THE TREMATODES

7. Schistosoma haematobium
1. Fasciolopsis buski
 Adults live in the small intestine
2. Fasciola hepatica
 Adults take up residence in bile
ducts
 Ingestion of raw water plants
3. Chlonorchis sinensis
 Ingestion of undercooked fish
contaminated w/ encysted
metacercariae
 Adult worms are only seen when
removed during surgery or autopsy
 Diagnosis is accomplished by
recovery of eggs in a concentrated
urine specimen
 Penetration of fork tailed cercariae
into the skin
 Resides in veins surrounding the
bladder
 Occur primarily in Old World


4. Heterophyes heterophyes & Metagonimus

yokogawai
 Ingestion of contaminated
undercooked fish
 Adult worms reside in small
intestine
 Eggs have the ability to escape into
lymphatics or venules via intestinal
wall penetration

5. Paragonimus westermanni
 Diagnosis is accomplished by the
recovery of eggs in sputum
specimens
 Transmitted in undercooked
crayfish or crabs

6. Schistosoma mansoni & Schistosoma

japonicum
 Diagnosis is accomplished by
recovery of eggs in stool or rectal
biopsy specimens
 Reside in veins and blood passages
of the liver