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Medical Microbiology 9-23
9-23 (Helminth II)
20
Microbiology
Professional
09/22/2010

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Cards

Term
Name generalizations of cestodes
Name and describe the 3 larval stages
Definition
>flat, segmented, as adults live in the intestinal tract, larval stage is metacestaode
>Cysticerus-invaginated scolex in fluid filled bladder
>Cysticercoid-scolex without fluid filled bladder
>Hydatid-like cystercus only bladder can have many scoleces with potential for large size.
Term
Name 3 parts of cestode.
What is gravid?
Definition
scolex (head with hooks)
neck (just behind head)
Segments (proglottids)-segments, mature as get more posterior with eggs.
Gravid=egg development complete segment
Term
Name tapeworms using humans as difinitive host
Name tapeworms using humans as intermediate host
Definition
1)Hymenolepis nana
Taenia saginata
Taenia solium
Dipylidum caninum
Diphyllobothrium latum

2)Taenia solium
Echinococcus spp
Spirometra spp
Term
Taenia species-how get infected?
>T.saginata
>T.solium
Definition
>beef tapeworm
>pork tapeworm, travelers and immigrants, latin america, asia, american west
Term
Taenia clinical signs
Definition
>Sx: indigestion, diarrhea, see segments
>Dx: passing segments or eggs
T.solium cyst stage can see scolex
>Tx: cook meat, take Rx, meat inspection
Term
What is cysticercosis?
Neural symptoms?
Definition
>T.solium moving around in the body and developing cysts all over your body. (autoinfection)
>Humans act as the intermediate host!

>H/A, confusion, seizures, vision problems
Term
Diphyllobothrium latum
morphology
location
pathogenicity
Definition
>characteristics of nemotode and cestode
>egg has cap with perculum, no spines on scolex
>Skandinavian countries
>absorbs lots of B12
Term
Hymenolepis nana
Symptoms
Population
Intermediate host
Definition
Sx=diarrhea, indigestion
Population=children and institutionalized
Intermediate host=Tribolium beetle (lives in cereal or flour)
Term
Dipylidium caninum
Population
Intermediate host
Morphology
Definition
Population=children, dog, cat
Intermediate= larval stage in flea
Morphology=2 genital pores on each of large proglottid which can crawl.
MAN is accidental host
Term
Echinococcus granulosus/multilocularis
Definitive host
Morphology
Normal cycle
Intermediate host
Diagnostic feature
Definition
>Definitive host=canine
>Morphology=very small adults
Normal cycle=sheep to dog
Abnormal=humans intermediate host
>can go into hydatid cyst stage which contains hundreds of scoleces
>Diagnostic
E.granulosus=laminated cystic wall filled with hydatid sand (protoscolices)
E.multilocularis=multilocular cysts (cystericeri)
Term
Name the scientific worm name
Pinworm
Round worm
Cat roundworm
Whipworm
Hookworm
Hookwork
Roundworm
Threadworm
Trichinella
Filariasis
Definition
1. Enterobius vermicularis - Pinworm
2. Ascaris lumbricoides - Roundworm
3. Toxocara canis, T. cati - Cat Roundworm
4. Trichuris trichura, -Whipworm
5. Ancylostoma duodenale - Hookworm
6. Necator americanus, - Hookwork
7. Baylisascaris procyonis - Roundworm
8. Strongyloides stercoralis - Threadworm
9. Trichinella spiralis – Trichinella
10.Filariasis
Term
Enterobius vermicularis
Sx
Testing
Geographically
Definition
"pinworm"
>self infection may occur
>adult worms in cecum, appendix, colon
>Pathogenesis: anal irritation, esp at night due to female egg laying. Can migrate up vagina to make nodules
>Dx: scotch tape test over anal opening
>Most common in North America
Term
Ascaris lumbricoides
Mode of infection
Sx
Detection
Egg morphology
Definition
>infection from soil to lung. tickles throat, cough, swallow, down to GI
>Sx: can have no Sx or bloating, vomiting, obstruction of bile ducts, bowel obstruction/perforation
>Detection: occasional passage of worm
>Eggs have fimbriated border
Term
Baylisascaris procyonis
Route of infection
Pathogenesis
Definition
"racoon roundworm"
>Infection: eggs are in raccoon poop, millions passed everyday. BUT RARE
>Pathogenesis: eggs hatch and migrate into CNS and other organs.
NO TREATMENT!
Term
Toxocara canis
Toxocara cati
Infectivity/life cycle
Pathogenicity
Population
Definition
>Infectivity: Ascarid worm makes egg into poop, eat poop, live in gut. Humans come into contact (fecal-oral) with dog poo
>Patho: larva migrates around looking for dog gut. Can get into eye (occular larva migrans) or make tracts along skin (cutaneous larva migrans) making a tract. Respiratory signs, fever, hepatomegaly
>Population: kids, Hx pica, SES
Term
Zoonotic Ascarid
Definition
>parasites of marine mammals
>from eating raw fish
>can kill by cooking or freezing
Term
Trichuris trichiura
infectivity
Sx
eggs
Definition
"whip worm"
>Infectivity: GI, no migration
>Sx: none to diarrhea with frank blood, anemia, growth retardation
Population: similar to ascaris
Features: egg is dark brown, football shaped, and has caps
Term
Necator americanus
Ancylostoma duodenale

Infection
Morphology
Sx
Population
Definition
"hookworm"
>Infection: through the soil or meat to lungs, coughed up, swallowed, to GI
>Morphology: cutting plates on mouth to drink blood from gut
>Sx: anemia, diarrhea with blood, vomit, weak, pallor, edema, ground itch as worm migrates, stunted growth
>Population:
A.duodenale - Europe, Africa, Asia
N.americanus - Africa Asia
Women>men
Term
Strongyloides stercoralis
associate this with:
Infection
Sx
Dx
Definition
>Associated with hospitals and HIV (immunocompromised)
>Infection: penetrate skin, go to lung there they are coughed out and swallowed to GI, eggs hatch inside body=> can autoinfect!
Hyperinfection=in immunosuppressed host due to no immunity to control migration
>Sx: diarrhea, vomit, pneumonitis, hyperinfection, pain, encephalitis, endocarditis (severe)
>Dx: detect larvae in poop
>Population: similar to hookworm
Term
Trichinella spiralis

Infection
Pathogenicity
Dx: serology
Definition
>Infection: eat undercooked pork or bear meat
>Pathogenicity: larvae enters blood through intestine and makes cysts in muscles of humans or other mammals (larvae)
Dx: serology
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