![Page 1: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/1.jpg)
Course Introduction
Parasitology
Protozoology (Protozoa)
Helminthology (Helminths)
Platyhelminthes (flat worms)
Trematodes
Cestodes
Nematheminthes (round worms)
Nematodes
Entomology (Arthropodes)
![Page 2: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/2.jpg)
Helminths (worms)
intestine & Tissue
Intestinal, Blood & tissue
in different
areas
Flat worms
Platyhelminthes
Cylindrical worms
Nemathelminthes
One piece
Trematoda
Flukes
Segmented
Cestoda
Tape worms
Nematoda
![Page 3: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/3.jpg)
Points to be studied in any helminth
Geographical Distribution
Definitive host (Final host)
Habitat (adult parasite )
Intermediate host
Infective Stage & mode of infection
Pathogenesis & Clinical picture
Diagnostic stage & Methods of diagnosis
Treatment
Prevention and Control
![Page 4: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/4.jpg)
Phylum: NEMATHELMINTHES
Class : NEMATODA “Round worms”
Intestinal Nematodes
Enterobius vermiculars
Trichuris trichiura
Ascaris lumbricoides
Ancylostoma duodenale
Necator americanus
Strongyloides stercoralis
TISSUE Nematodes
Trichinella spiralis
Wuchereria bancrofti
Brugia malayi
Onchocerca volvulus
Loa loa
Dracunculus medinensis
Toxocara spp.
Ancylostoma caninum
Capillaria phillipinensis
![Page 5: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/5.jpg)
Adaptation of Nematodes (within habitat):
Intestinal nematodes maintain their position by one of the followings:1-2-3-4-
Oral attachment to the mucosa by buccal capsule e.g. Hook wormPartial embedded by it attenuated end e.g. TrichurisDeeply embedded in the mucosa e.g. Strongyloides.Free in the lumen or loosely attached by lips e.g. Ascaris
Nematodes get their nutrition either by:1-2-3-4-
Sucking blood e.g. hook worm.Ingestion of lysed tissue by embedded worm e.g. Trichuris , Strongyloides.
e.g. Ascaris , Enterobius.Feeding of intestinal contentsingestion of body fluids e.g. Filaria.
![Page 6: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/6.jpg)
Pathogenicity
Pathological effect of nematodes upon the host depends upon:1-2-3-4-
Intensity of infection.Site and surface area affected.Immunological and nutritional status of the host. Duration of infection.
Pathogenicity may develop as one or more of the followings:• Local reaction: varied from local mechanical irritation – local mechanicaltrauma leading to mucosal damage.
• Secretory products leading to stimulation of inflammatory cells
• Immune response either to adult or larvae leading to:1- Immediate hypersensitivity (allergic reaction) in the form of skin irritation,
bronchial asthma as with migrating larvae.2- Delayed type hypersensitivity leading to tissue damage as in case of skin
lesion following Onchocercosis.
![Page 7: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/7.jpg)
Intestinal nematodes
Enterobius vermicularis
![Page 8: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/8.jpg)
Intestinal nematodes
Ascaris lumbricoidesGiant WormWorm
![Page 9: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/9.jpg)
Intestinal nematodes
Trichuris trichiura Whip Worm
![Page 10: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/10.jpg)
Intestinalnematodes
Ancylostomaduodenale Hook Worm
![Page 11: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/11.jpg)
Ancylostoma duodenale Ancylostomiasis
Definitive host: Man only Mouth opening
Habitat: small intestine (jejunum)
♂10 mm
in length
♀12 mm
in length
4 Teeth2 lancets2 Plates
Mouth(Buccal
Adult worms attached to intestinalmucosa by their buccal capsule
Diagnostic stage:
Infective stage:
openingcapsule)
Mode of infection:
![Page 12: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/12.jpg)
Intestinal nematodes
Strongyloides stercoralis Dwarf-thread Worm
![Page 13: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/13.jpg)
Tissue Nematodes
![Page 14: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/14.jpg)
============
Trichinella spiralis Trichinosis
Trichinella: little hair
spiralis: like the spiral
Geographical distribution:
2 conicalprocesses
Final host:
♀3 mm
long
♂
Habitat:
Intermediate host:
1.5 mmlong
![Page 15: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/15.jpg)
===============
ne, Umm Alqura University
==========
professor of para===========
Life Cycle of Dracunculs medinensis Dracontiasis
Definitive hostMode of infectionInfected human
HabitatAdults exist in
subcutaneous tissue
Diagnostic stage
♀ ♂
Infective stage
Intermediate host=
Dragon worm,Guinea worm,Medina worm
![Page 16: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/16.jpg)
What happens when infective filariform larva of
A.caninum or A.braziliense penetrate human skin?
