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Parasitology Reviewer: Monica Kristine Reyes

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The document discusses the distinguishing morphological features of various parasite eggs, larvae, adult worms, and life cycles.

Parasite eggs can be distinguished based on features of the egg shell like bipolar plugs, striations, and flattened sides. The contents may also provide clues like clusters of germ cells vs single nuclei.

Taenia solium has an armed scolex with hooklets and infects pork. T. saginata has an unarmed scolex and infects beef. T. solium can cause cysts in the CNS. The eggs cannot be differentiated.

Parasitology Reviewer

Monica Kristine Reyes


ASCARIS
Unfertilized vs. fertilized egg (eggs are the non-
infective stages)
Infective stage: embryonated

Unfertilized egg
Fertilized eggs
Adult Trichuris
• Male has COILED posterior end
• Habitat: found in colon; mainly in cecum
Trichuris egg
• Prominent BIPOLAR plugs
Capillaria egg
• With FLAT bipolar plugs (similar to Trichuris na
bipolar pero mas flat)
• STRIATED capsule
BUCCAL CAPSULE: hookworms
Acylostoma duodenale
Necator Americanus
Hookworm egg
Enterobius egg
Microfilaria
Ancylostoma duodenale
• 2 pairs of teeth

Mukhang tiger! RAAAAAAR! =)


Necator Americanus

Looks like penis to me. Haha!


Hookworm egg
• Thin egg shell
• Germ cells happen to be in clusters
• Morula stage: egg cells start to divide

Parang plastic balloon


yung casing di ba? =)
Enterobius eggs
• Deposited at perianal space
• Coating: for attachment (primary manifestation is
PRURITUS…kaya nagkakamot ng pwet ang pasyente;
usually paggabi)
• Egg shell is FLAT on ONE side (Trichuris: bipolar,
nakabulge…Capillaria: bipolar din pero medyo flat…ang
Enterobius, parang napipi ang isang side)
• Larva in external structures
• Very easy transmission due to larva in egg (matures in
4-6 hours)
• Can be acquired through inhalation
Enterobius eggs

Fertilized enterobius egg

Enterobius eggs in colon


Microfilaria
• Criculates in blood
• Periodicity; NIGHT time (collect blood sample
8pm-2am)
• ICT: immunochromatography test (can detect
it even during daytime)
:card test; antigen detection test
Microfilaria
(Wuchureria bancrofti) microfilaria
Cephalic phase: generally short

Cephalic space: generally short


Somatic cells: discrete and body nuclei
separate
Microfilaria
• Brugia Malayi

Big somatic cells: overlapping


Longer cephalic space
SCOLICES: tapeworms
Taenia solium
Taenia saginata
Schistosoma japonicum
Paragonimus Westermani
Taenia solium
• Armed scolex
• Rostellum with hooklets
• PORK

Gravid segments: main uterus with lateral branches


8 to 12 lateral segments
Taenia saginata
• Unarmed scolex
• BEEF

Lateral branches: 15
or more

Solium is worse than


saginata…may cyst
deposition kasi sa CNS
ang solium
Taenia eggs
• Cannot differentiate from each other (solium
and saginata)
Adult Schistosoma Japonicum
• Canal (GYNECOPHORAL): used by male to
carry female during copula (how sweet!)
• Parang Filipino men: sweet pero polygamous!
Schistosoma eggs
• No operculum but with miracidium
• Not mature when passed out by female
• Matures in tissues

eggs are usually round and have a


small spine or no spine. (lateral
knob)
Oncomelania Hupensis Quadrasi
• Intermediate host of local S. japonicum
Immature Paragonimus Westermani
• Very WIDE OPERCULUM
• Germ cells: immature; no miracidia
• Abopercular thickening
Adult Paragonimus eggs
• Localized in lungs; “lung fluke”
• Mistaken for TB
• Main manifestation- hemoptysis
Sundathelphusa Philippina
• Intermediate host: Paragonimiasis
• 1st pair of arm: one is smaller (R<L)
Echinostoma: intestinal flukes
• Kuhol: can carry metacercaria of Echinostoma
(intestinal fluke)
Entamoeba Histolytica cyst
• Chromatoidal bar: rounded ends (cigar-
shaped)
:product of excess food
Entamoeba Trophozoite
• Long and fingerlike pseudopodium
• Invasive psuedopodium: can carry RBC
• Certally located nucleus and nucleolus
Entamoeba coli cyst
• 1-8 nucleated cyst
• Off-centered, eccentric nucleus
• Chromatoidall bar; jagged ends; “needle
sticks”
Giardia lamblia
• Smiling face; binucleated
Trypanosomes
• What OFWs bring home: Leishmania and
Trypanosomes
malaria
P. falciparum
• Malignant malaria
• Ring stages: 1/5 of infected cell
• Inbetween rings and germ cells/ gametocytes
• Mature every 36-40 hours
• Schizonts: smooth muscle organ vasculature
• Peripheral smear: if these appear, emergency
case na!
P. vivax
• Tendency: young RBCs
• Pigments: Sheffner’s dots (degradative
products)
• Mature Schizonts: 12-24 merozoites
• Merozoites: released when matured; invade
other RBCs
• Mature every 48 hours (asexual phase)
P. malariae
• BAND formation
• “belt” trophozoite
• Normal sized RBCs
• Mature every 72 hours (asexual phase)
• Produces FEWEST merozoites
• Flower: rosette formation (Schizonts)

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