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106 Cards in this Set

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General characteristics of filarial worms

- esophagus divided into anterior muscular and posterior glandular portions


- life cycle indirect


- males frequently have a spirally coiled tail


- parasitic outside the enteric tract in body tissues


- long thin worms with a small mouth and NO buccal capsule, pharynx, or lips


- females produce microfilaria that are founding blood and connective tissue


- migrate in DH


- indirect life cycle (use blood sucking arthropod)

Dirofilaria immitis

DH: dogs, marine mammals, ferrets, cats


IH: mosquitos


adults: male- 12-22 cm female- 25-31cm


Mf: 300-325 x 6-7 um


PPP= 6 months



adults in right heart and pulmonary artery


can migrate aberrantly to skin and eyes

Dirofilaria immitis pathology

- pulmonary arterial disease with inflammation and proliferative lesions --> arteritis


- pulmonary thromboemboli


- pulmonary hypertension--> can lead to right heart failure if prolonged

Transmission of D. immitis

1. mosquito ingest Mf and spread resultant L3 to new host


2. Mf can be transferred prenatally (not infective in babies but can be transmitted from them)

Diagnosis of Dirofilaria immitis in dogs

Knott's test- look for Mf in blood



antigen test- look for female uterine antigen



radiographs- right heart enlargement (reverse D)



serology


Dirofilaria immitis clinical signs in dogs

- cough/dyspnea


- exercise intolerance


- weight loss


- ascites


- anemia (due to damage to blood vessels)


- eosinophilia and thrombocytopenia


- glomerulonephritis


- proteinurea

what are the steps in treatment of heart worm disease?

FIRST MONTH


1. evaluate the health of the patient and determine severity


2. stabilize clinical cases


3. Start on monthly macrolytic lactone


4. administer prednisone at decreasing dose


5. give doxycycline to kill wolbachia


6. restrict exercise


MONTH 2


1. continue ML


MONTH 3


1. ML


2. first dose of adulticides (immiticide)


3. restrict exercise further


MONTH 4


1. ML


2. Dose 2 and 3 of immiticide


3. prednisone if necessary


4. continue exercise restriction


What are the goals of administering macrolytic lactones in treatment of heart worm disease?

1. kill larvae


2. prevent new infection


3. stunt maturation of immature adults


4. prevent female reproduction

What is the procedure for administering immiticide to kill adult heart worms?

- inject into epaxial muscles


- 2.5 mg/kg at least 2 times 24 hours apart (3 times is best)


- should kill adults 4 mo. and older



if doing 3 dose regimen give first dose 1 month before the next 2

Why is it best to administer 3 doses of immiticide during heart worm treatment?

it increases efficacy - reduces the need for repeated treatments



it is safer because it decreases the chance of a mass die off and resultant embolism

why would you give doxycycline during treatment of heart worms?

to kill wobachia, a bacteria that lives inside the adult heart worms and can be released upon tremens. By administering doxycycline you can hopefully prevent bacterial infection

What is possibly a major reason that heart worm infection is not as severe in cats as in dogs?

Dirofilaria have much shorter lifespans in cats so are less likely to reproduce and there are fewer microfilaria

What clinical signs are more common with cat heart worm infection than infection in dogs?

ectopic infections (skin, eyes) and respiratory disease HARD

How can Dirofilaria be diagnosed in cats?

both and antigen and antibody (not in dogs) test



antigen detects worms after 5-8 months


antibody detects after 3 months

How does treatment of cat heart worm infection differ from dog?

cats cannot be given immiticide so there really is not treatment- just supportive



therefore it is extremely important that they be kept on prevention all the time.

