Gnathostoma spinigerum(有棘頷口線蟲)

 
Nematoda(線蟲)
學名
Gnathostoma spinigerum
中文名
有棘頷口線蟲
體型(成蟲)
F:52~54*3~4mm
M:11~25*3~4mm
口有8排棘;3rd4
體型矮胖,寬度比蛔蟲略小

棘從頭部開始一直延伸到身體中段消失,到接近尾端部分才又有棘(spine)
3rd
3~4mm

蟲體呈粉紅色

資料來源:medscape
-
微絲蟲尾核
-
微絲蟲頭部間隙
-
sucking groove/sucker
-
oral sucker
ventral sucker
genital sucker
 
生殖開口位置
-
睪丸數量
型態
-
Vitellaria位置
-
ovary位置
 
uterus位置
型態
-
成熟節片
-
受孕節片
-
雌性生殖系統套數
2
交配刺
2
肌肉層
?
口囊
兩片口唇
/胎生
卵生
形狀大小
只有單邊有mucoid plug(卵塞),唯一的作用是讓幼蟲鑽出蟲卵
65~70*38~40μm,
大小和hookworm(鉤蟲)卵、肝蛭毛線蟲卵相近

資料來源:quizlet
卵殼
?
顏色
?
內容物
?
囊幼/擬囊幼
 
人類角色(宿主)/完整宿主圈
1st IMH:水蚤
2nd IMH
:淡水魚
FH
:貓、狗、虎
paratenic host
:蛙、鳥
人:非自然宿主


資料來源:美國史丹佛大學
 卵在水中孵化成為第一期幼蟲
 水蚤為第一中間宿主:第一期幼蟲在水中感染水蚤發育成為第二期幼蟲
 淡水魚和青蛙為第二中間宿主:水蚤被淡水魚或青蛙吃入,在魚或蛙體內發育成為第三期幼蟲,此時對人類具有感染力
 貓、狗、老虎、豬為終宿主:魚被貓狗豬虎等雜食或肉食動物吃掉,在體內形成成蟲產卵從糞便排出;終宿主吃到第二中間宿主或保幼宿主都有可能被感染
 鳥、家禽、青蛙以及蛇等等都有可能成為paratenic host(保蚴宿主),在他們體內不發育(型態不改變)
 人類並非正常宿主,並且主要感染第三期幼蟲;可能是因為吃了體內有第三期幼蟲的鳥類、淡水魚或是敷了含有生青蛙的青草藥。幼蟲可以寄生於皮膚、眼睛、內臟還有神經系統
成蟲寄生位置
皮膚、內臟、眼睛、神經系統
感染源
2nd larvae
3rd larvae
感染方式
口食、皮膚
移行
口腔/皮膚隨循環系統寄生於皮膚、內臟、眼睛、神經系統
幼蟲疾病
Ÿ 皮膚病害:爬行疹
Ÿ
膿腫:可能發生在身體各部份(長江浮腫)
成蟲疾病
-
診斷
臨床
抗體測試
流行病學
 
治療
albendazole
經土壤
?
Rhabditiform larva
 
Filariform larva
 
microfilaria
-
絛蟲Larva系列
-
備註
 
1.3rd larva
 大小:3-4×1mm
 頭部只含四排棘
 全身棘的數目約兩百排左右
2.Pathology and symptomatology
感染階段
第三期幼蟲
感染方式
經口腔或皮膚(偏遠地區以蛇肉敷臉的偏方)進入人體
感染媒介
淡水魚以及蛙蛇鳥鼠蟹等保幼宿主
症狀
abscess nodules(腫脹):造成下列部位結節腫大,眼睛、手指、咽喉、耳、臉(在中國多寄生於臉部造成浮腫,故此類臉部浮腫又稱長江浮腫)、胸、腹
creeping eruption(爬行疹),幼蟲在皮膚爬過的地方會紅腫
診斷與治療
診斷
因為不會在人體內形成成蟲,所以無法用糞便檢查蟲卵,多用抗體檢測;也有臨床診斷,但不太容易
治療
外科手術直接將蟲體取出(這個方法廣東住血線蟲也適用);MBZ亦可(補充)
病例重點
是個眼睛病例,將蟲抓出後視力就完全恢復了。眼睛裡眼科檢查都檢查的到,即使L3幼蟲只有3-4mm的大小
▼寄生蟲(parasite) 顯示/隱藏(show/hide)

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