Helminths

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Group Species Common Name Exposure Treatment
Platyhelminths: trematodes (flukes)
lung flukes Paragonimus species lung fluke
liver flukes Fasciola hepatica common liver fluke or sheep liver fluke
Opisthorchis viverrini Southeast Asian liver fluke
Clonorchis sinensis Chinese liver fluke
Metorchis conjunctus Canadian liver fluke
Dicrocoelium dendriticum lancet liver fluke
intestinal flukes Echinostoma revolutum
Fasciolopsis buskii
Metagonimus species
Heterophyes heterophyes eating undercooked fresh/brackish water fish in Egypt and Middle and Far East
blood flukes Schistosoma haematobium blood fluke
Schistosoma mansoni blood fluke
Platyhelminths: cestodes (tapeworms)
pseudophyllideans Diphyllobothrium latum
Spirometra species
Sparganum species
intestinal cyclophyllideans Taenia solium pork tapeworm eating undercooked pork
Taenia saginata beef tapeworm eating undercooked beef
Hymenolepis nana dwarf tapeworm
Hymenolepis diminuta
Dipylidium caninum
tissue cyclophyllideans Echinococcus granulosus hydatid worm
Echinococcus multilocularis alveolar hydatid disease
Taenia solium cysticercosis eating soil contaminated with pig or human feces
Taenia multiceps
Taenia serialis
Nematodes (roundworms)
filarial roundworms Onchocerca volvulus river blindness
Loa loa eye worm
Wuchereria bancrofti lymphatic filariasis
Brugia malayi lymphatic filariasis
Brugia timori lymphatic filariasis
Mansonella perstans
Mansonella streptocerca
Mansonella ozzardi
intestinal roundworms Ascaris lumbricoides great roundworm
Necator americanus New World hookworm
Ancylostoma duodenale Old World hookworm
Strongyloides stercoralis threadworm immunosuppression in a person who has ever spent time on a tropical beach ivermectin ± albendazole
Trichuris trichiura whipworm
Enterobius vermicularis pinworm
Capillaria species
Trichostrongylus species
Anisakis species anisakidosis
tissue-invasive roundworms Trichinella spiralis pork worm eating undercooked pig, boar, or bear meat
Anyclostoma braziliense cutaneous larva migrans
Ancylostoma caninum cutaneous larva migrans
Dracunculus medinensis Guinea worm
Toxocara canis visceral larva migrans
Toxocara cati visceral larva migrans
Angiostrongylus cantonensis rat lungworm
Gnathostoma species
Baylisascaris procyonis raccoon roundworm
Dioctophyme renale giant kidney worm

Investigations

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