STRONGYLOIDES STERCORALIS

Common Name: Threadworm

Eggs:
Host/s:

Habitant: Duodenum
Diagnostic Stage: Rhabditiform
Infective Stage: Filariform
MOT: Skin Penetration
MOI:
Morphology:

CAPILARIA
PHILIPPINENSIS
Pudoc
TYPICAL FEMALE:8-10, single row
ATYPICAL FEMALE:40-45, 2-3 rows
FH: Man
IH: Ipon Fish
Hypselotris bipartita
[bagsang, bagtu, bagsit, birot]
Jejenum

2nd stage larva inside Ipon fish

ingestion
MALE: 2-4 mm L
-chitinized spicule
-stichosome (esophagus)
-stichocyte (secretory cells)

TRICHENELIA
SPIRALIS
Muscle worm
1,500 per lifetime
FH:Rats
Brown: rattus rattus black: rattus
norwegicus
AH: man
IH: Pig
Adult: SI(subepithelial villi)
Larva: Striated muscle/ skeletal M.
Encysted larva
Encysted larva
ingestion
MALE: 1.5-3.5 mm L
-1 testis posteriorly located
Posterior portion: 2 pairs conical
papillae
FEMALE: 3.5 mm L
Viviparous
LARVA: 900-1,300 micra
-spear like anterior burrowing tip

Disease: Conchin China Diarrhea

Travellers Diarrhea
Vietnams Diarrhea
Symptoms: 1. CUTANEOUSProritus
Hemorrhagic papules
2. PULMUNARY
3. Hemorrhagic cellular infiltration

Mystery Disease

1.
2.
3.
4.

Abdominal pain
Gurling stomach
Borborygmus sound
Weight loss, anorexia, vomiting and
edema

1. ENTERIC PHASE
-intestinal invasion & incubation
-food poisoning like symptoms
-diarrhea, constipation, vomiting,
nausea, abdominal cramps

-chronic bronchitis
4. INTESTINAL INVASION
Honeycomb int. Mucosa
Pathology: SKIN- larva curens(thigh and legs)
PULMUNARY- pneumonia due to
bronchial epi. tissue
INTESTINAL-honeycomb
mucosahyperinfection
SYSTEMIC INFECTION

5. fever

Diagnosis: HARADA MORI

BEAE STRING TEST(duodenal aspirate
specimen)

DFS: Recover of eggs and adults in stool

Recovery of female adults in stool

1. ;Enteropathy-severe protein loss

-malabsorption of fats
-severe electrolytes and K loss
2. Sprue like stool

3. ENCYSMENT & ENCAPSULATION

PHASE
-most critical
Toxaemia
-myocardial & neurological
complication
-congestive heart failure
-meningitides
-deafness
-Comatose

FECT, AECT, EACT

Treatment: Albendazole

2. INVASION PHASE
-muscle invasion
-periorbital edema of eyes
-Fever
-Dyspnea
-difficulty in swallowing chewin,
speaking

Albendazole

Muscle Biopsy
Special Tests:
a. Becks Xeno Diagnosis-albino
rats
b. BFT(Bentonit Flocculation
Tech)- antigens detect
antibodies
c. Bachman Intradermal Testsensitivity test
-redness 5cm diameter=(+)
Thiabendazole

Antidiarrheal drugs
Prevention:

Special Charateristics:

Proper sewage disposal

Avoid eating raw food
Treat infected individual

Mebendazole
Albendazole
Cook meat
Freeze meat-kills the larva
Meat inspection
Rodent control
Pigs in wel contructed pens