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Para lab 6

Para lab 6

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Published by: api-3743217 on Oct 15, 2008
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03/18/2014

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PARASITOLOGY LABORATORY 6 \u2013 Lung Flukes
USTMED \u201907 Sec C \u2013 AsM; Photos provided by JV.N.
CLASSIFICATION
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Trematode
DISEASE
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Paragonimiasis, Oriental lung fluke infection
GEOGRAPHICAL DISTRIBUTION
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Asia
LOCATION IN HOST
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encapsulated in parenchyma of lung
MORPHOLOGY
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Adult worms: These thick, robust, ovoid flukes, measuring 7.5-12.0 mm by 4-6 mm, are hermaphroditic, with a lobed ovary located anterior to two branched testes. The testes lie side by side in the posterior part of the body.

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Eggs: The moderately large, broadly ovoid, thick- shelled, golden-brown eggs are unembryonated when passed in sputum or in feces. The eggs may measure 80- 120 u by 45-70 u. At the abopercular (?) end of the egg, the shell is somewhat thickened.

LIFE CYCLE
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Unembryonated eggs passed in feces enter the water and undergo development to the miracidial stage. The egg hatches and the miracidium must find an appropriate freshwater snail intermediate host. Following a developmental period of two to three months, cercariae emerge from the snail and come in contact with various crustaceans, such as crabs and crayfish, penetrating into the viscera and musculature, and encysting to the metacercarial stage. Infection is acquired by ingestion of raw, infected crustaceans.

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In the mammalian host, the metacercariae migrate from the intestine through the body cavity and the diaphragm where they then enter the parenchyma of the lung. Adult worms become encapsulated in lung tissue, usually two worms per each capsule. The prepatent period is five to six weeks, and adult worms may live for up to 20 years.

DIAGNOSIS
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Detection of eggs in feces or in sputum
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Diagnostic problems. \u2013 the eggs of this species frequently are confused with the eggs of the broad fish tapeworm, Diphyllobothrium latum. However, the eggs of the latter are smaller (58-75 u long by 40-50 u) and they have an abopercular knob on the shell. In

Paragonimus, the abopercular end of the thickened shell
has no knob.
COMMENTS
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It now is well recognized that a number ofParagonimus species may parasitize humans, and almost all of these occur in canine or feline reservoir hosts. P. westermani matures in dogs and cats. The other species of

Paragonimus have been described from various parts of

southeast Asia, Africa, and Latin America. The eggs of these other species, though varying in size, have generally similar morphology.

Paragonimus westermani,Eggs.

The eggs of the lung fluke, P. westermani, are large, have a moderately thick dark shell, a prominent operculum at the broad end, and a thickened abopercular end. They are unembryonated when discharged from the body in feces or in sputum. These eggs illustrate the wide variation in shape that is characteristic of the species.

Paragonimus westermaniov a
Paragonimus westermani
Paragonimus westermaniAdult
Heterophyes heterophyes
Metagonimus yokogawai
Echinostoma ilocanum
HETERPHYSE HETEROPHYES
METAGONIMUS YOKOGAWAI
ECHINOSTOMA ILOCANUM
PARAGONIMUS WESTERMANI

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