TREMATODES
TREMATODES
TREMATODES
Fascioliasis
Specimen Stool Stool or duodenal aspirates
EGGS
Characteristic Brownish yellow egg with a old fashioned electric bulb
large mass of yolk cells
Shape Somewhat oblong
Contents Undeveloped miracidium Developed miracidium
✔ ✔
Operculum
Fascioliasis
Specimen Stool Stool Stool
EGG
Shape Somewhat oblong
Contents Undeveloped miracidium Developing miracidium Developing miracidium
Operculum
✔ ✔ ✔
Shell Thin Thick
Other features Operculum Shoulders are discrete than those of c. sinensis.
Small knob may be absent
ADULT
Characteristics circum oral disk around the oral Oral sucker is very small Large ventral sucker
sucker and large ventral sucker situated to the right of the
Two testes are ovoid side midline.
by side in the posterior Two unequal oval testes
fifth of the body. arranged obliquely side by
Subglobuse ovary is side and situated in the
anterior to the testes. posterior third of the body
Globuse ovary is situated
at the junction of the
middle and lower third of
the body
Shape Elongated, Oval, covered with
spines (no cephalic cone)
Location Small intestine Small intestine Small intestine
LIFE CYCLE
1ST IH SNAIL SNAIL SNAIL SNAIL
Segmentina trocholdeus Gyraulus convexlusculus Pironela conica Thiara and Hua
Hippeutis umbilicalis Hippeutis umbilicalis
2ND IH Trapa bicornis (water SNAIL FISH FISH
caltrop) Pila luzonic Mugil Salmo
Ellocharis tuberosa (water Vivipara angularis Acanthogobius Richarsonlum
chestnut) Odontoburis
Ipomea aquatica (water
morning glory)
Lotus
Infective stage Metacercariae on water plant ingesting undercooked fish ingesting undercooked fish
ingested by humans or pigs containing metacercariae containing metacercariae
Diagnostic stage Unembryonated eggs Embryonated eggs each with Embryonated eggs each with
a fully-developed miracidium a fully-developed miracidium
Treatment Praziquantel Praziquantel Praziquantel Praziquantel
hexylresorcinol
LUNG FLUKE
CN Oriental Lung fluke
CAD Paragonimiasis, pulmonary dystomiasis
Specimen Sputum
EGG
Shape Somewhat oval
shell thickening opposite operculum ; with thickened abopercular end opposite the operculum
ADULT
Characteristics Reddish brown with succulent intestinal mucosa; Equal oral and ventral sucker
Shape
Location
LIFE CYCLE
1ST IH SNAIL
Antemelania
Asperata/Brotia aspirata
Antemelania dactylus
2ND IH CRAB
Sundathelpusa philippina
Parathelpusa grapsoides
Infective stage Cercariae invade the crustacean and encyst into metacercariae.
Diagnostic stage Unembryonated egg
Treatment Praziquantel, bithionol