5Sci.

name
Common name
Epidemiology
Infective stage
Diagnostic stage

Fasciolopsis buski

Fasciola hepatica

Clonorchis sinensis

Giant intestinal fluke

China korea india

Sheep liver fluke

Europe , ME, Asia
Aquatic vegetation
Metacercaria
Eggs

Chinese oriental liver fluke

Aquatic veg. water chestnut

Metacercaria
eggs

Very large like

hepatica

Krea, Chna, vtnm, twan

Raw fish
Metacercaria
Eggs

w/shoulder

operculated

comma shaped appendage at

Heterohyid flukes
Minute intestinal fluke
Egypt, M.E, F.E

Paragonimus westermani
Oriental lung Fluke
Japan, Korea, China, Phil,SE

Metacercaria
Eggs

Metacercaria
Eggs

In stool
In sputum-reddish brown

Its like C. sinensis

Schistosomes
Blood flukes
Western Hem. Not US
In water penetrate skin
Cercaria
Eggs

Not float

Echinostoma
Philippines

Eggs

operculated

fecks

abopercular head

Lab diagnosis
morphology

stool

Stool

Duodenal aspirate&stool

stool
Like c. sinensis

Sputum, stool

In urine and stool

egg

Distinct operculum

Elliptical, operculate
Yellow brown

Yellow b. shellw/ knob

Like lightbulb

Yellow b. flatted operculum

w/ spine
Mansoni-conspicous lateral spine

Knob-operculum opposite.

ova
adult

Definitive host
Intermediat
1st
2nd
e host
Reservoir host
Pathology/symptoms

Clinical features
treatment
Lives in
COMMENT

no shoulder
Oblong fleshy

w/shoulder
w/ cephalic cone
branched intestinal ceca

Narrower than
midportion of the body

Man
Snail ; segmentitia, hippeutis
Aquatic vegetation

Man
Snail
Aquatic vegetation
Sheep, cattle, goat
Acute: migration of
immature fluke through
hepatic parenchyma
Chronic:intermittent
biliary obstruction,
discrete

Man, pig, cat, rat,dog

triclabendazole
Hepatic, biliary ducts
Fasciol gigantica:
Giant liver fluke
Pseudofascioliasis
:presence of egg in
eaten liver but no
infection occur

albendazole
Duodenum

Operculated than
heterohyid

Can be removed
by surgery

Attach to intestinal
mucosa
Morning diarrhea
Heavier inf :edema
In lower limb

praziquantel
intestines

w/ shoulders slight

lack of terminal knob

metagominus thicker
shell than heterophyes

Strong ventral sucker

Genital sucker/
gonotyle
w/scaly spines
2 oval testes posterior

Haematobium-terminal spine

Oval-red to brown
W/spines

Freshwater fish of cyprinidae

Man, wolf, tiger, monkey, dog

Freshwater snail
Crayfish, crab

Diarrhea
colicky abdominal pain
migrate egg 2 heart
myocardial valve dmge
also in brain

High eosinophilia
Chronic Cough & abundant
mucous in heavy infection
Invades brain:cerebral
paragonimiasis

Progressive chronic inflamatorry disease

praziquantel
Small intestines

Heterophyes (2x)

Metagonimus
yokogawai

Haplorchis
taichui

Haplorchis
yokogawai
Avoid undercooked fish
Egg size same as
sinensis

praziquantel

praziquantel

Snails
Dogs cats
Intermittent obstruction
of biliary ducts
Abdominal pain,
cholangitis,
pancreatitis
cholangiocarcinoma-fatal

Japonicum- incospic. Rudimentary spine

Elongated, round
tapering end, more
attenuate, horshoe
shaped collar, two
row straight spines

Snail

Swimmers itch-dermatitis due to skin

High eosinophilia
Hematuria (hematobium
Bloody diarrhea ( mansoni & jap)
Paddy field (farmers dermatitis) cercariae
Katayama fever-hypersenitivity

ADULT FLUKES LIVES IN

VENULES
S. japonicum superior mesenteric
S. mansoni- inferior mesenteric
S. haematobium-bladder venules
*separate male &female
*MOST IMPORTANT
TREMATODE

Light: asymptom
Heavy: inflamm.
Ulceration,diarrhea,
abdominal pain