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Parasitology Tables

Parasitology Tables

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Published by: 2013SecB on Feb 07, 2011
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PARASITEA.K.A.EGGADULTINFECTIVEDIAGNOSTICHOST LOC.INTHOST2
ND
IN THOS TPATHOLOGYMOTPHILTx
 TrichuristrichiuraWhipwormBarrel-S, 2plugsunembryoM – curved 360F – blunt;stichocytesEmbryonatedEgg in soil/fecesembryonated insoilDFS Unembryoeggs in fecesLI, Whipinsertedinto wallno migrationphase to lungs-Prolapse of Anus-IDA,
Alb, D-Sometimesappendicitis-symptoms due tounique mode of attachmentF-O-R(fecal-oral route) Yup80-90%warm,tropicalregionsAlbendazoleMebendazoleOxantel-PyrantelEnterobiusVermicularisSeatWormPinwormD-shape,footballspindle-S, cephalicala,corpus, isthmus,bulbM – curved tailF – pointd tailEmbryonated ovaScotch tapeSwabEmbryonatedEggsIleum of SI,Cecum,LI manGravid femaleMigrates toPerianal area1) site - ulceration2) eggs - prupritus3) migration-vulvuvag &salphingitisH-M(hand-mouth)inhalationRetroinfection Yup(F>M)MebendazolePyrantelpamoate TrichinellaSpiralis
larva – w/spearlikeburrowing tip
thread-like ; F –blunt;M – curved w/ 2lobular appendages;A-end- non-papillatedEncysted larvaeinInad cooked pork Tissue biopsyXenodiagnosisBachmanIntradermal testMuscle tissueof man, pigs-Rheumatic pain(intestinal flu)-
M eosin-swollen eyelids-3 stages of inf:intest,larval,encap-Stage of conval- death due toMyocard or encephIngestionof encystedlarvae inporkyupThiabendazoleCorticosteroid
(for allergicrxn)
Mebendazole?Ref 
(5F 20d,20F10d, 20F6d)
CapillariaPhilippinensispeanut shapeembryonated eggsin Ftypical F – 8 in 1 rowatypical F – 40 in 2M – w/ chitin spiculeLarva in raw fishEggs embryonateinFresh waterDFS-eggs (E)-larva (L)-adults (A)SI (jejunum )of fish, manlarvae ingastricmucosaand intestines-int mal-ab-Borborygmi-Ab Pain-Diarrhea-Villus flat-Atrophy COL-deathIngestionOf larvaIn rawfish Yup(M>F)I. Norte(N.Luzon) THA,JPN,EGY,TAI,IRANMebendazoleAlbendazoleAscarisLumbricoidesMostcommonIntestinalnematodeGiantRoundWormDecorticated,Unembryoegg
tri-radiate xs
F-3 lips; M–2spiculesEmbryonated Egglarvae, corticatedDFS of eggsAdults in SIGall bladder,Liver, nares,appendixSI of man
(not attach)
Liver-lungMigration
(larv swallowed)
Lung mig –Asthma;Capil penetration–Pneumonia; AbPain due to adultMigration; IntObst;
eosinIngestionBurrowingof Sin of foot YupMostCommonIn worldPeperazineCitrateAlbendazoleMebendzaolePyrantelPamAncyclostomaDuodenaleOldWorldHookwormteeth3
rd
stagefilariformDFSEIA-ELASILungmigrationGround itch; <500 eggsin feces = light worm,>500 eggs = heavy worm;Hookworm anemia due tosuctionOralpercutaneous Yes Tropics,subTPyrantelPamoateMebendazole
 
8-cell stagepointed tail, shortesophagusof blood/ bleedingMicrocytic HypochromicIronreplacementNecatorAmericanusNewWorldHookwormcuttingplatesDFSEIA-ELASkinPenetrationStrongyloidesStercoralis ThreadWormfilariform;no F MLongeso,ProminentGenitalprimordium,notched tail3
rd
stagefilariformRhab in stoolshort buc cavSI man; LungMigr aftr skinPenet; reproparthogenesisEggs hatch SILarval migration –Lobular pneu w/ hem;like PUD, HyperInfection, PeripheralEosinophilia, malabsyndrome- SkinPenetrationof FL- Free-living- autoinfection Yes Tropics,SubTAlbendazole Thiabendazole
PARASITEA.K.A.EGGADULTINFECTIVEDIAGNOSTICHOST LOC.INT HOST2
ND
INTHOSTPATHOLOGYMOTPHILTx
BrugiaMalayikinky,overlappingnuclei, nucleireach tail end(terminal,subterminal n.)giemsa – sheath unstainedLarvae InArthropodVectorBites atNightEntersBitewoundBioincub- 1 yearBloodsmear(thickAnd KnottConc)MicrofilariaIn blood atNightCARD TestAntigen detDNA probesLymphaticsBloodstreamPeripheralBloodmosquitosW.B. –CulexQuinqueFasciatusRural-Anoph;Urban-Fatigans;Pacific-aedesAcute –HypersensitizatnChronic – (poorprog),elephantiasis(blocks lymphs)Weingarten’sSyndrome –Hyper-eosin of Peripheral bloodSkinLarvaEnterbitewoundMosquitoBites atnight YupWarmregionsDiethylcarbamazine(not effective onadult worms)Ivermectincorticosteroidssupportive –pressurebandagingsurgeryWuchereriaBancroftismooth,single row of nuclei,no term nuc,>L than BMgiemsa –pink stainLoa Loashedding of sheath,Larvaecrawl intowound Thin bloodSmearbiopsySubcutaneoustissueVector-Dipteran(chrysops)Calabar swellingAdult in eyehypersensitivitySkinLarvaEnterbitewoundNoAfricaDiethylcarbamazineCorticosteroidssurgeryDracunculusMedinensisFierySerpentIsraelitesGuineawormlarva migrates to lower ext.Larvae incopepodsLocal lesionWorm/LarvaeCalcifiqedWorms byx-rayMesenteric TissuesLarvamigrate To lowerextCopepodsIngestLarva inwaterBlister w/Serous exudatesPseudoperitonealsyndromesIngestionOf InfectivecopepodsNOMiddleEast,AfricaMetronidazole ThiabendazoleOncocercaVolvulusLarvaeCrawl intoBite woundBiopsyMazzottiSlit lampSubcutaneoustissueVector-Black fly-River Blindness-Eye lesions- Skin lesions- ScrotumenlargementSkinLarvaEnterbitewoundNOAfricaC. and S.AmericaDiethylcarbamazineCorticosteriodsSurgery
 
