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Dioctophyma renale
Dioctophyma renale (giant kidney worm), is mostly found in the kidneys of dogs,
foxes, etc. Eggs are excreted in the urine. Eggs do not hatch until ingested by an
intermediate host(earthworm). On ingestion, by earthworm, the larvae hatch out of
eggs in the intestine and after two months they metamorphose to the infective larvae.
Infective larvae may be taken up by tadpoles or frogs or fish which serve as paratenic
hosts. Man acquires infection by ingestion of raw or inadequately cooked fish or frog
containing infective larvae. The worm may remain alive for up to 5 years in the
kidneys. It may cause obstruction, hydronephrosis, and destruction of the renal
parenchyma and cause renal colic and hematuria. The treatment in complicated cases
is limited to surgical removal of the affected kidney.
Dracunculus medinensis
They are mostly found in subcutaneous tissue of man and rarely observed in dog,
horse ,cattle and other animals. Parasite residing in the subcutaneous region causes
swelling which then is converted into ulcer when this ulcer comes in contact with
water it encourages the release of larvae .larva then is ingested by the intermediate
host. Infection occurs through the ingestion of contaminated water by final
host.Signs of itching , blister formation, rise in temperature are generally seen.
Necator amaricanus
Transmission of N.americanus larvae occurs through exposed skin, by
environmental acquisition from the soil, feces, and another contaminated surface.
Nutrition and blood loss are the major contributors to ill effects from the interaction
between host and parasite. The severity of the disease is directly related to the
number of worms in the host’s body. Generally the patient is asymptomatic in case
of infection by less number of parasites but the patient will experience fatigue, iron
deficiency leading to anemia, loss of appetite and abdominal pains in case of high
infection. The patient will experience anemia and, depending on the diet of the
person, possibly death. Children are at greater risks for lifelong damage and death
due to their smaller size and greater need for nutrition. Generally, infestation does
not lead to death, but may cause permanent damage.
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