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PARASITE INFECTIVE STAGE HABITAT SOURCE OF INFECTION SIGNS & SYMPTOMS DIAGNOSIS TREATMENT
DISEASE ENTRY
A. NEMATODES
Ascaris lumbricoides Giant Intestinal IS- Embryonated eggs Mouth Lumen of Eggs from contaminated Vague abdominal Eggs in stool Mebendazole
Roundworm DS- fertilized egg & small intestine soil or food distress, intestinal Pyrantel pamoate
unfertilized egg Fecal-oral transmission obstruction Albendazole
Trichiuris trichiura Whipworm IS - Embryonated eggs Mouth Cecum & Eggs from contaminated Abdominal discomfort Eggs in stool Mebendazole
(Football,Barrel-shaped, DS - Unembryonated eggs rest of colon soil or food Bloody stools
Japanese lantern shape) Fecal-oral transmission Anemia
Enterobius vermicularis Pinworm, Seatworm IS - Embryonated eggs Mouth Large intestine Eggs in environment Anal pruritis Scotch tape swab Pyrantel pamoate
(D-shaped) Oxyuriasis Autoinfection irritability for eggs in perianal Mebendazole
Enterobiasis "mother complex" area Pyrvinium pamoate
Capillaria philippinensis Pudoc disease DS- Unembryonated eggs Mouth Small intestine Eggs from contaminated Intestinal malabsorption Mebendazole
(peanut-shaped) Mystery disease IS - Infective larvae soil or food Chronic diarrhea
(Flattened bipolar) Intestinal Capillariasis
Trichinella spiralis Trichina worm DS-Encysted Larval stage Mouth Small intestine Poorly cooked pork or Orbital edema, muscle Muscle biopsy Mebendazole
(threadlike-worms) Trichinosis IS- Ingestion of undercooked bear meat pain, conjunctivitis,
meat High eosinophilia
HOOKWORMS:
Necator americanus New World Hookworm IS - Filariform larva penetrates Skin, feet Intestine Contact with filariform Anemia, GI symptoms in Eggs in stool Mebendazole
Uncinariasis in the skin DS- larvae in soil early phase, Growth Pyrantel pamoate
Eggs in feces retardation Iron for anemia
Ancylostoma duodenale Old World Hookworm IS - Filariform larva penetrates Skin, feet Mucosa of small Contact with filariform Anemia, GI symptoms in Eggs in stool Mebendazole
Ancylostomiasis in the skin DS- intestine larvae in soil early phase, Growth Pyrantel pamoate
Eggs in feces retardation Iron for anemia
Creeping eruption, DS- Eggs in feces of cats & Soil containing dog and Serpiginous and pruritic skin Thiabendazole, orak or
Ancylostoma braziliense
Cutaneous larva migrans dogs IS - Skin Small intestine cat hookworm larvae lesions local
Filariform larva
Anisakis Anisakiasis 1st IH - L3 larva in fish and Stomach, Small Infected raw fish, Irritation of throat, abdominal History of eating raw
Mouth Endoscopy Surgery
Phocanema spp Herring disease squid intestine undercooked seafood pain, intestinal obstruction fish often
FILARIA:
Wuchereria bancrofti Bancrofts filarial worm Skin Lymphatics Infected mosquitoes Recurrent lymphangitis Microfilaria in direct Diethylcarbamazine
DS- Sheathed microfilariae in
Filariasis with fever, swollen filtered or conc blood Ivermectin
lymph and blood IS-
L3 larva enter the skin
Elephantiasis limbs, scrotum, varicocele
Brugia malayi Malayan Filarial worm Skin Lymphatics Infected mosquitoes Microfilaria in direct Diethylcarbamazine
DS- Sheathed microfilariae in Recurrent lymphangitis with
Filariasis filtered or conc blood Ivermectin
blood IS- fever, swollen limbs,
L3 larva enter the skin scrotum, varicocele
CESTODES:
Taenia saginata Beef tapeworm DS- Eggs or gravid proglottid Mouth Small intestine Cyst in muscle of raw or Usually none Segments & eggs Niclosamide
(Taeniasis) in feces IS- poorly cooked beef in stool Praziquantel
Oncosphere develop into
cysticerci in muscle Scotch tape swab
Taenia solium Pork tapeworm DS- Eggs or gravid proglottid Mouth Small intestine Cyst in raw or Usually none Segments & eggs Niclosamide
(Cysticercosis) in feces IS- poorly cooked pork in stool Praziquantel
Cysticercus cellulosae Oncosphere develop into Scotch tape swab
Diphyllobothrium latum Fish or broad fish tapeworm DS - Unembryonated eggs in Mouth Small intestine Megaloblastic type of Eggs in stool Niclosamide
feces anemia may occur Praziquantel
Plerocercoid in freshwater
IS- Plerocercoid larva 1st
fish, Poorly cooked or raw
IH : Freshwater copepods
fish
(Cyclops) 2nd: Freshwater
fishes & Crustaceans
DS - Unembryonated eggs in
feces
Plerocercoid in freshwater
IS- Plerocercoid larva 1st
fish, Poorly cooked or raw
IH : Freshwater copepods
fish
(Cyclops) 2nd: Freshwater
fishes & Crustaceans
TREMATODES:
Paragonimus westermani Oriental Lung fluke 1st IH: Brotia asperata Mouth Lungs Metacercariae on fresh- Cough, hemoptysis, X-ray Praziquantel
DS - Unembryonated eggs 2nd IH: Mountain crabs water crabs or crayfish fever, variable if CT scan Bithionol
IS - Cercariae in Crustacean (Parathelpusa gnapsoides) aberrant localization Eggs in sputum
