Fasciolepsis buski is a digenetic trematode that infects humans and pigs through ingestion of encysted metacercariae on aquatic plants. The adult worm lives attached to the intestinal mucosa where it can cause obstruction, inflammation and ulceration. Heavy infections may involve the entire intestinal tract and cause edema, intoxication and even death. Diagnosis is through detection of eggs in stool and treatment involves praziquantel. Prevention focuses on avoiding excessive soaking of aquatic plants to reduce metacercaria which are the infective stage.
Fasciolepsis buski is a digenetic trematode that infects humans and pigs through ingestion of encysted metacercariae on aquatic plants. The adult worm lives attached to the intestinal mucosa where it can cause obstruction, inflammation and ulceration. Heavy infections may involve the entire intestinal tract and cause edema, intoxication and even death. Diagnosis is through detection of eggs in stool and treatment involves praziquantel. Prevention focuses on avoiding excessive soaking of aquatic plants to reduce metacercaria which are the infective stage.
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Fasciolepsis buski is a digenetic trematode that infects humans and pigs through ingestion of encysted metacercariae on aquatic plants. The adult worm lives attached to the intestinal mucosa where it can cause obstruction, inflammation and ulceration. Heavy infections may involve the entire intestinal tract and cause edema, intoxication and even death. Diagnosis is through detection of eggs in stool and treatment involves praziquantel. Prevention focuses on avoiding excessive soaking of aquatic plants to reduce metacercaria which are the infective stage.
Copyright:
Attribution Non-Commercial (BY-NC)
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Download as TXT, PDF, TXT or read online from Scribd
a digenetic trematode that parasitizes intestines of humans and pigs
mode of transmission is by ingestion of encysted metacercariae on aquatic plants or when the hull or skin of the fruits of these plants is peeled off between th e teeth DISEASE Fasciolopsiasis MORPHOLOGY Adult Dimensions: 20-75mm x 8-20mm elongated, oval-shaped Reproductive organs: Two testes are dendritic and arranged in tandem in the posterior half branched ovary lies to the right of the midline other: vitellaria (fine) does not have a cephalic cone intestinal ceca are unbranched and reach up to posterior end Egg Indistinguishable from eggs of F.hepatica and F.gigantica Large and operculated Unembryonated at oviposition Dimensions: 130-140um x 80-85um LIFE CYCLE Adult lives in the duodenum, attached to the intestinal mucosa by its suckers Egg immature eggs are released together with feces into the water embryonates in the water and gives rise to miracidium in three to seven weeks Miracidium seeks out 1st intermediate host 1st intermediate host: snail (genus Segmentina or Hippeutis) Sporocyst and Redia miracidium transforms into sporocyst, which subsequently produces mother rediae, daughter redia and finally cercaria Cercaria leave daughter redia and undergo development in the snail tissues cercaria emerge 7 weeks after initial infection attach themselves on surfaces of seed pods, bulbs, stems or roots of various aqu atic plants 2nd intermediate host: water caltrop (Trapa bicornis), water chestnut (Eliochari s tuberose), water morning glory (Ipomea obscura), and lotus (Nymphaea lotus) Metacercaria encyst on the surface of water plants excysts in the duodenum and attaches to the intestinal wall where it becomes sexually mature in 3 months Infective stage: metacercaria Definitive host: Pigs and humans PATHOGENESIS AND CLINICAL MANIFESTATION Heavy infections: worms may be found throughout the intestinal tract and cause obstruction pathological changes caused by worms are traumatic, obstructive and toxic inflammation and ulceration occur at site of worm attachment, produces an increa se in mucus secretion and minimal bleeding gland abscesses are occasionally formed intoxication results from absorption of worm metabolites by host patient experiences generalized toxic and allergic Symptoms: edema of face, abdominal wall and lower limbs profound intoxication can cause death DIAGNOSIS AND TREATMENT · detection of parasite eggs in stool · Praziquantel EPIDEMIOLOGY · endemic in countries of SEA, China, Korea and India · not endemic in the Philippines (yet) PREVENTION AND CONTROL metacercaria are very sensitive to drynessà excessive soaking of aquatic plant s in water should be avoided time between harvest and consumption could also be prolonged to prevent infectio n washing and boiling of plants to remove metacercaria