Acanthocheilonema (Dipetalonema) reconditum

filarial worm


DH: dogs, cats, primates, raccoons


IH: fleas, ticks, lice


adults: male- 9-17 mm, female- 20-32 mm


Mf= 250-280 um in dog


PPP= 2 months



rarely cause clinical disease

differences between Acanthocheilonema reconditum and Dirofilaria immitus

A. reconditum is shorter and thinner


A. reconditum has a hooked tial


A. reconditum has a flattened/ rounded anterior end with no tapering while D. immitus tapers to a point

Onchocerca

filarial worm (nodular worm)


DH: horses, cattle, people, dogs


IH: biting flies


adults: males- 40 cm females- 75 cm


Mf: 250-350 mu


PPP = 1 year



adults live in connective tissue


Mf are in the skin

Onchocerca cervicalis

filarial worms


DH: horse


found in nuchal ligament

What are the clinical signs of onchocerca infection in horses?

pruritic dermatitis

How would you diagnose an Onchocerca infection

clinical signs with presence of worm or microfilaria



skin biopsy



history of exposure to biting gnats

What are the species of Onchocerca in humans? Where are the adults found?

filarial worms


O. volvulus- subcutaneous tissues

What are the clinical signs of Onchocerca infection in humans?

- dermatitis


- river blindness


big problem in Africa

Setaria

filarial worm- peritoneal worm


DH- cattle, horse


IH: mosquitos


adults: male- 40-80 mm female- 60-130 mm


Mf: 140-230 um


PPP= 8-10 months


Where are Setaria worms generally found?

microfilaria are in the blood


adults are in the peritoneum



- do not generally cause clinical signs unless they migrate aberrantly (adults to the eye, microfilaria to CNS)

Stephanofilaria

filarial worm


DH- cattle


IH- biting flies


adults: 10 mm


Mf: 45-60 um



adults and Mf in abdominal cutaneous tissue


Clinical signs of Stephanofilaria infection

dermatitis on ventral abdomen

dermatitis on ventral abdomen

Dracunculus

filarial worm (guinea worm)


DH: dogs, raccoons, people, other mammals


IH: copepod (crustacean)


adults: male- 40 mm female- 120 mm


Mf- 500-760 um


PPP= 1 year

Dracunculus life cycle

1. DH drinks water with copepod and L3 larvae


2. larvae emerge and migrate through lymphatics and circulation


3. larvae move to extremities and develop into adults


4. adults mate and male disappears


5. female moves to end of extremity and forms a sore


6. when sore gets wet female busts it open and releases eggs

Dracunculus clinical signs

painful lesion at the sight of emergence

Dracunculus diagnosis

lesion with protruding worm and long tailed larvae

How can you tell whether a cutaneous lesion is caused by dracunculus or dirofilaria?

dracunculus larva are long tailed

Acanthocephala general characteristics

"spiny headed worms"


- elongate


- pseudocoelomate


- dioecious


- no digestive tract


- retractible proboscis with spines


- adults live in digestive tract of vertebrates


- indirect life cycle


- may appear segmented but it is just wrinkles


- eggs have thick tri-layered shell with visible spines

What is unique about the reproduction of acanthocephala?

after mating the male plugs the female reproductive tract with cement to prevent further matings

Macracanthorhynchus hirudinaceus

acanthocephalan


DH: swine, people rarely


IH: dung beetles and june bugs


adults: male- 2-10cm female- 10-65 cm


eggs: 67-110 x 40-65 um


ppp= 2-3 months

Clinical signs of Acanthocephalan infection

diarrhea


emaciation


peritonitis


pain


anorexia

What is the difference between M. hirudinaceus and M. ingens

DH:


- hirudinaceus: swine


- ingens: raccoons, skunks


IH:


- hirudinaceus: dung beetles


- ingens: millipedes



ingens has paratenic hosts: rodents, snakes, frogs



both are zoonotic

What other type of worms can acanthocephalans, especially Moniliformis, be confused with? Why?

tapeworms, they can have a wrinkly appearance that could suggest they are segmented- but they are not

What are the 3 groups of worms within the phylum platyhelminthes?

turbellaria


trematoda


cestoda

general characteristics of platyhelminths

- tripoblastic


- bilaterally symmetrical


- nerve ganglion in anterior end


- dorsoventrally flattened


- acoelomate


- hermaphroditic

Common characteristics of cestodes

elongated (can be multiple feet)


segmented body (proglottids-->stroblia)


scolex for attachement


no alimentary canal


adults - parasites in small intestine of vertebrates


eggs and/or proglottids passed in feces


indirect life cycle

What are general features of Trematodes that are different from cestodes?

