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Disease: Ascariasis Primary Symptom: large pot belly Pathology: Invaded tissue is hypereosinophilic Route of infection: Eggs are swallowed, larvae develop in lungs and travel to small intestine, intestines can be blocked or can move outside gut to cause peritonitis Other: Pneumonia-like symptoms if large quantities consumed |
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Disease: enterobiasis Primary symptom: perianal itching that can cause difficulty sleeping Pathology: no tissue invasion or hypereosinophilia Route: Adult females live inlarge intestine and travel to rectum to lay eggs Other: Smaller than ascaris, diagnosis by visualization |
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Cutaneous larva migrans visualized as self-limiting, irritating rash on foot. Predisposition by walking barefoot in places where dogs or cats have defecated |
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Disease: Visceral larva migrans Symptom: blindness or other due to host immune reactions Route: ingest eggs, larvae released intestinally then circulate to other organs and cease development Other: Worms not seen in feces, must be removed |
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Disease: Visceral larva migrans Symptom: stomach aches or other GI upset Transmission: carried by fish (not shellfish). Migrate to muscle tissues and are passed by predation until they reach a mammal Other: freezing the fish kills the parasite. Not seen in feces, must be removed |
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Disease: Bancroftian filariasis elephantiasis Symptom: swelling years after infection Transmission: mosquito bites Route: adult worms stay in lymphatics and produce sheathed microfilariae and migrate through lymph and blood Other: Adults and microfilariae seen on blood films. Parasites more prominent at night. Many non-pathogenic species, makes diagnosis difficult |
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Disease: schistosomiasis Symptom: Hepatosplenomegaly due to granulomatous inflammation, Katayama fever, portal hypertension, cor pulmonale and right heart failure; diarrhea, intestinal and bladder polyps, intestinal obstruction Transmission: infect snails Route: Larval cercariae penetrate skin and become schistosomulae. Lungs->blood vessels in gut. Adults lay eggs->liver Other: Shed in stools. Eggs contain living larvae called miracidia. No immune response to adults. |
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Complications of Schistomiasis |
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Deadly. Katayama fever: fever, sweats, chills, cough, headache, and lymphadenopathy due to buildup of immune complexes when eggs are first laid. Ruptured esophageal varices can lead to massive bleeding (hematemesis) and death due to dilation caused by portal hypertension. Infection of blood can lead to squamous cell carcinoma and massive tumors |
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Beef tapeworm Transmission: consumption of cysticerci from undercooked meat leads to infection Route: Adults live in small intestine, motile segments containing eggs are shed in feces. Other: eating egg (1st stage) is non-infectious. 2nd larval stage (cysticercus) is infective |
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Pork tapeworm Symptoms: lesions in eye, brain ,and muscle can cause epilepsy and seizures Transmission: Cysticercosis is caused by eggs, which develop in pathologic cysticerci |
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