Helminths: Difference between revisions

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{| class="wikitable"
= Helminths =
!Group
!Species
!Common Name
!Exposure
!Treatment
|-
! colspan="5" |Platyhelminths: [[trematodes]] (flukes)
|-
|lung flukes
|[[Paragonimus]]
|lung fluke
|seafood, especially crayfish or crab in Southeast Asia
|[[praziquantel]]
|-
| rowspan="3" |liver flukes
|[[Fasciola hepatica]]
|common or sheep liver fluke
|underwater vegetation, especially watercress, near sheep-rearing in South America, Europe, and Middle East
|[[triclabendazole]]
|-
|[[Opisthorchis viverrini]]
|Southeast Asian liver fluke
|freshwater fish in Southeast Asia
|[[praziquantel]] or [[albendazole]]
|-
|[[Clonorchis sinensis]]
|Chinese liver fluke
|fish in Southeast Asia and eastern Russia
|[[praziquantel]] or [[albendazole]]
|-
| rowspan="3" |intestinal flukes
|[[Fasciolopsis buskii]]
|
|water vegetables, especially watercress, bamboo, and water chestnuts in China, India, Thailand, and Bangladesh; pig reservoir
|[[praziquantel]]
|-
|[[Metagonimus]]
|
|fish in Middle and Far East
|[[praziquantel]]
|-
|[[Heterophyes heterophyes]]
|
|eating undercooked fresh/brackish water fish in Egypt and Middle and Far East
|[[praziquantel]]
|-
| rowspan="2" |blood flukes
|[[Schistosoma haematobium]]
|blood fluke
|freshwater in Africa and the Middle East
|[[praziquantel]]
|-
|[[Schistosoma mansoni]]
|blood fluke
|freshwater in Africa, the Middle East, and South America
|[[praziquantel]]
|-
! colspan="5" |Platyhelminths: [[cestodes]] (tapeworms)
|-
|pseudophyllideans
|[[Diphyllobothrium latum]]
|fish tapeworm
|undercooked/smoked/pickled fish in Scandinavia, Siberia, Russia, Japan, Chile, and Uganda
|[[praziquantel]]
|-
| rowspan="3" |intestinal cyclophyllideans
|[[Taenia solium]]
|pork tapeworm
|eating undercooked pork
|
|-
|[[Taenia saginata]]
|beef tapeworm
|eating undercooked beef
|
|-
|[[Hymenolepis nana]]
|dwarf tapeworm
|
|[[praziquantel]]
|-
| rowspan="3" |tissue cyclophyllideans
|[[Echinococcus granulosus]]
|hydatid worm
|
|[[albendazole]]
|-
|[[Echinococcus multilocularis]]
|alveolar hydatid disease
|
|[[albendazole]]
|-
|[[Taenia solium]]
|cysticercosis
|eating soil contaminated with pig or human feces
|[[albendazole]] or [[praziquantel]]
|-
! colspan="5" |[[Nematodes]] (roundworms)
|-
| rowspan="8" |filarial roundworms
|[[Onchocerca volvulus]]
|river blindness
|
|[[ivermectin]]
|-
|[[Loa loa]]
|eye worm
|
|[[diethylcarbamazine]]
|-
|[[Wuchereria bancrofti]]
|lymphatic filariasis
|
|[[diethylcarbamazine]]
|-
|[[Brugia malayi]]
|lymphatic filariasis
|
|[[diethylcarbamazine]]
|-
|[[Brugia timori]]
|lymphatic filariasis
|
|[[diethylcarbamazine]]
|-
|[[Mansonella perstans]]
|
|
|maybe [[doxycycline]]
|-
|[[Mansonella streptocerca]]
|
|
|maybe [[doxycycline]]
|-
|[[Mansonella ozzardi]]
|
|
|maybe [[doxycycline]]
|-
| rowspan="10" |intestinal roundworms
|[[Ascaris lumbricoides]]
|great roundworm
|
|[[albendazole]] or [[mebendazole]] or [[ivermectin]]
|-
|[[Necator americanus]]
|New World hookworm
|
|[[albendazole]] or [[mebendazole]] or [[pyrantel pamoate]]
|-
|[[Ancylostoma duodenale]]
|Old World hookworm
|
|[[albendazole]] or [[mebendazole]] or [[pyrantel pamoate]]
|-
|[[Strongyloides stercoralis]]
|threadworm
|immunosuppression in a person who has ever spent time on a tropical beach
|[[ivermectin]] ± [[albendazole]]
|-
|[[Trichuris trichiura]]
|whipworm
|
|[[albendazole]]
|-
|[[Enterobius vermicularis]]
|pinworm
|
|[[albendazole]] or [[mebendazole]] or [[pyrantel pamoate]]
|-
|[[Capillaria]]
|
|
|[[mebendazole]]
|-
|[[Trichostrongylus]]
|
|
|[[pyrantel pamoate]]
|-
|[[Anisakis]]
|anisakidosis
|
|endoscopic removal
|-
|[[Gongylonema]]
|gullet worm
|ingestion of food or water contaminated by sheep or pig feves
|surgical removal or [[albendazole]]
|-
| rowspan="8" |tissue-invasive roundworms
|[[Trichinella spiralis]]
|pork worm
|eating undercooked pig, boar, or bear meat
|[[albendazole]] plus steroids
|-
|[[Anyclostoma braziliense]]
|cutaneous larva migrans
|
|[[albendazole]] or [[ivermectin]]
|-
|[[Ancylostoma caninum]]
|eosinophilic enterocolitis
|
|[[albendazole]] or [[mebendazole]] or endoscopic removal
|-
|[[Dracunculus medinensis]]
|Guinea worm
|
|none
|-
|[[Toxocara]]
|[[visceral larva migrans]]
|
|[[albendazole]] or [[mebendazole]]
|-
|[[Angiostrongylus cantonensis]]
|rat lungworm
|
|controversial
|-
|[[Gnathostoma]]
|
|
|[[albendazole]] or [[ivermectin]] ± surgical removal
|-
|[[Baylisascaris procyonis]]
|raccoon roundworm
|
|[[albendazole]] + steroids
|}


