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