Infected dog harboring
A.caninum or
A.braziliensein the small
intestine
Cutaneous larvamigrans
Infective filariformImmature egg
larva
![Page 17: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/17.jpg)
Diagnosis of Cutaneous Larva Migrans
Advancing serpiginous tunnels.
History of skin contact to soil.
Larva is ahead of its track.
High eosinophilia.
![Page 18: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/18.jpg)
Other causes of Cutaneous Larva Migrans
Strongyloides filariform larva•
(larva currens).
Larva migrates inskin of buttocks
![Page 19: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/19.jpg)
Embryonated Toxocara canisegg?
Toxocara cati egg?
What happenswhen Man ingests
Visceral larva migrans
![Page 20: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/20.jpg)
Larva migrans
Migration of larvae of nematodes in unsuitable hosts.
larvae cannot complete their normal developmentinto adults.
Invasion of human viscera by larvae of
Toxocara canis &
Toxocara cati
Invasion of human skin by filariform
larvae of A.caninum& A.braziliense
Visceral larva
migrans
Cutaneous larva
migrans
![Page 21: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/21.jpg)
Filariae
Wuchereria
Onchocerca
bancrofti
volvulus
Loa loa
![Page 22: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/22.jpg)
Filaria (thread-like)
Are thread-like cylindrical worms
layMale
filaria
Femalefilaria
microfilariae
Filaria worms that can affect the human
Wuchereria bancrofti Loa loa Mansonella perstansBrugia malayi Onchocerca volvulus Mansonella ozzardi
Filaria are transmitted to man through the bite of vector
Serous cavitySubcutaneous
tissue
Lymphatic
system
Brugia timori
![Page 23: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/23.jpg)
![Page 24: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/24.jpg)
Comparison between
Brugia malayiWuchereria bancrofti
Exists in Egypt Existsstrains
in Far Eastexist in monkeyscats
Some &Adult exists in Man only
MicrofilariaGraceful curve Kinky curve
Tail free of nuclei 2 Distinct nuclei at tail
Less absolute
PeriodicityAbsolutely nocturnal
♀ Culex, Aedes, Anopheles Aedes, Anopheles, MansoniaVectors ♀
![Page 25: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/25.jpg)
=====
fessor o
Brugia malayiWuchereria bancroftiPathogenesis & Clinical Picture
Severer disease Milder diseaseUsually affects legs below
knees & arms below elbowsUsually affects genitalia &
lower limbs
Genital organs are involved Genital involvement is rareAllergic manifestations are
commonAllergic manifestations
not commonare
Chyluria occurs Chyluria is rare
![Page 26: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/26.jpg)
![Page 27: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/27.jpg)
![Page 28: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/28.jpg)
Comparison between
Onchocerca
When they reach the
human eye
Adults are coiled
forming a subcutaneous
nodule
Loa loaVolvulus Transmitted
bySimuliumTransmittedby Chrysops
Adult migrates under the Microfilaria attack eye globeconjunctiva (called eye worm)
Vision is not affected Cause River blindness
![Page 29: Course Introduction - KSU Facultyfac.ksu.edu.sa/.../default/files/intestinal_blood_tissue_nematodes.pdf · Helminths (worms) intestine & Tissue Intestinal, Blood & tissue in different](https://reader031.vdocuments.net/reader031/viewer/2022030419/5aa588057f8b9ab4788d48ad/html5/thumbnails/29.jpg)
Comparison between microfilariae
Arthropod vector:Culicoides
300X10µ250X8µ 250X8µ 250X8µ
100X5µ 200X5µ
L. loaW. bancrofti M. perstansB. malayi
SheathedO. volvulus M. ozzardi
Sheathed
Tail
Sheathed Non-sheathed Non-sheathed
Free2 nuclei
In blood
by day
Full
In blood
by day
Free
In tissues
NOT blood
Full Freenuclei
In bloodby night
In bloodanytime