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18 Cards in this Set

  • Front
  • Back

Ingested nematodes

Enterobius, Ascaris, Toxocara, Trichinella

Cutaneous nematodes

Strongyloides, Ancylostoma, Necator

Nematode bites

Loa loa, Onchocerca volvulus, Wuchereria bancrofti

Nematode; Intestinal infection causing anal pruritus (diagnosed by seeing egg via the tape test); fecal-oral; Tx bendazoles

Enterobius vermicularis (pinworm)

Nematode; Intestinal infection with possible obstruction at ileocecal valve; fecal-oral; Tx bendazoles

Ascaris lumbricoides (giant roundworm)

Nematode; Intestinal infection causing vomiting, diarrhea, epigastric pain (may mimic peptic ulcer); Larvae in soil penetrate the skin; Tx Ivermectin or bendazoles

Strongyloides stercoralis(threadworm)

Nematode; Intestinal infection causing anemia by sucking blood from intestinal wall. Cutaneous larva migrans—pruritic, serpiginous rash from walking barefoot on contaminated beach; Larvae penetrate skin; Tx Bendazoles or pyrantel pamoate

Ancylostoma duodenale, Necator americanus (hookworms)

Nematode; intestinal infection; larvae enter bloodstream and encyst in striated muscle cells--> inflammation of muscle. fever, vomiting, nausea, periorbital edema, myalgia; Fecal-oral; undercooked meat (especially pork); Tx Bendazoles

Trichinella spiralis

Nematode; Visceral larva migrans—nematodes migrate to blood through intestinal wall causing inflammation and damage. Organs frequently affected include the heart (myocarditis), liver, and CNS (seizures, coma); Fecal-oral; Tx Bendazoles

Toxocara canis

Nematode; Skin changes, loss of elastic fibers, and river blindness; allergic reaction to microfilaria possible. Female blackfly; Tx Ivermectin

Onchocerca volvulus

Nematode; Swelling in skin, worm in conjunctiva; Deer fly, horse fly, mango fly; Tx Diethylcarbamazine

Loa loa

Nematode; Elephantiasis—worms invade lymph nodes and cause inflammation, which can block lymphatic vessels, takes 9 mo–1 yr after bite to become symptomatic. Female mosquito; Tx Diethylcarbamazine

Wuchereria bancrofti

Cestode; Intestinal tapeworm; Ingestion of larvae encysted in undercooked pork; Tx Praziquantel

Taenia solium

Cestode; Cysticercosis, neurocysticercosis; Ingestion of eggs contaminated with human feces; Tx Praziquantel; albendazole for neurocysticercosis

Taenia solium

Cestode; Vitamin B12 deficiency (tapeworm competes for B12 in intestine) --> megaloblastic anemia; Ingestion of larvae from raw freshwater fish; Tx Praziquantel

Diphyllobothrium latum

Cestode; Hydatid cysts in liver, causing anaphylaxis if antigens released (hydatid cyst injected with ethanol or hypertonic saline to kill daughter cysts before removal); Ingestion of eggs from dog feces, Sheep are an intermediate host; Tx Albendazole

Echinococcus granulosus

Trematode; Liver and spleen enlargement, fibrosis, and inflammation; Chronic infection can lead to squamous cell carcinoma of the bladder (painless hematuria) and pulmonary hypertension; Snails are host; cercariae penetrate skin of humans; Tx Praziquantel

Schistosoma mansoni, egg with lateral spine


Schistosoma haematobium--chronic infection, egg with terminal spine

Trematode; Biliary tract inflammation--> pigmented gallstones; Associated with cholangiocarcinoma; Undercooked fish; Tx Praziquantel

Clonorchis sinensis