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Learning objectives

  • Identify the most common helminths that cause infections of the GI tract
  • Compare the major characteristics of specific helminthic diseases affecting GI tract

Helminths are widespread intestinal parasites. These parasites can be divided into three common groups: round-bodied worms also described as nematodes , flat-bodied worms that are segmented (also described as cestodes ), and flat-bodied worms that are non-segmented (also described as trematodes ). The nematodes include roundworms , pinworms , hookworms , and whipworms . Cestodes include beef, pork, and fish tapeworms . Trematodes are collectively called flukes and more uniquely identified with the body site where the adult flukes are located. Although infection can have serious consequences, many of these parasites are so well adapted to the human host that there is little obvious disease.

Ascariasis

Infections caused by the large nematode roundworm Ascaris lumbricoides , a soil-transmitted helminth, are called ascariasis . Over 800 million to 1 billion people are estimated to be infected worldwide. Centers for Disease Control and Prevention. “Parasites–Ascariasis.” Updated May 24, 2016. http://www.cdc.gov/parasites/ascariasis/index.html. Infections are most common in warmer climates and at warmer times of year. At present, infections are uncommon in the United States. The eggs of the worms are transmitted through contaminated food and water. This may happen if food is grown in contaminated soil, including when manure is used as fertilizer.

When an individual consumes embryonated eggs (those with a developing embryo), the eggs travel to the intestine and the larvae are able to hatch. Ascaris is able to produce proteases that allow for penetration and degradation of host tissue. The juvenile worms can then enter the circulatory system and migrate to the lungs where they enter the alveoli (air sacs). From here they crawl to the pharynx and then follow the gut lumen to return to the small intestine, where they mature into adult roundworms . Females in the host will produce and release eggs that leave the host via feces. In some cases, the worms can block ducts such as those of the pancreas or gallbladder .

The infection is commonly asymptomatic. When signs and symptoms are present, they include shortness of breath, cough, nausea, diarrhea, blood in the stool, abdominal pain, weight loss, and fatigue. The roundworms may be visible in the stool. In severe cases, children with substantial infections may experience intestinal blockage.

The eggs can be identified by microscopic examination of the stool ( [link] ). In some cases, the worms themselves may be identified if coughed up or excreted in stool. They can also sometimes be identified by X-rays, ultrasounds, or MRIs.

Ascariasis is self-limiting, but can last one to two years because the worms can inhibit the body’s inflammatory response through glycan gimmickry (see Virulence Factors of Eukaryotic Pathogens ). The first line of treatment is mebendazole or albendazole . In some severe cases, surgery may be required.

Questions & Answers

what are ways of handling sharps
namugenyi Reply
never recap or bend a sharp objects
benita
describe the process of platelet formation
Joy Reply
what is parasitic helminths
Sadiya Reply
list three categories of symbiotic relationships.
mary Reply
what's the difference between microbial intoxication and infectious diseases
dranimva Reply
microbial intoxication results when a person ingests a toxin or a poisonous substance that has been produced by a microbe while infectious disease results when a pathogen colonize the body and subsequently cause disease.
mary
weighing balance is needed in lab of microbiology for weighing?
amna Reply
It is mainly used for media preparation and product testing purpose.
Nakaweesi
thank you for your joining
nuur
what is microbiology
Shamsuddeen Reply
study of living organisms that are too small to be visible with naked eye
Marah
yes
Ahmed
microbiology is the study of microscopic organisms, either unicellular(single cell), multicellular( cell colony), or acellular (lacking cell).
munachimso
is the word Atypical or a typical bacteria. .am confused pliz help
MUWANGUZI Reply
typical bacteria
Zulpha
okay thank you what does that mean
MUWANGUZI
atypical means that it has some characters from bacteria not all characters ...but tybical means that it has all the characters that bacteria have
Reham
thank you Zulpha
MUWANGUZI
some examples please
MUWANGUZI
thank you Reham
MUWANGUZI
1) typical bacteria contain a cell wall whereas atypical bacteria usually do not contain a cell . 2) typical bacteria can be either Gram-positive or Gram-negative while atypical bacteria remain colorless with Gram staining. 3) cells of typical bacteria are large ,while cells of the atypical small
Marah
Example of atypical : Mycoplasma pneumoniae , chlamydophila pneumoniae , legionella
Marah
what is micro biology
Jauharah Reply
is the study of organisms which can't be viewed by our necked eyes
Egumat
Because it preexisting causing secondary infection after collateral damage of normal microbota
Rafaa Reply
combinations of drugs that can't be taken together and why
Grace Reply
Antagonism: the combined action is less than that of the more effective agent when used alone). All these effects may be observed in vitro (particularly in terms of bactericidal rate) and in vivo والله اعلم
Lenovo
....fermentros have 1-15litre capacity
AMAR Reply
which of the following microorganisms are classified as eukaryotic?
Semugab Reply
how do I see the list?
Melissa
what are the choices?
Melissa
dear tell us the choices
MUWANGUZI
mr semugab give us the list please
Nambi
Fungi
munachimso
what are the new discoveries of microorganisms
Ezibon Reply
bacteriology,viriology,micrology
Egumat
understanding of contributed to attempts to treat contain disease
james Reply

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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