- leaf shaped: bilaterally symmetrical and dorsoventrally flattened


- no segmentation


- incomplete alimentary canal (no anus


- suckers for attachmnet (no hooks)


- all parasitic

What are the 2 major orders of cestodes?

diphyllobothridea



cyclophyllidea

characteristics of cestode order diphyllobothridea

aquatic


2 intermediate hosts


eggs expelled from proglottids (just eggs not whole proglottids)


minor veterinary importance

characteristics of cestode order cyclophyllidea

terrestrial


usually just one intermediate host


proglottids are passed in feces


suckers for attachment


important parasites of domestic animals

dipylidium caninum

cestode


DH: dog, cat, human *** zoonotic


IH: fleas, lice


adults - 5 cm


eggs: 40-50 um; egg packets: 200 um


PPP- 2-3 weeks



2 pores in proglottid

Dipylidium caninum diagnosis and prevention

dx:


- visualize proglottids or egg packets in feces


- observe fleas


- see stroblia in vomit



prevention:


- use flea preventative

Anoplocephala/ Paranoplocephala

cestode


DH: equine


IH: pasture mites


eggs: 50-80 um


PPP- 1-2 months



eggs have pyriform apparatus (looks like wrench)


proglottids have 2 pores

important species of anoplocephala/ paranoplocephala

P. mammilata - duodenum, adults: 3.5 cmx 4 mm



A. magna- ileum; adults: 80 cm x 2 cm



A. perfoliata- ileocecal junction; 5-8 cm x 1.5 cm

Which is the only species of Anoplocephala/Paranoplocephala that causes clinical disease? What are the clinical signs?

A. perfoilata- causes colic

Moniezia spp.

cestode


DH: cattle, sheep, goats


IH: pasture mites


adults: 6 m


eggs: 50-80 um


PPP: 1-2 months



egg is triangular to square


2 pores in proglottid


no clinical signs



in intestine

What is the major difficulty in preventing infection with anoplocephala, paranoplocephala, or moniezia?

the IH (pasture mites) are so numerous that there is no way to control them

What cestodes have an arthropod intermediate host?

- Dipylidium caninum


- Anoplocephala


- Paranoplocephala


- Moniezia

What is a cysticercus?

tapeworm larvae in a cyst in IH
- has envaginated scolex
- usually in vertebrate
 

tapeworm larvae in a cyst in IH


- has envaginated scolex


- usually in vertebrate


Taenia spp. general characteristics

Taenia spp. general characteristics

Cestode: Taeniidae


DH: dogs and cats


IH: mammal


eggs: 35-40 um



adults have suckers and rostellum (hooks)


shed proglottids with 1 pore

Taenia pisiformis

Taenia pisiformis

Taeniidae


DH: dog


IH: rabbit- metacestode= cysticercus pisiformis




in small intestine of DH



metacestode is cyst w/ 1 egg in liver or peritoneal cavity of IH

Taenia taeniaeformis

taeniidae


DH: cat


IH: rodents- metacestode= cysticercus fasciolaris




In small intestine of DH



metacestode is an elongated cyst (strobilocercus) associated with neoplasms in liver of IH



Taenia hydatigena

taeniidae


DH: dog


IH: swine, ruminants, deer


metacestode: cysticercus teniuicollis --> Hepatitis cysticercosa



metacestode is in liver of IH and causes clinical sings there

Taenia ovis

taeniidae


DH: dog


IH: sheep and goats


metacestode= cysticercus ovis



metacestode is in muscle of IH and causes clinical signs and condemnation of carcass


