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Buski

This document discusses two types of intestinal flukes: Fasciolopsis buski and Heterophyids. F. buski lives in humans and pigs in Southeast Asia and is transmitted by eating raw water plants containing metacercariae. Heterophyids infect fish-eating hosts by ingesting metacercariae encysted in fish. Both flukes attach to the intestinal wall and can cause inflammation, ulceration, and abdominal discomfort. Diagnosis is via stool examination and treatment is with praziquantel.

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92 views17 pages

Buski

This document discusses two types of intestinal flukes: Fasciolopsis buski and Heterophyids. F. buski lives in humans and pigs in Southeast Asia and is transmitted by eating raw water plants containing metacercariae. Heterophyids infect fish-eating hosts by ingesting metacercariae encysted in fish. Both flukes attach to the intestinal wall and can cause inflammation, ulceration, and abdominal discomfort. Diagnosis is via stool examination and treatment is with praziquantel.

Uploaded by

hawkar omer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Intestinal Flukes

Fasciolopsis buski
Fasciolopsis buski is prevalent in Sout
heast Asia and lives in humans and pigs’ i
ntestines, so it is also called Asia Giant In
testinal Fluke. The prevalence of fasciolo
piasis is related to growing water plants a
nd feeding pigs on water plants.
I. morphology
 Elongated or Oval
 the largest one of human trematode
s
20 –75 mm in length and 3 -7 mm
in width
 Covered with small spines
 No cephalic cone
 Unbranched intestina caeca which
reach up to the posterior end( no
lateral branches)
2. egg is oval in shape, slight
yellow in color, 130-140×80-
85µ(the largest helminth egg).
The thinner shell with an
operculum encloses an ovum
and 20-40 yolk cells.
II. Life cycle
1. Site of inhabitation: small intestine
2. Infective stage: metacercaria
3. Infective mode: eating raw water plants with
metacercariae
4. Medium of water plants: chestnut, water bamboo and
caltrop
5. Intermediate hosts: Planorbis snail
6. Reservoir host: pig
7. Life span: 1-4 years
Pathogenesis of Fasciolopsis buski

Pathological changes caused are:


Traumatic
 Inflammation and ulceration
 Obstructive
 Intestinal obstruction due to heavy infection
Toxic
 Due to absorption of worm metabolites by the host
Clinical Manifestation
 Abdominal pain
 Acute intestinal obstruction
 Anemia

 Generalized edema
 epigastric pain , ,nausea and diarrhea )
IV. Diagnosis

Stool examination:
1. Direct fecal smear
2. Water sedimentation method

V. Treatment and Prevention


1. The treatment of the patients, carriers and pigs
Drug of choice is praziqantel.
2. Prevention
(1) Health education, (2) Deal with night soil.
(3) Avoid feeding pigs on raw water plants
Heterophyids
 Many species live in the intestine of fish-
eating hosts:
 Heterophys heterophyes
 Mode of transmission is by ingestion of
metacercariae encysted in fish

 Metacercariae in the abdomen excysts,


liberating a larva that attaches to the
intestinal wall
Morphology
 Heterophyes heterophyes
Adult
 Elongated
 Oval or pyriform
 Measures less than 2
mm in length
 Integument has fine
scale-like spines
 Some species have
genital sucker
Egg morphology
 Heterophyes heterophyes
Ova
 Light brown in color
 Ovoid in shape
 Operculated
 A fully developed
symmetrical miracidium
is already present
 Operculum fits into the
egg smoothly
Life cycle
Pathogenesis and Clinical Manifestations

 Heterophyiasis
 Inflammation at the site of attachment
 Manifesations are consistent with peptic
ulcer .
 Upper abdominal discomfort
 Gurgling abdomen
Intestinal Flukes
Epidemiology

 Found in
 Egypt
 Greece
 Israel
 Western India
 Central and South China
 Japan
 Korea
 Taiwan
 Philippines
 Compostela Valley
 Mindanao
 Emerging public health concern

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