(New World Hookworm) Acylostoma Duodenale (Old World Hookworm) Stercoralis
(New World Hookworm) Acylostoma Duodenale (Old World Hookworm) Stercoralis
LIFE CYCLE Egg ingested > small intestine > mature > perianal migration
MORPHOLOGY Female: creamy white 8-13 mm, sharply pointed tails, Wing-like flaps (cervical alae) Male: Strongly curved posterior Female: 35-50 mm, long anterior two-thirds is long and threadlike Male: 30-45 Eggs: 50 to 55 x 22 to 25 microns
MAJOR PATHOLOGY AND SYMPTOM Perianal itching, irritation, lack of sleep, nausea , vomiting , vulval irritation
3. Ascaris lumbricoides LARGE INTESTINAL ROUNDWORN -second most common cause of infection -largest intestinall nematode -mixed with T. trichiura 4. Necator americanus (New World hookworm) Acylostoma duodenale (Old World Hookworm) 5. Strongyloides stercoralis -The threadworm
Egg ingested > small intestine > penetrate intestinal villi, return to lumen and migrate to cecum -Larvae mature and live in the colon -BARREL-SHAPED EGGS -life span: 4-8 years Complex + heart-lung cycle -egg>small intestine>intestinal wall>bloodstream > liver > lung -lung>alveoli> pharynx (swallowed) > back to reporting
Fecal analysis
Slight infection asymptomatic Heavy infection matted colon, bloody stool , bloody mucous CHRONIC DYSENTERY, abdominal pain and tenderness
Fecal analysis
Penetration by filariform > lymphatic and travel to the lungs> trachea to be swallowed -life-span: 1 year Eggs hatch in MUCOSA
Serpent-like tunneling, enteritis, anemia, weakness and loss og strength due to anemia Skin red, itchy, blotches Lungs pneumonia, Intestines diarrhea, weight loss, eosinohilia
6. Trichinella spiralis
Tissue is digested, larvae are freed, distributed in the body through blood, encysted in mucscles
Muscle biopsy
Fever, muscle pain, bilateral periorbital edema, increased eosinophil count -Intestinal phase small intestine edema and inflammation, nausea, vomiting, abdominal pain -Migrational phase: 104 degrees fever, blurred vision, pleural man -Muscle phase acute, local inflammation with edema pain -swelling due to allergic reaction -produced obstruction and elephantiasis
Microfilariae sheathed