How do you diagnose Taeniidae infections?

eggs on sugar flotation (not in egg packets)


see stroblia or proglottids

Taenia saginata

Taeniidae


DH: humans


IH: cattle


metacestode= cysticercus bovis--> beef measles



metacestode in muscles of IH


humans get it from eating contaminated beef


cows get it from eating human feces

Taenia solium

taeniidae


DH: human


IH: swine, human


metacestode= cysticercus cellulosae--> pork measles



when humans are infected with egg (IH) the larvae migrate to the brain and cause encephalitis



no disease if humans are DH

What would be required to differentiate an infection of Taenia spp. from Echinococcus spp.?

to differentiate between the genera you need adult worms



to differentiate between species within the genus you need the cysts in the IH

Echinococcus granulosus

taeniidae


DH: canines


IH: ruminants, swine, horses, humans, elk


metacestode= hydatid cyst (multiple metacestodes/ small cyst within larger cyst)



no clinical signs in DH; found in SI



IH will develop large cyst that acts like a metastatic tumor

Echinococcus multilocularis

DH: canines and felines


IH: rodents, ruminants, swine, humans


Metacestode= alveolar hydatid cyst



metacestodes around heart in IH


almost always fatal in IH

general characteristics of diphylobothridea tapeworms

- no hooks or suckers on scolex


- 2 intermediate hosts


- eggs are expelled from a mid ventral pore in the proglottid


- eggs are operculated


- have bothria- grooves


- minor veterinary importance

what is the life cycle of diphylobothridean tapeworms?

1. unembryonated eggs are shed in the feces


2. embryos develop when eggs are in water


3. egg hatches and releases coracidia (ciliated larvae)


4. coracidia is ingested by 1st IH


5. develops into procircoid in first IH


6. first IH is ingested by 2nd IH and larvae develops to pleocircoid


7. 2nd IH is ingested by DH or PH.


8. once in DH larvae develops to adult in small intestine

Diphyllobothrium latum

diphylobothridean tapeworm- " broad fish tapeworm"


DH- dogs, bears, humans ** potentially zoonotic


1st IH: copepod


2nd IH: fish


PPP= 6 weeks

Spirometra spp.

diphlobothridean tapeworm


DH: cats, dogs, wild carnivores, raccoons


1st IH: copepod


2nd IH- water snakes, amphibians, birds, mammals


PPP- 10 days



**potentially zoonotic

how can you tell the difference between Diphyllobothrium datum and Spirometra spp. eggs

D. latum eggs have a knot on the end opposite the operculum but Spirometra do not

what is the difference in the lifecycle between D. latum and Spirometra spp.?

Spirometra life cycle is more terrestrial with birds, small mammals, and amphibians as their 2nd IH

What are 3 groups within the class Trematoda?

1. aspidogastrea- parasites of mollusks, fish, turtles



2. monogenea- external parasites of fish with direct lifecycles



3. digenea- parasites of vertebrates with indirect life cycles

Describe unique features of Digenetic trematode life cycles

they are hermaphroditic


Adults reproduce sexually in DH


larvae reproduce asexually in IH



larvae are very host specific (like to the species level) while adults are less so

Characteristics of digenetic trematodes

- leaf shaped


- no segmentation


- incomplete alimentary canal (no anus)


- attachment via suckers (acetabulum- attachment; oral- ingestion)


- indirect life cycle: 1st IH is always a mollusk


- hermaphroditic but can reproduce sexually


- produce operculated eggs

general life cycle of digenetic trematodes

1. miracidum (ciliated larval stage) actively seeks out snail


2. asexual generations (sporocyst, redia) within snail


3. cercaria (in host) leaves snail and encysts in new host or environment as metacercaria (enviro)


4. (meta)cercariae reach DH and develop to adult

How do digenetic trematode (meta)cercaria reach definitive host?

