Trematodes

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Trematodes

Trematodes are commonly called flukes. The first intermediate hosts are snails.
 Leaf-shaped worms, generally flat and fleshy
 Hermaphroditic (except for Schistosoma, which is either male or female)
 Have complicated life cycles occurring in 2 or more hosts
 Have operculated eggs (except for Schistosoma), which contaminate water, perpetuating the life cycle; also used to
diagnose infections

Table II-6-12. Trematode (Fluke) Diseases

Organism Common Name Reservoir Host Acquisition Progression in Humans Important Ova Treatment

Skin penetration
(itching) → mature in
veins of mesentery →
S. mansoni Intestinal Contact with eggs cause granulomas
Cats, dogs,
Schistosoma schistosomiasis water; skin in liver (liver Praziquantel
cattle, etc.
japonicum penetration enlargement in chronic
cases)
Clay pipe-stem fibrosis
of portal vein

Skin penetration
(itching) → mature in
Contact with bladder veins; chronic
Schistosoma Vesicular
Primates water; skin infection has high Praziquantel
haematobium schistosomiasis
penetration association with
bladder carcinoma in
Egypt and Africa
Penetrate skin,
Birds(Great
producing dermatitis
water; skin Contact with Trimeprazine
Nonhuman without further
Swimmer’s itch penetration water; skin - Calamine
schistosomes development in
U.S.) penetration Sedatives
humans; itching is most
intense at 2 to 3 days
Clonorchis Chinese liver Dogs, cats,
Raw fish ingestion Serum-like sickness Operculated eggs Praziquantel
sinensis fluke humans
Fasciola
Sheep liver fluke Sheep Watercress Hepatitis Operculated eggs Praziquantel
hepatica
Diarrhea ±
Fasciolopsis Giant intestinal
Pigs Water chestnuts malabsorption Operculated eggs Praziquantel
buski fluke
syndrome
Ingestion of raw
TB-like disease:
Paragonimus crab/ crayfish Operculated eggs
Lung fluke Pigs/dogs hemoptysis, night Praziquantel
westermani* from Asia, Africa, in sputum
sweats
South America

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