==Investigations==
* Flatworms (platyhelminths)
** Flukes (trematodes)
*** [''Schistosoma'' spp. (blood flukes)](Schistosoma spp. (schistosomiasis).md)
*** ''Clonorchis'' (liver fluke)
*** ''Paragonimus'' (lung fluke)
*** ''Fasciola hepatica'' (intestinal fluke)
** Tapeworms (cestodes)
*** Intestinal tapeworms
**** [''Taenia solium'' (pork tapeworm)](Taenia solium (cysticercosis).md)
**** ''Taenia saginata'' (beef tapeworm)
**** ''Hymenolepis nana'' (dwarf tapeworm)
**** ''Diphyllobothrium latum'' (fish tapeworm)
*** Larval tapeworms
**** ''Echinococcus granulosus'' (hydatid worm)
**** ''Echinococcus multilocularis'' (alveolar hydatid disease)
**** Cysticercus (larvareal ''Taenia solium'')
* Roundworms (nematodes)
** Intestinal roundworms
*** ''Ascaris lumbricoides'' (great roundworm)
*** ''Necator americanus'' (New World hookworm)
*** ''Ancylostoma duodenale'' (Old World hookworm)
*** [''Strongyloides stercoralis'' (threadworm)](Strongyloides stercoralis (strongyloidiasis).md)
*** ''Trichuris trichuria'' (whipworm)
*** ''Enterobius vermicularis'' (pinworm)
** Tissue roundworms
*** ''Onchocerca volvulus'' (river blindness)
*** ''Loa loa'' (eye worm)
*** ''Wucheria bancrofti'' (lymphatic filariasis)
*** ''Dracunculus medinensis'' (Guinea worm)
*** ''Trichinella spiralis'' (pork worm)
*** ''Ancylostoma braziliense'' and other spp. (cutaneous larva migrans, creeping eruption)
*** ''Toxocara canis'' and ''Toxocara cani'' (visceral larva migrans)
*** ''Baylisascaris procyonis''