- passive ingestion


- predation


- skin penetration



depends on species of worm

What are the 3 liver flukes

all digenetic trematodes


- Fasciola hepatica- sheep (common) fluke


- Fascioloides magna- deer fluke


- Platynosomum concinnum- lizard poisoning fluke

Fasciola hepatica

digenetic trematode- common sheep fluke


DH: ruminants and humans


1st IH: amphibious snail, 2nd= NONE


adults: 2-3 x 1 cm


eggs: 130-150 x 63-90 um


PPP= 2-3 months



adults can live for 11 years


migrate in liver and bile ducts


risk factors of Fasciola hepatica infection

wet pastures


transmission occur between february and july in southeast US

treatment/ prevention of Fasciola hepatica infection

- clorsulon


- NO ivermectin- has no efficacy against flukes

control of Fasciola hepatica infection

- control DH access to water (drain or fence of ponds)


- molluscicides


- periodic anhelminthics

Diagnosis of Fasciola hepatica infection

geographic location


transport history (were they recently where it is found)


eggs on fecal floatation


clinical signs


imaging


adults on necropsy

Fascioloides magna

Digenetic Trematode- deer fluke


DH: deer


1st IH: amphibious snail; 2nd: NONE


AH: sheep, goats, cattle, camelids, elk


adults: 30-100 x 20-30 mm


eggs: 110-170 x 75-96 um



disease only seen in AH


metacercaria is infective for both DH and AH

pathogenesis of Facioloides magna

deer(DH)- form a cyst in liver with communicating duct to bile duct where eggs are released



AH- forms a cyst but can't form communication with bile duct so eggs cannot be released. In sheep and goats the larvae continue to migrate through the liver causing extensive damage

Paragonimus spp.

Trematode (pulmonary fluke)


DH: mammals


1st IH: snail; 2nd: crayfish and crabs


adults: 10 x 5 mm


eggs- 75-118 x 48-65 um



zoonotic


live in pairs in lung cysts

Characteristics of blood flukes (schistomes)

- diocious (males live in groove in female)


- cercariae penetrate skin


- eggs migrate through tissue to lumen of GI or bladder


- major pathology from granulomatous inflammation around eggs

Heterobilharzia americana

DH: dog, raccoon, bobcat


1st IH: snail; 2nd: NONE


adults: 4 mm


eggs: 88 x74 um



adults found together in mesenteric veins


penetrate skin as cercariae (motile- not in cysts)- no metacercaria (encysted)

Clinical signs of H. americana infeciton

diarrhea with mucous and blood


vomiting


anorexia/ weight loss


polyuria/ polydypsia


hepatic fibrosis

Geographic distribution of Heterobilharzia americana

From Florida to Texas along the Gulf Coast, as far north as Kansas

Diagnosis of H. americana

geographic distribution


sedimentation of eggs using saline

this dog presented with acute conjunctivitis. His new owners recently found him abandoned and covered with flies. What parasite is causing his problem?

this dog presented with acute conjunctivitis. His new owners recently found him abandoned and covered with flies. What parasite is causing his problem?

Onchocera lupi


filarial worm

What are 2 possibilities of what this parasite could be. How would you tell them apart?

What are 2 possibilities of what this parasite could be. How would you tell them apart?

Dracunculus insignis or Dirofilaria immitis



dracunculus produces long tailed larvae

What is your best guess as to the type of parasite that produced this egg? What makes you think that?

What is your best guess as to the type of parasite that produced this egg? What makes you think that?

acanthocephala



it has a thick tri-layered shell

What type of parasite is this? What are the species we discussed in this group?

This worm was found in the digestive tract of a pig. What type of parasite is this?

acanthocephala


- has spiny probiscus


- elongate


- dioecious



Specifically because it was found in a pig it is Macracanthorhynuchus hirudinaceus

This is a liver from a deer. What species of trematode likely caused these lesions?

