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CLINICAL COMPLICATION Abdominal pain Diarrhea anorexia Malabsorption Death due to electrolyte loss
Stichosomes stichocytes
DIAGNOSIS TREATMENT DIAGNOSIS Stool examination for eggs, immature & mature adult worms Biopsy/ autopsy Intestinal aspirates TREATMENT Albendazole Mebendazole DIAGNOSIS Ms Biopsy Intradermal skin test latex agglutination TREATMENT Oral predisolone Thiabendazole Barbiturates sedation Salicylates given -relieve headache & muscle pain
Stichosomes Stichocytes
MOT Eating raw or semi cooked pork containing infective stage larva Predators with infective stage larvae in their meat Prevention Elimination of pigs Thorough cooking of meat Public education
Trichinelliasis Trichinosis GIT disturbances Encephalitis/ meningitis Muscular pain Periorbital oedema
Pinworm Enterobius Vermicularis (L1 in egg) caecum, terminal ileum, colon, rectum and appendix
creamy or white coloured, cylindrical shape pointed at both ends cervical alae
MOT Mouth to Anus (homosexuals) finger to anus to mouth (scratching) inhalation of dust containing infective egg Eggs found in undergarments, linen/ sharing towels Prevention Frequent washing of hands & changing of linen Frequent change of night garments every day Area around anus washed each morning Dust should not be allowed to float Finger nails should be kept short Infected individuals should be quarantined at night
Enterobiasis perianal pruritus Secondary bacterial infection Insomnia, nightmares, anxiety appendicitis
TISSUE NEMATODES
Capillaria Hepatica (L1 in egg) parenchyma of liver tissues
MOT ingesting the eggs from soil or via contaminated food not bile stained striated outer egg shell polar plugs -not prominent
Acute or subacute hepatitis with hypereosinophilia Hepatomegaly Hepatic cirrhosis Ascites/ anaemia