PARASITOLOGY

MIDTERMS LABORATORY
DELA CRUZ, Justine
DIONIO, Jamie
FLORES, Faith
 APHASMIDS

Trichuris trichiura
Trichinella spiralis
Capillaria philippinensis
 Trichinella spiralis
• Trichinellosis
Route of infxn:
- Ingestion of improperly cooked pork
containing encyted larvae
Cardinal s/s of
trichinellosis:
Lab dx:
• Severe myalgia
- Muscle biopsy
• Periorbital edema
- Double slide compression technique
• Eosinophilia
- Serologic test
- Latex aggln test
- Bentonite flocculation test
- Xenodiagnosis

DOC:
- Mebendazole
FFLORES
- Albendazole
 T. spiralis, encysted larva
Diagnostic stage - Encysted larvae in tissue sections
 Trichuris trichiura
• WHIP WORM
• Common companion: Ascaris lumbricoides
• NO HEART-LUNG MIGRATION
Habitat: CECUM

Route of infxn: TRICHURIS DYSENTERY

- Ingestion of infective embryonated eggs SYNDROME:
• Chronic dysentery
• Rectal prolapse
Lab dx:
- DFS w/ a drop of saline
- Kato thick smear
- Kato-Katz (quantitative, CR, ERR, intensity)
- FECT (formalin-ether/ethyl acetate conc.
Tech)
- FLOTAC Technique

DOC : Mebendazole FFLORES

Alternative: Albendazole
T. trichiura egg

• Lemon / football shaped w/

plug-like translucent polar
prominences
• Trichuris eggs in soil are more
susceptible to dessication
Trichuris trichiura
Adult male
Posterior end
 jdd

Capillaria philippinensis
• Common name: Pudoc worm
• Infective stage: 3rd stage larva
• Diagnostic stage: Unembryonated
egg
• Habitat: mucosa of small intestines
• Shape of egg: Japanese lantern or
peanut shaped
• Mode of transmission: Ingestion of
undercooked fish harboring 3rd
stage larva
• Intermediate host: fish
• Definitive host: humans
Capillaria philippinensis
• Treatment: Mebendazole,
egg Albendazole, vitamin supplements
 PHASMIDS:
ROUND WORM
Ascaris lumbricoides
Toxocara spp.
Brugia malayi
Wuchereria bancrofti
Enterobius vermicularis
 jdd

Ascaris lumbricoides
• Common name: giant intestinal roundworm
• Infective stage: embryonated egg
• Diagnostic stage: Unembryonated egg, embryonated egg and
adult worm in feces
• Disease: Ascariasis, Loeffler’s pneumonia
• Habitat: small intestines
• Mode of transmission: fecal oral route
• Definitive host: humans
• Treatment: Mebendazole, Albendazole, Pyrantel Pamoate
• NOTE:
– ROUNDWORM
– PHASMID
 jdd

Ascaris lumbricoides

Ascaris lumbricoides Ascaris lumbricoides Ascaris lumbricoides

Unfertilized egg decorticated egg fertilized egg
 Toxocara
• Toxocariasis
• Humans: accidental host
Toxocara canis: dog
Toxocara cati: cat
3 Clinical forms:
Route of infxn: Ingestion of infective • VLM (Visceral larva
eggs migrans)
Lab dx: • OLM (ocular)
- Tissue biopsy *most serious consequence –
- ELISA INVASION OF RETINA
- Western blot • CoTOX (Covert
- Fluorescent antibody test toxocariasis)

DOC: Albendazole, Mebendazole *Neurological toxocariasis –

migrate to brain, heart, meninges
that causes encephalitis (CSF)

FFLORES
Toxocara canis eggs (dog’s feces)
Coarsely pitted eggshell – diagnostic
 jdd