(Sundathelpusa philippina) Eosinophilia
Fasciola hepatica Sheep Liver fluke 1st IH: Lymnea philippinensis Mouth Liver and biliary Metacercariae on water- Abdominal pain, fever, Eosinophilia Bithionol
DS - Unembryonated eggs 2nd: Ipomea obscura tracts cress Hepatomegaly, jaundice CT scan
IS - Metacercariae in water
plants Stool exam for eggs
Fasciolopsis buski Giant Intestinal fluke 1st IH: Segmetina or Hippeutis Mouth Small intestine Metacercariae on edible Abdominal pain Eggs in stool Praziquantel
DS - Unembryonated eggs 2nd IH: Eulocharis tuberosa water plants and vegetables diarrhea Niclosamide
IS - Metacercariae in water
plants Trapa bicornis edema
Schistosoma mansoni Schistosomiasis DS - eggs in urine & feces Skin Rectum & colon Cercariae from freshwater Liver fibrosis Eggs in stool Praziquantel
(eggs with lateral spine) Intestinal Bilharziasis IS: Cercaria released by snail snail Chronic dysentery
Mansons Blood fluke IH: Biomphalaria, Tropicorbis
Schistosoma japonicum Oriental Schistosomiasis DS - eggs in urine & feces Skin Small intestine Cercariae from freshwater Liver fibrosis Eggs in stool Praziquantel
(eggs with lateral rudimentary Katayama Disease IS: Cercaria released by snail snail Dysentery
spine) IH: Oncomelania quadrasi
Schistosoma haematobium Vesical Blood Flukes DS - eggs in urine & feces Skin Urinary bladder Cercariae from freshwater Urinary Disturbance Eggs in urine Praziquantel
(eggs with terminal spine) IS: Cercaria released by snail snail Hematuria
PROTOZOA
Human Blood Stage:
DS-Trophozoite, schizont,
Plasmodium vivax Benign Tertian Malaria gametocyte Skin RBC Infected Anopheles mos- Chill, fever, sweating, Blood smear Chloroquine, Primaquine
48 hrs., drug resistant (14 days incubation period) IS- Sporozoite (young RBC) quitoes, Blood transfusion, headache and myalgia (12-24 merozoites) Pyrimethamine
Mosquito Stage: syringes of addicts Enlarged spleen Schuffner's dots Sulfadiazine, Quinine
IS- Sporozoite Tetracycline
Mefloquine
Plasmodium ovale Ovale Malaria Human Blood Stage: Skin RBC Infected Anopheles mos- Chill, fever, sweating, Blood smear same as above
48 hrs. (15 days incubation period) IS- Sporozoite (young RBC) quitoes, Blood transfusion, headache and myalgia (8 merozoite)
Mosquito Stage: syringes of addicts Enlarged spleen James dots
IS- Sporozoite
Entamoeba histolytica Intestinal amebiasis IS & DS - Cyst & trophozoite Mouth Lumen and wall Fecal contamination with Intermittent diarrhea Cyst in cold stool, Diodoquin
(1-4 nuclei) in feces of colon or rectum cysts in food and water constipation, dysentery, trophozite in purged Metronidazole
Amebic hepatitis Liver heptomegaly and fever stool Dehydroemetine
Amebic liver abscess Emetine
Montezuma Revenge
Giardia lamblia Giardiasis IS - Cyst in feces Mouth Upper small Fecal contamination with Diarrhea with foul Cysts and trophozoite Quinacrine
(falling leaf, kite-like motility) "Old Man's Eyeglasses" DS - Cyst & trophozoite intestine cyst in food and water smelling stols in stools Metronidazole
in feces Abdominal discomforts Furazolidone
Weight loss
DS - Trophozoite in secretions
Trichomonas vaginalis Trichomoniasis & urine Genitalia Genitalia Trophozoite in vaginal Frothy vaginal discharge Trophozoite in vaginal Metronidazole
(jerky, tumbling motility) IS - Trophozoite in vagina Vagina and prostatic secretions and prostatic fluid Periodic vinegar
or orifice of urethra Prostate douches
Balantidium coli Balantidiasis DS & IS- Cyst in feces Mouth Large intestine Ingestion of cysts Diarrhea, dysentery Trophozoite and cyst Tetracycline
(largest intestinal protozoa) Balantidial dysentery Abdominal discomfort or in stool exam / biopsy Metronidazole
(only pathogenic ciliate) pain with nausea & vomiting
Cryptosporidium parvum Cryptosporidiasis DS & IS - Oocyst Mouth Small intestine Oocysts by fecal Diarrhea, severe in Special stain for None yet
fecal contamination from immunosuppressed oocysts in stool
man and cows
Cystoisospora belli Coccidiosis DS - Oocyst in feces Mouth Small intestine Oocysts by fecal Diarrhea, abdominal Oocysts in stool Pyrimethamine
formerly known as Isospora IS - Mature oocysts with contamination discomfort, malabsorption Biopsy of Small Sulfadiazine
belli sporozoite intestine
Microsporidium spp. Microsporidiosis DS & IS - Cyst Mouth Small intestine Oocysts by fecal Diarrhea, malabsorption Biopsy None yet
Eye contamination Eye pain Examination by EM
Pneumocystis carinii Interstitial plasma Lungs Lungs Inhalation from infected Cough Bronchoalveolar lavage Trimethoprim
Cell pneumonia people / environment Interstitial pneumonia Biopsy Sulfamethoxazole
Pneumocystis pneumonia Special stain, IFA Pentamidine
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