Filarial worms are roundworms that live in the lymphatic system and lymph nodes of humans. There are three main types that can cause lymphatic filariasis by blocking the lymphatic system, leading to swelling. The worms live for 5-7 years and reproduce via microfilaria that are ingested by mosquitoes during blood feeding and develop further in the mosquito before infecting another human host. Diagnosis involves finding microfilaria in blood smears or detecting antibodies through serological tests. Treatment involves a single dose combination of albendazole and either ivermectin or diethylcarbamazine citrate.
Filarial worms are roundworms that live in the lymphatic system and lymph nodes of humans. There are three main types that can cause lymphatic filariasis by blocking the lymphatic system, leading to swelling. The worms live for 5-7 years and reproduce via microfilaria that are ingested by mosquitoes during blood feeding and develop further in the mosquito before infecting another human host. Diagnosis involves finding microfilaria in blood smears or detecting antibodies through serological tests. Treatment involves a single dose combination of albendazole and either ivermectin or diethylcarbamazine citrate.
Filarial worms are roundworms that live in the lymphatic system and lymph nodes of humans. There are three main types that can cause lymphatic filariasis by blocking the lymphatic system, leading to swelling. The worms live for 5-7 years and reproduce via microfilaria that are ingested by mosquitoes during blood feeding and develop further in the mosquito before infecting another human host. Diagnosis involves finding microfilaria in blood smears or detecting antibodies through serological tests. Treatment involves a single dose combination of albendazole and either ivermectin or diethylcarbamazine citrate.
Filarial worms are roundworms that live in the lymphatic system and lymph nodes of humans. There are three main types that can cause lymphatic filariasis by blocking the lymphatic system, leading to swelling. The worms live for 5-7 years and reproduce via microfilaria that are ingested by mosquitoes during blood feeding and develop further in the mosquito before infecting another human host. Diagnosis involves finding microfilaria in blood smears or detecting antibodies through serological tests. Treatment involves a single dose combination of albendazole and either ivermectin or diethylcarbamazine citrate.
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FILARIAL WORMS
White, slender roundworms
Three types: Wuchereria bancrofti, Brugia malayi, Brugia timori Live for 5-7 years, produce millions of offspring Block the lymphatic system Network of channels and lymph nodes that help maintain fluid levels in the body Blockage leads to edema (collection of fluid in tissues) Adult worms: sexes are separate. Female worms are long and males are short. Females are ovo-viviparous- lays eggs containing embryos(microfilaria). Microfilaria: have colourless sheath within which the microfilaria moves with characteristic motility. Present in peripheral blood. Contain many nuclei. Route of entry: Skin penetration of the infective larvae deposited by the mosquito. Infection then occurs in lymphatic system and lymph nodes. Infective stage is the microfilariae after development in the mosquito. Microfilaria in peripheral blood of humans is not infective to another even if a blood transfusion occurs. Life cycle: Definitive host – humans Intermediate host – mosquitoes Adult worm live in the lymph nodes and lymphatic system of humans. Microfilaria are released by gravid female which circulates in the peripheral bloodstream. Seen in large numbers at night. Mosquito during blood meal may also take up these microfilaria – which undergo development in the mosquito. Mosquito then becomes infective. Pathogenesis: Classical filariasis(Lymphatic Filariasis) : caused by the adult worm causing block in the lymphatic channels. Also known as elephantiasis – due to massive enlargement of part of the body effected. It is a disfiguring and disabling disease, which is generally aquired in childhood. In the early stages,though there are either no symptoms or non-specific symptoms, the lymphatic system is damaged. This stage can last for several years. Infected persons sustain the transmission of the disease. The long term physical consequences are painful swollen limbs (lymphoedema or elephantiasis). Occult filariasis: called occult(hidden) – as microfilaria are not present in the peripheral blood. Primarily due to hypersensitivity reaction to the microfilarial antigens. Patient has esinophilia, enlarged spleen and lymphnodes. No enlargement of body parts. Lab diagnosis Direct: Demonstration of agent: Larval stage in peripheral blood. Adult stage in lymph nodes. Indirect: 1. Demonstration of the presence of antibodies by serological tests by ELISA, IHA, IFA. These are used to diagnose occult filariasis. 2. Eosinophilia: due to allergic reactions caused by parasite. Treatment The recommended regimen for treatment of filariasis is a single dose of two medicines are given together - albendazole with either ivermectin or diethylcarbamazine citrate