Larva Migrans
Terms
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- what is larva migrans?
- migration of larval nematodes in unsuitable hosts; larvae are unable to complete life cycles, so host cells destroy them.
- what type of parasites are larva migrans?
- incidental
- what are the 2 broad categories of larva migrans?
-
-visceral
-cutaneous -
how many types are of each:
-visceral larva migrans
-cutaneous larva migrans -
visc: 5
cutan: 1 - what are the 5 visceral larva migrans?
-
Baylisascaris
Toxocara canis/cati
Dirofilaria immitis
Anisakiasis
Angiostrongylus - what are the 2 cutaneous larva migrans?
-
Ancylostoma braziliense
Ancylostoma caninum - what are the common names for toxocara canis and cati?
- dog and cat roundworms
- where is toxocara found?
- worldwide
- what are the usual definitive hosts of toxocara?
- dogs, cats, children
- what is a good symptom of toxocara?
- high eosinophilia - granulocytic tumors in fact.
- how is toxocara diagnosed?
- -serology
- what are the symptoms of toxocara?
-
-fever
-abdom pain, PICA
-eosinophilic granulomas in tissue
-may cause Blindness - how is dog/cat roundworm treated?
- with thiabendazole or diethyl carbamazine
- what is baylisascaris commonly known as?
- raccoon roundworm
-
where is baylisascaris found?
what is the usual definitive host? -
anywhere - especially Midwest!!
Don't know yet - what are the symptoms of baylisascaris?
-
depends upon where the larva migrate.
-loss of vision in adults
-encephalitis in children - howis baylisascaris treated?
- it can't be - don't let raccoons get in your garbage.
-
what organism causes heartworm in dogs?
What vector transmits it? -
Dirofilaria immitis
Mosquitos - What type of symptoms are seen in humans that get heartworm?
-
Nodules on arms
Coin lesions in lungs - What is Anisakiasis?
- infection caused by marine nematodes
- What marine nematodes cause anisakiasis?
-
Anisakis,
Phocanema
Terranova
Contracoecum - where is anisakiasis seen?
- Japan
- what causes anisakiasis?
- ingetion of raw/uncooked saltwater fish containing larvae, which burrow in intest, die, and stim eosinophilic granulomas.
-
what types of symptoms does anisakiasis causes in humans?
how is it diagnosed? -
nausea and vomiting
by serology - how is anisakiasis treated?
- by surgical removal of the eosinophilic granuloma.
-
what is angiostrongylus?
where is it seen geographically? -
an infection caused by ingesting infected SNAILS.
-SE Asia - What is the pathological course of angiostrongylus?
-
Larvae are ingested in snails.
Travel to brain.
Cause eosinophilic meningitis
-Charcot Leyden crystals in the brain. - what are charcot leyden crystals?
- disintegrate eosinophils
- What 2 organisms cause Creeping Eruption and Dermatitis?
-
Ancylostoma braziliense
Ancylostoma caninum - what are the common names of Ancylostoma braziliense and Ancylostoma caninum?
- Cat or Dog hookworm
- where is Ancylostoma seen?
- in Tropical and Subtropical climates
- what is the life cycle of ancylostoma?
-
in dogs/cats: filariform larvae penetrate skin and circulate in blood
in humans: same, but trapped intercutaneously inst. of circulating in blood. - what are the symptoms of anclystomiasis caused by dog/cat hookworm?
-
red itchy papules at penetration
larvae tunnels
maybe 2dary bacterial infection
self-limiting