These worms were found in the liver from a deer. There are cysts with communications to the bile ducts. What parasites are these

Fascioloides magna- deer is DH


These eggs were found in the feces of a dog that is suffering from respiratory problems. When you perform radiographs you see cysts in the lung tissue. What parasite is likely causing the problem? 

These eggs were found in the feces of a dog that is suffering from respiratory problems. When you perform radiographs you see cysts in the lung tissue. What parasite is likely causing the problem?

Paragonimus

What type of worm is this? What are the individual structures that make it up called and what are they called collectively?

What type of worm is this? What are the individual structures that make it up called and what are they called collectively?

Cestode (tapeworm)


individual structures are proglottids


multiple proglottids make up a storable

This structure was found in the feces of a dog brought into your clinic. the dog is infested with fleas. What parasite is likely causing his problem?

This structure was found in the feces of a dog brought into your clinic. the dog is infested with fleas. What parasite is likely causing his problem?

Dipylidium caninum (tapeworm)

Based on this picture, what species of worm might this be? What host would you expect to find it in?

Based on this picture, what species of worm might this be? What host would you expect to find it in?

Paranoplocephala mammilata: duodenum


Anoplocephala magna: ileum


Anoplocephala perfoliata: ileocecal junction



DH is horse



you can tell because of the shape and the piriform apparatus


Which species of Anoplocephala/Paranoplocephala is this? How can you tell?

Which species of Anoplocephala/Paranoplocephala is this? How can you tell?

Anoplocephala perfoliata



it has lappets- muscular extensions of the scolex

What species of worm produced this egg and what is its DH?

What species of worm produced this egg and what is its DH?

Moniezia



DH: cattle, sheep, goats



you can tell because of the triangular/diamond shape

These lesions seen in pork at a slaughterhouse are characteristic of infection with what pathogen? Is it zoonotic?

These lesions seen in pork at a slaughterhouse are characteristic of infection with what pathogen? Is it zoonotic?

Taenia solium
 
pork measles
 
if humans are infected with egg (i.e. are the intermediate host) they will get encephalitis

Taenia solium



pork measles



if humans are infected with egg (i.e. are the intermediate host) they will get encephalitis

These adult worms were found in the small intestine of a dog. What species is it? what type of cystercercoid is formed in the IH?

These adult worms were found in the small intestine of a dog. What species is it? what type of cystercercoid is formed in the IH?

Echinococcus granulosus
DH: dog
IH: ruminants, swine, horses, elk
- metacestode is in hydatid cyst (multiple cysts within a cyst)

Echinococcus granulosus


DH: dog


IH: ruminants, swine, horses, elk


- metacestode is in hydatid cyst (multiple cysts within a cyst)

This proglottid was shed in the feces of a dog? What parasite likely produced it? How can you tell?

This proglottid was shed in the feces of a dog? What parasite likely produced it? How can you tell?

Mesocestoides



the large circle in the center (parauterine organ) is characteristic of this parasite

These eggs were found in the feces of a cat whose owner reports likes to eat frogs from the pond in their yard. What species of parasite do you suspect? Should you warn about zoonosis?

These eggs were found in the feces of a cat whose owner reports likes to eat frogs from the pond in their yard. What species of parasite do you suspect? Should you warn about zoonosis?

Spirometra


Yes, while unlikely there have been reports of zoonosis when exposed to infected frogs or snakes.

Adult worms that produce this egg were found in the liver of a sheep. If the passed the egg what species do you suspect produced it? What if the sheep did not pass the egg?

Adult worms that produce this egg were found in the liver of a sheep. If the passed the egg what species do you suspect produced it? What if the sheep did not pass the egg?

if sheep is DH: Fasciola hepatica


if sheep is IH: Fascioloides magna- DH is deer