 | |
Nematode infection or
parasitic worm infection
|
 |
- Parasites are creatures that invade
a host, attach themselves externally and internally (to
tissues and organs), and rob the host of nutrients.
Some parasites, such as certain worms, eventually weaken and
cause disease in their gracious hosts.
- Parasitic worms are common in
Africa, Asia, Central and South America, and are rare in
countries where sanitation is practiced.
- Worms (nematodes) are long, naked,
and boneless creatures that pass their young from eggs or
cyst to larval (newly hatched worms) stage, maturing into
worms in the tissues they infect, such as skin, muscle,
lungs, or intestine (gut or digestive tract).
|
 |
- No symptoms or very few
- Symptoms may occur immediately or take more than 20 years.
- At times, worms can be passed whole or in segments in the stool.
- Digestive tract (stomach, intestine, liver, colon, and rectum) with intestinal worms:
Abdominal pain or bloating, weakness, diarrhea, loss of appetite, weight loss, vomiting, anemia, malnutrition with deficiencies of vitamins (B 12) minerals (iron), fats, and protein. Itching around anus and vagina, inability to sleep, urinating in bed, and abdominal pain seen in pinworm infections.
-
Skin:
- Eruptions, fluid-filled sacs called vesicles or
bullae, intense facial swelling, especially around the
eyes.
- Skin rash, skin itchiness and itchiness around
the anus (pinworm).
- Lungs (threadworm and fluke):
- Coughing, coughing blood, difficulty
breathing.
- Enlarged tender liver, fever, abdominal pain, Diarrhea, yellowish
skin.
-
Headache, seizures, vomiting, visual
changes, dizziness.
- Fractures
- Irregular heart rate
- Blood in urine, pain below the
belly button, and pain upon urination.
- Swollen elephant-like legs or testicles
|
 |
-
Tissue Nematodes or roundworms:
- Trichinella Spiralis -- the cysts of this worm can live in pork and other meats (dog, horse, bear, walrus) that when eaten, can cause serious disease in the host. The disease is called Trichinosis (Tr.).
- Toxocara Canis -- causes a syndrome called visceral and ocular larva migrans or Toxocariasis (To.). The eggs are found in dog feces. Often presented in kids' eating dirt. Cat and raccoon feces may carry similar worms.
- Ancyclostoma brazilien -- eggs of this worm pass from cat or dog feces and drop in the soil, where it can then enter humans through a cut in the skin, causing a condition known as cutaneous larva migrans (Creeping Eruptions or CE).
- Angiostrongylus cantonenis (AC) or rat lungworm -- rat droppings contain the eggs picked up by snails and slugs. Humans eat vegetables contaminated by snail slime, raw clams, snail, freshwater shrimp, crab, and fish that may have eaten or been exposed to this parasite. The disease is known as Angiostrongyliasis.
- Gnathostomiasis (Gn) is acquired
by eating undercooked or raw fish (sashimi) or
poultry. The eggs of the Gnathestoma spinigerum are
found in dog or cat feces eaten by chicken, fish, or other
animals.
- Ascariasis (round worm Rw) -- the eggs are found in the feces of the worm ascaris and humans accidentally ingest them from contaminated soil, such as from fertilizer on vegetables. The worms can grow in the intestine and migrate through the blood to other sites, such as the lungs. They can grow up to 40cm.
- Necator americanus and Ancylostoma duodenale (hookworm or Hw) -- worms deposit eggs through their feces in soil and the larvae enter a skin cut and invade the lungs of the host -- in this case man.
- Strongyloidiasis (threadworm or Tw) -- worm feces containing the eggs hatch into larvae (in the soil) and enter a cut in the skin of its human host, to travel to the lungs where the worms grow and cause problems.
- Trichuriasis (whipworm or Ww) -- transmitted via larvae in the soil and accidentally ingested to grow in the small and large intestine.
- Entrobiasis (pinworm, Pw or
seatworm) -- about 40 million Americans are
infected. The adult worm lives in the intestines and
comes down to the rectum and anus, lays eggs so that when
the human host scratches its anus area, eggs get under the
nails and infect others.
