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trematodes
- leaf shaped parasite with a blind bifurcate intestinal tract
trematodes are mostly
hermaphroditic
except
schistosomes
blood flukes
(schistosomes)
lung flukes
( paragonimus)
Schistosoma spp.
- causes schistosomiasis infections or bilharziasis
acute schistosomiasis
(katayama fever)
acute schistosomiasis
(katayama fever) - occus at a time of initial parasite egg laying abouth
2-8
weeks after infection
chronic schistosomiasis
- intermittent dysentery and bowel obstruction and urinary tract diseas
Schistosoma japonicum
- aka oriental blood fluke; endemic in philippines
intermediate host of Schistosoma japonicum -
ocomelania hupensis quadrasi
cercaria
is the infective stage of life cycle of blood flukes
s. japonicum eggs - ovoidal,
rounded
,
pear
shaped;
thin
shelled
cercaria
(blood flukes) - free swimming in water; forked tail
blood flukes treatment -
praziquantel
paragonimus westermani -
lung fluke
egg of paragonimus westermani is
oval
,
yellowish brown
,
thick shelled
and
flattened operculum
cercaria of paragonimus westermani is covered with
spide
;
ellipsoidal body
and small
tail
life cycle of
lung fluke
embryonates in water
adults are found in
pars
in lungs
treatment of lung flukes -
praziquantel
fasciolopsis buski
- interstinal flukes
fasciolopsis buski
- digenetic trematode (intestine in humans and pigs)
fasciolopsis buski
- aka asia giant intestinal fluke
fasciolopsis buski
causes fasciolopsis infection
adult egg of F.buski is
long elliptic
,
flesh
colored
treatment of intestinal flukes -
praziquantel
fasciola hepatica and F. gigantica is
liver flukes
F. hepatica
is temperate liver fluke
F. gigantica
is tropical liver fluke
liver
flukes common name is the sheep liver fluke
liver flukes
can be found in the bile duct of liver
definitive host of liver flukes : usual host
sheep
, liver of
mammals
intermediate host of liver flukes -
fresh water snails
infective stage of liver flukes -
encysted metacercaria
on vegetation
diagnostic stage of liver flukes -
eggs in stool specimen
disease of F.hepatica and F.gigantica liver flukes -
fascioliasis
treatment of intestinal flukes -
bithionol