AngiostrongylusCantonensisRatLungwormadultemale“Barber pole” dark redintestinaltract3
rd
stagelarva in snailsand slugs orrats ingestedby mansnails –paratenichostsHistory-eating,travelleukocytosis&eosinophiliaSkin testneedsevaluationBrainSpinal cordMan-AccidentalhostsMollusks,Snails:Achantina,PilaPlanaria,Slugs,prawnsEosinophilicMeningoencephalitis+ eosins in CSF,CN involve,diplopiaand strabismusCSF >= 500cells/mlw/ 10-90% eosinsIngestionOf larvaInsnailsNO TAI, THAI,CAM,VIET,Hawaii, TahitiNonerecommendedDead parasiteCouldexacerbate Tissue reactionSurgical if ncessaryAngiostrongyluscostaricensis3
rd
stage larvain snails/ slugsingested byman nd cottonrat
(Sigmodonhispidus)
Intestines(gut wall)MollusksSnails,slugs“acute abdomen”- inflamm of ileocecalregion; Ab painloc toright lower quad+palpable tumor-like mAnisakisHerringdisease Terranova sp – juvenilesPseudoterranova sp – notpenetrateEustrongylides sp – perforateslargebowel3
rd
stage larvain flesh of rawfish; larvamigratefrom visceratomuscle afterdeath of fishEdoscopyImmunologic Tests underStudyMarineCrustaceansAnd fishPseudoterranovaspp –Not penetr8 stom, Throat irrit,coughedIngestionOf rawMarineFood w/Alcohol,“green”herring,sashimiNO JPN,NetherlandsRemove larvaeBy biopsyForcepsSurgicalInterventionFor obstructionManageconservativelyAnisakis simplex(USA)Stom, int, inflammRxn surroundinglarvaAnisakiasis – local Tissue response;(Eustrongylidesspp)Perforation of Lbowel
PARASITEA.K.A.EGGADULTINFECTIVEDIAGNOSTICHOST LOC.INT HOST2
ND
INTHOSTPATHOLOGYMOTPHILTx
SchistosomaHematobium
Platy-helminthes
terminal spineS. Japonicumin copula, males havegynecophoric canalsFree-swimmingCercariaEggs,miracidiain urineAdults -Bladder,liverlarva –VenousPlexusesBulinusSnail
(Miracidia tocercaria)
Calcified Bladder (dead eggs=“sandy patches”); Painful urination;Kala-azar; adults coated w/ RBC Anand not detected; trappedegg cause clinical symptoms; Terminal Hematuria; infectionlinked To S. typhi and paratyphi carriersSkinPenetration ThruInfectedwaterWalaSiguro… TropicsSubtropicsPraziquantrelSchistosomaMansoni
Platy-helminthes
lateral spineFree-swimmingCercariaOva infeces(blood,mucus)RectalbiopsyLiverMesentericvenules,SC,lungsBiomphalariaSnailClaypipe-stem Fibrosis = Thickening of portal vessels due torxn w/ eggs; HepatosplenomegalyPortal HTN, ascites, eggssometimesDeposited in SC, lungs
  
liver enzy,
serum alb,
 
glob(prot)CercariaPenetrateSkin thruInfectedwaterNopeAfricaBrazilPraziquantrelSchistosoma Japonicum
Platy-
Cercaria Ova infeces,Rectalbiopsy,COPT test,Liver,MesentericVenules,SI, heart,Spleen,OncomelaniaKatayama rxn/ fever, reaction toEggs in tissue = CNS damage,Hepatosplenomegaly, Portal HTN,Ascites; mucus/blood in feces,
liver enzy,
  
serum alb,
 
CercariaPenetrateSkin thruInfectedwater YupMindanao,VisayasPraziquantrel

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