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Clinical Parasitology
LEC
Filarial Worms
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Rebekah Rosario
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FILARIAL WORMS Two known morphological forms:
Microfilaria
Adult
worms
retains embyronic sheath (present at the tail)
Sheathed Microfilaria
does not retain embryonic sheath
Unsheathed Microfilaria
Sheathed Microfilaria 3 examples
Wuchereria bancrofti
Brugia malayi
Loa loa
Unsheathed Microfilaria 3 examples
Onchocerca volvulus
Mansonella perstans
Mansonella ozzardi
LYMPHATIC FILARIAL PARASITES
: One of the “most
debilitating
diseases” in
tropical
countries (Southeast Asia)
Filariasis
- parasitic infection caused by
microscopic
threadlike worms acquired through a
mosquito bite
(vector-borne)
LYMPHATIC FILARIAL PARASITES
:
Wuchereria bancrofti
&
Brugia malayi
MOT
Skin penetration through a vector
LYMPHATIC FILARIAL PARASITES:
Wuchereria bancrofti
&
Brugia malayi
habitat
Lymphatic vessels
(lymph nodes)
Vector of W. bancrofti
Aedes
,
Culex
,
Anopheles
Vector of B.
malayi
Mansonia
,
Aedes
,
Anopheles
Mansonia spp for B. malayi (2)
M. bonnae
M. uniformis
Infective stages of lymphatic filarial parasites for man
L3
larva or
filariform
larva
Infective stages of lymphatic filarial parasites for microfilaria
mosquito
definite host of
lymphatic filarial parasites
human
common name of W. bancrofti
Bancroft's filarial worm
B. malayi
common name
Malayan filarial worm
vector of W. bancrofti
Anopheles
,
Aedes
,
Culex
Brugia malayi vector (1)
mansonia
area affected for W. bancrofti
lower lymphatics
area affected for B.
malayi
upper lymphatics
periodicity of W. bancrofti
nocturnal
(
8
or
9
PM to
4AM
)
periodicity of B. malayi
subperiodic - 12 NN to 8:00 PM
nocturnal - 10 PM and
2 AM
or
4 AM
length of microfilaria of Bancroftian Filariasis
240-300
um length
Microfilariae of Bancroftian Filariasis - sheath & nuclei?
sheathed
with
no nuclei
at the
tip
Adult worm of Bancroftian Filariasis are tightly coiled in
nodular dilated nests
female adult worm size in Bancroftian Filariasis
40-100
mm
male adult worm size of Bancroftian Filariasis
20-40
mm
Vector Biology of Bancroftian Filariasis
Anopheles
flavirostris
and
Aedes
poecilus
aquatic habitat
Bancroftian Filariasis
axils of
abaca
and
banana
plant
adult biting Bancroftian Filariasis
day
and
night
biting
indoor
and
outdoor
adult resting Bancroftian Filariasis
base of
abaca plants
cool shady areas
Malayan Filariasis microfilariae sheath and nuclei?
sheathed with
2 nuclei
at
tip
size of microfilaria Malayan Filariasis
200
-
280
um length
adult worm of
Malayan Filariasis
is tightly coiled in
nodular dilated nests
female adult worm size of Malayan Filariasis
53
mm
male adult worm size of Malayan Filariasis
24
mm
Vector Biology Malayan Filariasis
Aedes
,
anopheles
,
mansonia spp
adult biting Malayan Filariasis
day
and
night
biting
indoor
and
outdoor
aquatic habitat of Malayan Filariasis
axils of
abaca
and
banana plant
,
swamps
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