Brugia malayi
• Common name: Malayan filarial
worm
• Infective stage: 3rd stage larva
• Diagnostic stage: Microfilaria
• Periodicity: Nocturnal
• Habitat: lymphatics
• Mode of transmission: mosquito
bites
• Intermediate host: Mansonia
• Definitive host: humans
• Site of elephantiasis: upper part of
the body
Brugia malayi • Treatment: Ivermectin,
microfilaria Diethycarbamazine Citrate
 jdd

Wuchereria bancrofti
• Common name: Bancroft’s filarial
worm
• Infective stage: 3rd stage larva
• Diagnostic stage: Microfilaria
• Periodicity: Nocturnal
• Habitat: lymphatics
• Mode of transmission: mosquito
bites
• Intermediate host: Anopheles,
Aedes, Culex
• Definitive host: humans
• Site of elephantiasis: lower part of
Wuchereria bancrofti
the body
microfilaria • Treatment: Ivermectin,
Diethycarbamazine Citrate
 Enterobius vermicularis
PINWORM / SOCIETY WORM
• Enterobiasis / Oxyuriasis
• Familial / Group disease
• Perianal itching / Pruritus ani

Route of infxn:
- Inhalation of dust containing
Enterobius eggs

Lab dx:
- Graham’s scotch adhesive tape swab
(perianal cellulose tape swab)

DOC:
- Mebendazole
- Pyrantel pamoate (secondary DOC) FFLORES
• D-shaped eggs
(asymmetrical, w/ one side
flattened & other side convex)
• Resistant to disinfectants
but succumb to dehydration in
dry air w/in a day
E. vermicularis, Adult Female
• Spindle shaped
• Sharply pointed posterior end
• Uterus is filled w/ eggs
 PHASMIDS:
HOOK WORM
Necator americanus / Ancylostoma
duodenale
Ancylostoma caninum
Ancylostoma braziliense
Strongyloides stercoralis
 jmb

Hookworms
• Pathology:
• soil-transmitted helminths; a. Skin- site of entry of
blood-sucking nematodes filariform
• Attach to the mucosa of the b.Lungs (only for Necator)-
small intestines larval migration
• in tropics & subtropics c. Small intestine-
habitat of adults
• Habitat: adults @ small
intestine • Diagnosis:
• “ground itch” or “dew itch”  Direct fecal smear-
heavy infection
• Meromyarian
• somatic muscle with two to
 FLOTAC
five cells arranged per dorsal  Kato-katz
or ventral half.  Harada-Mori
 PCR & ELISA
 jmb
Hookworm egg
“retraction space”

• difficult to differentiate between

N. americanus & A. duodenale • DOC:
• bluntly rounded ends & a single • Blocks glucose uptake by
thin transparent hyaline shell; most intestinal & tissue
yellowish nematodes
• unsegmented at oviposition  Albendazole 500 mg-
larvicidal & ovicidal
• passed out with fresh feces in its
 Mebendazole 400 mg
two- to eight-cell
• stage of division
 Necator americanus
jmb

(new world hookworm)

buccal plates

• Infective stage: eggs in feces

• Diagnostic stage: filariform
larva (L3)
 jmb

Ancylostoma caninum (dogs)

3 pairs of buccal teeth

• Patho: skin lesions (map-like,

erythematous, itchy, pinpoint)
• Infective & diagnostic stage:
filariform larva
 jmb
Ancylostoma braziliense (cats)
2 uneven pairs of buccal teeth

• Patho: skin lesions (map-like,

erythematous, itchy, pinpoint)
• Infective & diagnostic stage:
filariform larva
 jdd

Strongyloides stercoralis
• Infective stage: filariform larva
• Diagnostic stage: rhabditiform larva
• Mode of transmission: skin penetration of the
filariform larva
• Definitive host: humans
• Morphology:
– Rhabditiform larva is the feeding stage
– filariform larva is the nonfeeding stage
• Treatment: Albendazole, Thiabendazole,
Ivermectin
 jdd

Strongyloides stercoralis

Strongyloides sterocalis Strongyloides sterocalis

Rhabditiform larva Filariform larva
Diagnostic stage Infective stage