestine.
What is the pathology of Toxocara vitulorum?

What is used in diagnosis?

What is the treatment?
Hosts: May also infect sheep and goats

Pathology;
Anorexia, catarrhal enteritis , wasting diarrhea

Breath: smells like acetone or butyric acid due to metabolites of worms

Diagnosis: fecal examine, breath

Treatment: Ivermectin, piperazine, etc.
What is the ascarid of raccoons? What other hosts can this worm have?
Baylisascaris procyonis

Zoonotic Disease

Raccoon: Normal host

Dogs: Aberrant host, but can support life cycle. Not clinical

Human: accidental, dead end hosts. Infections result in severe neurological disease
What is the life cycle of Baylisascaris procyonis? Does this worm have tracheal migration? Paratenic hosts?
No tracheal migration.

Yes paratenic hosts

Transmission
Direct. Eggs ingested in soil.
Paratenic host. Rodent, bird, lagomorph. Larvae wander throughout these hosts and often invade the central nervous system. Debilitation confused for rabies. Makes prey more vulnerable.
Zoonotic. Human cases can be severe. Fatal cases reported in humans
Does Baylisascaris procyonis cause signs of disease in raccoons? Dogs? Humans?
Raccoons: (adults) Typically no signs
Dogs: (adults) Typically no signs
Humans: (larvae) Larval migrans
Larvae wander through tissues as paratenic host
Symptoms depend on
Tissues invaded
Infection dose
Severe symptoms when invade brain, spinal cord
Nausea
Tiredness
Liver enlargement
Loss of coordination
Lack of attention to people and surroundings
Loss of muscle control
Coma
Blindness
Take about 1 week to develop symptoms
What is the geographic distribution and prevalence of Baylisascaris procyonis?
Geographic distribution
Where raccoons occur
North America (rare in SE U.S.)
Japan
Germany
Prevalence
Raccoons: very common (up to 94%)
Dogs: about 30 canine cases have been reported
If eggs detected—diagnosed correctly?
Humans: about 25 cases reported. Thought to be underdiagnosed. Why aren’t there more infections?
What is the diagnosis, treatment and way to control Baylisascaris procyonis?
Diagnosis (dogs and raccoons)
-Finding eggs or adults in feces

Treatment (dogs and raccoons)
-Most products labeled for Toxocara are probably effective against B. procyonis

Control
-Dogs should avoid raccoon defecation sites (“latrines”)
-Discourage raccoon inhabitation near homes
-Eggs are very long lasting in the environment
-Pet raccoons
What is the ascarid that causes death in pet skunks?
Baylisascaris columnaris
What are the ascarids of dogs and cats?
Cats:
Toxocara cati
Toxascaris leonina

Dogs:
Toxocara canis
Toxascaris leonina
What is the life cycle of Toxascaris leonina?
DIRECT LIFE CYCLE
embryonated egg eaten by definitive host
enters gut wall for histotrophic phase
then re-enters lumen to develop to adult. No extraintestinal migration
2 month prepatent period

OR

PARATENIC HOST
egg eaten by rodent (paratenic host)
larvae enter tissue of rodent as 3rd larva
rodent eaten by dog, cat or fox
histotrophic phase absent or much shorter
adults in lumen
No extraintestinal migration
Is there extraintestinal migration with Toxascaris leonina?
no
Is Toxascaris leonina zoonotic?

Are they more or less pathogenic than T. canis and T. cati?

How long does it take the eggs to develope?
Occurs in cooler climates
Rapid development of eggs (ca 1 wk)
Less pathogenic than T. canis and T. cati
Not zoonotic
Eggs are smoother in appearance
What species does Toxocara cati infect? Where will we often see the worms? What clinical symptom might it cause?
Domestic cats and other felids
Often found in vomitis
Stunted growth
What is the life cycle of Toxocara cati?

Do they undergo extraintestinal migration?
may have direct life-cycle throughout life of cat
may use rodents as paratenic host
may have transmammary transmission (no transplacental)
Many do not undergo extraintestinal migration
What is the geographic distritibuton of Toxocara cati?

Are they common?

Are they zoonotic?

How do you diagnose them?
Geographic distribution
Widespread
Prevalence
One of the most common feline helminths
Zoonotic--Can cause visceral larval migrans, but less common than T. canis
Diagnosis
Egg in feces
What species do the Anisakidae family of helminths infect?

Are they zoonotic?
Parasites of marine mammals and birds
Zoonosis
How are a aquatic parasites zoonotic?
Acquired by eating fish
Marine: Anisakid nematodes
Freshwater:
Eustrongylides (Nematoda)
Diphylobothrium latum (tapeworm)
Heterophyes, Clonorchis, Paragonimus
(Digenea)

Anisakis simplex - adults in whales, dolphins
 
Pseudoterranova (Phocanema) spp. - pinnepeds (seals)
 
What is the Anisakid life cycle?
see pic
How could Anisakis be transmitted zoonotically?
Source: undercooked or raw seafood products
E.g., ceviche, sashimi, sushi, etc.

Fish species: many on the Pacific coast

Rockfish (Sebastes spp.)

Salmon – 100% wild, absent in farmed

Pacific herring – 100%

Case Reports:
US – 50, Japan – 12,000.
What type of host are humans to Anisakis?

How can these infections manifest?
Dead end host, only L3 or L4

1 “Mouth tickle” – worm migrates to mouth after a few days
2 Penetration of gut: pain, cramps, peritonitis, death (rare)
3 Allergic reactions

Fulminated Form:
Acute abdomen: ascites, etc. with 2nd bacterial infections
Swollen hemorrhagic small intestine with embedded worms

No eggs in humans (dead end host)
Endoscopy, immunodiagnositcs

Gastric: Endoscopic Removal with Biospy Forceps
Intestinal: Surgical Resection of Intestine
How do you prevent anisakid transmissal zoonotically?
Prevention:
cook at 60 C for 10 min
freeze at 20 C for 60 hrs.
candle – inspection of fillets
raw fish: pre-freeze
What type of host are the crustaceans and fish in the Anisakis life cycle?
They are intermediate hosts
What is the life cycle of Toxocara Canis?
Adult in small intestine of dogs
Eggs released with feces
Embryonate in environment
Eggs ingested
Larvae released in intestine
Lung migration
Mature in small intestine
Produce eggs