Segi College Kuala Lumpur: Group Member Khamini Izaidah
Segi College Kuala Lumpur: Group Member Khamini Izaidah
LUMPUR
GROUP MEMBER
KHAMINI
IZAIDAH
Wuchereria Bancrofti
INTRODUCTION
Wuchereria bancrofti is a parasitic filarial nematode
(roundworm) spread by a mosquito vector.
Affects the lymphatic circulation.
The three parasites that cause lymphatic filariasis, an
infection of the lymphatic system by filarial worms.
If the infection is left untreated, it can develop into a
chronic disease called elephantiasis.
HABITAT
Found in the adult form of vessels and glands of human
lymphatic vessel .
MORPHOLOGY
W.bancrofti is a sexually dimorphic species.
The adult male worm is long and slender,
between 4 and 5 centimeters in length, a
10 of a centimeter in diameter, and has a
curved tail.
The female is 6 to 10 centimeters long, and
three times larger in diameter than the male.
They are viviparous.
Their vulva is near the level of the middle of
their esophagus.
Microfilariae are sheathed, and approximately
245 to 300 m in length.
Life span : 5-10 years approximately.
VECTOR
Anopheles
Culex
Aedes
LIFE CYCLE
CHARACTERISTIC OF LIFE
CYCLE.
Host: Mosquitoes (intermediate host).
Human (final host).
Location: Lymphatics and lymph nodes.
Infective stage: Inective larvae.
Transmission stage: Microfilariae.
Diagnostic stage: Microfilariae.
PATHOGENESIS
6-12 months must pass before the microfilariae
mature and reproduce
Once a person is infected, microfilariae can be
produced for up to ten years.
There are 3 phases of infections: asymptomatic,
inflammatory (acute), and obstructive.
Asymptomatic Phase
High levels of microfilaria in the blood
No symptoms present
Inflammatory (Acute) Phase
Inflammatory responses happen in response to antigens
from adult worms
Lymphedemaswelling due to blockage of lymph vessels
Orchitisinflammation of the testes
Epididymitisinflammation of the spermatic cord
Obstructive Phase
Lymph varicesenlarged lymph vessels (synonymous with varicose veins)
Lymph scrotum
Chylurialymph in urine (milky and sometimes bloody urine)
Elephantiasisenlargement of limbs and thickening of the skin due to
repeated inflammatory episodes
SIGN AND SYMPTOMS
Filarial fever
Lymphangitis
Lymphadenitis
Leucocytosis & eosinophilia
nausea
vomiting
elephantiasis
LAB DIAGNOSIS
1.Thick blood smear
Juveniles must be present in peripheral blood.
2. Polymerase chain reaction (PCR)
Distinguishes between other similar species.
3. Ultrasonography
Detects vigorous movement of adults known as
filaria dance sign.
4. X-rays
Detects dead, calcified worms.
TREATMENT
1-Antifilarial drugs:-
a- Diethylcarbamazine [DEC]
b- Ivermectin
c- Albendazole
2-General measures: -
Rest, antibiotics, antifungal, physiotherapy &
bandaging.
3-Elephantoid tissues:-
Corrected surgically.
PREVENTION
Mosquito control
Covering water-storage containers and
improving waste- water and solid-waste
treatment systems can help by reducing the
amount of standing water in which mosquitoes
can lay eggs.
Killing eggs (oviciding) and killing or disrupting
larva (larviciding) in bodies of stagnant water
can further reduce mosquito populations.