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Parasitology Reviewer: Monica Kristine Reyes

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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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