1.

2.

GD
DH

3.
4.
5.

Habitat
Infective Stage
Modes of
Infection

6.

Life Cycle

7.

Pathogenesis &
Clinical picture

1.
2.

Ascaris

Toxocara canis & cati

Trichostrongylus
Colubriformis

Capillary Philipinesis

WW
Man

WW
Dogs & cats

WW ( Rural )
Man
Cattle Sheep

Egypt Japan Iran Thailand Philipin

Man
Fish Eating Birds
Fresh Water Fish
SI
Infective larva
Ingestion Under Cocked Viscera
Fish
Internal Autoinfection
Unembryonated Egg
Stool Water
Ingestion IH HATCH
Larvae Intest Mucosa
Ingestion SI ADULT
1. NVDA Borborygmi
2. Malabsorption Oedema
Weight Loss MS
Wasting Decreas K
Albumin Serum
3. Autoinfection : HF /
Caechexia / Cerebral
Edema

SI
EGG CONTAIN 2nd RL
INGESTION 3
HOUSE FLY
2IH

1.
2.

3.

Pulmonary : Loffler
Intestinal Manifestation:
NVDA
MALNUTRITION
BA URTICARIA
Complications :
4 OBSTRUCTION
2 PERFORATION

FEVER ANESTHESIA TETRACHLORO

ETHILENE

8.

9.

Diagnosis

1. STOOL : EGGS
2. SPUTUM : L- CLC
3. CBC : EISINOPHILIA
4. IMAGING :
CHEST XRAY :GROUND GLASS AP
GIT : CYLINDRICAL FILLIN DEFECT
AM

Treatment

10. Prevention &

Control

1.
2.

1.
2.
3.
4.
5.

Proper washing of food &

vegetables + hands before meals
Fly control + Health awareness
Sanitary water supply
Proper sanitary sewage
Sun exposure of faeces

1.

2.

1.
2.
3.
4.

SI of Dogs & cats

EGG
INGESTION 3
CONTACT e DOG

SI
3rd stage Filariform larva
Ingestion Cont Food

MAN BLIND HOST

Egg Stool Soil

1st Rl Hatch FL
Ingestion Penetrate Wall
Back to Lumen Adult

VLM:
FAHM
3H
Lung
cough
eosinophilia
pneumonitis
Brain:
Ecliptic fits
convulsions
OLM: SSS
Squint
Subretinal Mas
Sudden Loss Vis
LIVER BIOPSY
IMMUNOFLOURSCENT
Ab : ELISA IFAT IB
CBC : EISINOPHILIA

AM
Corticosteroids Laser Photocog
1. Prevent children from eating dirt
and playing e kittens and
puppies
2. Deworming of cats & dogs
3. Proper disposal of pets faeces
4. Control of stray dogs & cats

1.
2.

Mild
Moderate :
NVDA
Emaciation
Anemia

1.

Laboratory:
Eggs In Stool
CBC
Anemia
Eosinophilia
AT

1.
2.

Stool : Eggs
CBC : Decrease Albumin
K

AM
IV Fluid + Ptn

11.
12.
13.
14.

GD
DH
RH
Habitat

Strongyloides

Trichinella Spiralis

Egypt
Man

Warm moist regions

Man
Dogs & monkeys
Free living soil
Parasitic: male free in lumen
Female embedded in SI mucosa
3rd stage Filariform larva
RL
1. Same
2. Autoinfection:
External
internal
1. Ground Itch IISS + Larva currens
2. Pulmonary: Loefflers
3. Intestinal manifestation:
NVDA ( Watery Mucoid )
4. Hyper infection
Immunocompromised patients
Chronic Dysentry
Bleed Per Rectum
Bloody Diarrhea - Colic
5. Disseminated:
Larvae detected in different organs,
liver, lung, brain, heart
Pneumonia Septicaemia Meningitis
Low Or No Eisionphilia
Fatal in 60 %

Worldwide
Man ( blind host )
Pigs and rats
Adult In SI

SI

3rd stage Filariform larva

EGGS
Walking bare foot
Buccal Mucosa cont Water

15. Infective Stage

16. Diagnostic
17. Modes of Infection

18. Pathogenesis &

Clinical Picture

Ancylostoma

3.
4.
5.

Ground Itch IISS

Pulmonary Loefflers
Intestinal manifestation
NVDA
Malabsorption
Hypoprotenemia
Generalized Edema
Puffiness Face Swollen
Feet
HWA MICRO

4.Comp :
a. HF
b. Mental Growth Retardation
19. Diagnosis

20. Treatment

Occult blood Test Always +ve

1. Stool Eggs
2. CBC Anemia Esinoph

1.
2.

A
FE & packed RBC: Anemia

1.
2.

Encysted larva in muscle

1.
2.

maneating raw or undercooked

pork
pigs & rats cannibalistic

Light infection asymptomatic

Heavy infection:
1. Intestinal
NVDA ( Marked D)
2. Ms. invasion
FAHM Splinter Hge
Myalgia Facial oedema
Myocarditis Encephalitis
Pneumonia eosinophilia
3. Encapsulation phase
Patitents recover
Myocarditi persist

1. Stool R.L / Stool Culture

2. Sputum Larvae + CLCrystals
3. Duod Aspirate R.L
4. AB : ElISA IB
5. CBC Eisionphilia in Immunocomp

1.

muscle biopsy:
slide technique- MS digestion
xenodiagnosis
2. Ag : ELISA
3. Ab : ELISA, IFAT IHAT
4. CBC :Esinophilia

T
Ivermectin

1.
2.
3.

TM
Corticosterois : LIFE SAVING
Complete rest (HF)