10/09/2020

Introduction
 The species most commonly found in humans are E.
ilocanum, E. revolutum, E. malayanum, E. echinatum
and E. Hortense.
 Often found in Korea, Indonesia, Philippines,
ECHINOSTOMA Malaysia, Taiwan, India, Cambodia and Thailand
→ rural areas and the habit of eating raw snail
 The prevalence ranges from 1 - 50%

Lynda Rossyanti, dr.,M.Ked.Trop

Departemen Parasitologi
FK UNAIR

Morphology-Adult Stage

 Length 2,5 – 6,5 mm, Width 1 – 1,35 mm, diameter 0,5

– 0,6 mm
 Having two suckers, ventral suckers are bigger than oral
suckers
 Has circumoral spines on the anterior
 Has two caecum, the uterus contains eggs and ovaries Gambaran circumoral
are round spine
(www.k-state.edu)
 The lobulated testes are arranged in a tandem position
 The ovaries are located in front of the testicles
 The vittelaria gland is located on the lateral side in
three-quarters of the posterior body
(Manson, 2014) (Craig& Faust)

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Morphology-Egg Life Cycle

 Similar with Fasciolopsis buski eggs, but smaller
 115x60 µm in size, oval shaped, light brown in
color
 Has a small operculum
 Contains immature embryos

( CDC )

Pathogenesis and Clinical Manifestations

 Definitive Host : aquatic bird, human, rodent
 Intermediate Host:
1. Snail (Gyraulus convexiusculus, Hippeutis
umbilicalis, G.prashadi)
2. Molusca (Pila conica, Viviparus), ikan,
kecebong
 Attachment of adult worms to the sidelines of the
intestinal villi → inflammation and mucosal
ulceration
 >> asymptomatic
 Severe infection → diarrhea, eosinophilia,
abdominal pain, anorexia, anemia, perforation

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Treatment and Prevention

 Drug of choice : Praziquantel
 Alternative treatment: albendazole, mebendazole,
nicllosamide
TERIMA KASIH
Prevention :
 Avoid consuming raw snail