Medical Parasitology
"HELMINTH"
Capillaria philippinensis
Habitat : adult in small intestine
Infective stage : L1 in fish intestine
Adenophorea : esophagus along with stichosome
Egg : peanut shaped
Clinical manifestation
Watery diarrhea, abdominal pain, vomiting
severe and fatal
consequences because of internal autoinfection
Asymptomatic or mildly symptomatic
Prevention & Treatment
หลีกเลี่ยงการรับประทานปลาดิบ
Drug : Mebendazole/Albendazole
หลีกเลี่ยงการถ่ายอุจจาระลงสู่พื้นดิน
Gnathostoma spinigerum
Common species: Gnathostoma spinigerum
Clinical manifestation
Infective stage : L3
Cutaneous : Intermittent migratory swelling,Itching,Creeping eruption
Visceral : Eye ball, lung, liver, kidney, GI tract, urinary
system, CNS
Prevention & Treatment
หลีกเลี่ยงเนื้อดิบ / ไม่สุก
ป้องกันการเจาะผิวหนังของตัวอ่อน
Drug : Albendazole/Ivermectin
Filarial worms
Habitat : lymphatic system (nodes & vessels)
Intermediate host : mosquitoes
Etiology : elephantiasis, filariasis
Clinical manifestation
Blockage of lymphatic drainage - lymphedema
Granulomatous lymphangitis
Prevention & Treatment
Albendazole + diethylcarbamazine (DEC)
Albendazole + Ivermectin
การควบคุมยุงพาหะ
Trematode
Liver fluke
Transmission : By eating raw/uncooked freshwater fish
ภาวะแทรกซ้อน : Cholangiocarcinoma,Septicemia,Cholecystitis
Disease : Opisthorchiasis (Liver fluke disease)
Prevention & Treatment
Avoiding eating raw/uncooked freshwater fish
Praziquantel
Fasciola gigantica
Disease : Fascioliasis (Liver rot)
Pathogenesis : - Excystation at duodenum & jejunum
- Invasion to peritoneal cavity, liver, bile duct
Treatment : Praziquantel
Intestinal fluke
Disease : Fasciolopsiasis
Clinical manifestation : Intestinal obstruction
Treatment : Praziquantel
Transmission : By eating raw/uncooked water plant
Lung fluke
Disease : Paragonimiasis
Diagnosis : finding ova in sputum or feces
Prevention : avoiding eating raw or uncooked infected
crab & crayfish
Treatment : Praziquantel