- Shistosomiasis (Sh) -- after the adult worm lays eggs, they hatch into Cercariae, infecting brain and muscle. They come from eating raw or undercooked fish or meat from tiny fluke that live off snails, fish, Crabs, and
vegetation in fresh water rivers and ponds. The Cercariae penetrate through a cut in human skin and migrate to different parts of the body (intestine, liver, lungs, bladder, etc.) and cause various illnesses. Eating undercooked crab, crayfish, or smoked and pickled fish are also ways of infection.
- Paragonimiasis (oriental lung fluke), Clonorchiasis
(oriental liver fluke) -- are examples of many different
types of fluke, with variety of conditions associated with
them.
- These worms have many
segments. They often invade the digestive tract,
where they get their nutrition from their host.
- Diphyllobothriasis or fish
tapeworm infection (intestine), Taeniasis Saginata or beef
tapeworm infection (intestine), Cysticercosis (Cy) or pork
tapeworm all come from animals that have eaten the eggs of
these worms.
- Echinococcosis (Ec) or hydatid
diseases are caused by variety of worms infecting animals
that ingest the eggs, such as rodents, dogs, sheep,
cattle, and humans. They can invade and grow in many
organs, such as liver, bone, heart, and brain.
- Hymenolepiasis Nana and Diminuta larval stage occurs
inside insects and fleas (rats and mice) and if these
insects are eaten, as in uncooked cereals, they can grow
in the intestine and cause problems.
- A varied group of worms that invade the skin
(subcutaneous tissues) and lymphatic tissue (series of
pea-sized nodes and canals that collect white blood cells
and return them to the blood stream). In some cases,
the eyes may also be involved. These worms are very
small, and their offspring, called microfilariae, are no
bigger than 250 micrometers. Examples are those
carried by mosquitoes, such as Wuchereria bancrofti, Brugia
malayi, and timori, and those carried by black flies, deer
flies, and midges.
|
 |
- History of events, symptoms, travel, foods, occupation, habits, illnesses, medications, and surgeries
- Medical exam
- Blood samples may show anemia or large number of Eosinophils (type of white blood cells) or elevation of a protein called IgE.
- Blood and other body fluids may show microfilariae.
- Stool is collected and sent to a laboratory for the presence of eggs, cysts, or larvae (ova and parasites).
- In case of pinworm, direct examination of the anus can be done using a flashlight or doctor's index finger.
- In pinworm infection, a transparent tape can be applied to the anus and repeated for three nights. When the worms come down to lay their eggs (ova) the tape collects them and the doctor can examine the scotch tape and eggs under a microscope.
- X-Rays may show cavities in the lungs.
- CAT scan may show Calcium deposits in the muscles (Tr) or guide a needle into a hydatid cyst and drain it.
- MRI may be needed to provide a detailed picture of the Brain (Tr).
- Ultrasound uses sound to show cavities in the liver.
- A sample or a biopsy of muscle or skin may be removed and studied under a microscope.
- Colonoscopy (via the rectum) or endoscopy (via the mouth) may be performed by inserting a flexible long tube like camera into the rectum or mouth so that the intestine and colon can be viewed.
|
 |
- Hunting and wild game
- Warm climates
- Rare in the United States and the west
- Asia, Central and South America, and Africa
- Migrants
- Fecal contamination of water
- Unsanitary conditions
- Eating raw or undercooked meats or fish
- Keeping animals in close unsanitary conditions
- Rat or insect infestations
- Institutionalized individuals, as in orphanages, prisons, and mental hospitals
- Malnourished or diseased persons
- Heavy mosquito or fly infestations
- Playgrounds where children can eat or come in contact with soil
- Fertilized
areas
|
 |
- Fluids
- Rest
- All family members should be tested and treated
- Underwear, clothes, and bed sheets should be washed in hot water till treatment completed
- Wash hands often
- If in a foreign country -- wash hands, avoid undercooked or raw foods, wash vegetables and fruits, avoid ice and water (use bottled drinks and water), and boil water before drinking.
- Have your pets checked and de-wormed regularly.
- Medications such as DEC, mebendazole (Vermox), piperazine citrate, and others.
- Surgery and other procedures may be necessary.
|
 |
- Contact your physician. Wash
everything before eating it. Cook everything
completely. Consult with your doctor before traveling
abroad. Avoid contact with blood, urine, or feces of
infected animals or humans. Boil all suspect water
before using. On camping trips, avoid swimming in
fresh water areas unless they have been inspected and
cleared by authorities.
|
| | |