*[[Eosinophilia]] seen in tissue-invasive worms, not in those that live in the gut or in cystic structures
== Investigations ==


[[Category:Parasites]]
* Eosinophilia seen in tissue-invasive worms, not in those that live in the gut or in cystic structures

Latest revision as of 02:48, 8 February 2022

Group Species Common Name Exposure Treatment
Platyhelminths: trematodes (flukes)
lung flukes Paragonimus lung fluke seafood, especially crayfish or crab in Southeast Asia praziquantel
liver flukes Fasciola hepatica common or sheep liver fluke underwater vegetation, especially watercress, near sheep-rearing in South America, Europe, and Middle East triclabendazole
Opisthorchis viverrini Southeast Asian liver fluke freshwater fish in Southeast Asia praziquantel or albendazole
Clonorchis sinensis Chinese liver fluke fish in Southeast Asia and eastern Russia praziquantel or albendazole
intestinal flukes Fasciolopsis buskii water vegetables, especially watercress, bamboo, and water chestnuts in China, India, Thailand, and Bangladesh; pig reservoir praziquantel
Metagonimus fish in Middle and Far East praziquantel
Heterophyes heterophyes eating undercooked fresh/brackish water fish in Egypt and Middle and Far East praziquantel
blood flukes Schistosoma haematobium blood fluke freshwater in Africa and the Middle East praziquantel
Schistosoma mansoni blood fluke freshwater in Africa, the Middle East, and South America praziquantel
Platyhelminths: cestodes (tapeworms)
pseudophyllideans Diphyllobothrium latum fish tapeworm undercooked/smoked/pickled fish in Scandinavia, Siberia, Russia, Japan, Chile, and Uganda praziquantel
intestinal cyclophyllideans Taenia solium pork tapeworm eating undercooked pork
Taenia saginata beef tapeworm eating undercooked beef
Hymenolepis nana dwarf tapeworm praziquantel
tissue cyclophyllideans Echinococcus granulosus hydatid worm albendazole
Echinococcus multilocularis alveolar hydatid disease albendazole
Taenia solium cysticercosis eating soil contaminated with pig or human feces albendazole or praziquantel
Nematodes (roundworms)
filarial roundworms Onchocerca volvulus river blindness ivermectin
Loa loa eye worm diethylcarbamazine
Wuchereria bancrofti lymphatic filariasis diethylcarbamazine
Brugia malayi lymphatic filariasis diethylcarbamazine
Brugia timori lymphatic filariasis diethylcarbamazine
Mansonella perstans maybe doxycycline
Mansonella streptocerca maybe doxycycline
Mansonella ozzardi maybe doxycycline
intestinal roundworms Ascaris lumbricoides great roundworm albendazole or mebendazole or ivermectin
Necator americanus New World hookworm albendazole or mebendazole or pyrantel pamoate
Ancylostoma duodenale Old World hookworm albendazole or mebendazole or pyrantel pamoate
Strongyloides stercoralis threadworm immunosuppression in a person who has ever spent time on a tropical beach ivermectin ± albendazole
Trichuris trichiura whipworm albendazole
Enterobius vermicularis pinworm albendazole or mebendazole or pyrantel pamoate
Capillaria mebendazole
Trichostrongylus pyrantel pamoate
Anisakis anisakidosis endoscopic removal
Gongylonema gullet worm ingestion of food or water contaminated by sheep or pig feves surgical removal or albendazole
tissue-invasive roundworms Trichinella spiralis pork worm eating undercooked pig, boar, or bear meat albendazole plus steroids
Anyclostoma braziliense cutaneous larva migrans albendazole or ivermectin
Ancylostoma caninum eosinophilic enterocolitis albendazole or mebendazole or endoscopic removal
Dracunculus medinensis Guinea worm none
Toxocara visceral larva migrans albendazole or mebendazole
Angiostrongylus cantonensis rat lungworm controversial
Gnathostoma albendazole or ivermectin ± surgical removal
Baylisascaris procyonis raccoon roundworm albendazole + steroids

Investigations

  • Eosinophilia seen in tissue-invasive worms, not in those that live in the gut or in cystic structures
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