Monday, March 23, 2009

Trichuris trichiura - Intestinal Nematodes

Also known as "whipworm", commonly found in tropical & subtropical regions.
Live at human's appendix, anterior part long and thin (about 3/5 length).
*The anterior part often pierce the appendix thus seeing only the tail.
*Tail used to consume the intestinal cell & host's blood.

Diagnostic stage -> Egg in feaces.
Infective stage -> Embryonated egg.

Light infection:
-No recognizable clinical manifestations.
-Discovered only on routine stool examination.
*Anemia, eosinophilia, malabsorption.

Heavy infection:
-Systemic symptoms & gastrointestinal symptoms.
*Nauesa, vomiting, rectal proplase.

Laboratory Diagnosis:
-Find eggs with sigmoidoscopy and proctoscopy in feaces.
-Eggs have to plug on each side.

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