Helminti 1 Handout

HELMINTI 1

Asistent universitar NEAGOE IONELA

Medicina generala – UMF “Carol Davila”

Cestode

1. Tenia solium (Tenia porcului)

2. Tenia saginata (Tenia bovina)

Cutanat

tissue

Tenia solium

(Tenia

porcului)

Tenia solium

VIERME ADULT – Scolex/ Cap

Gat

Ventuza (4)

Carlige (pe 2 randuri )

Str

obil

Proglot

tanar Proglot matur oviger

Uter

ramificat

Scolex

Tenia solium

VIERME ADULT

Tenia saginata (Tenia bovina)

Tenia saginata

VIERME ADULT – Scolex/ Cap

Tenia sp.

T. solium T. saginata

VIERME ADULT - Proglote mature ovigere

Ute

r ra

mific

at

Tenia sp. Stadiu de OU (30µm)

Examen

coproparazitologic

= Preparat proaspat

L+ l din fecale +

solutie Lugol

Embrion

hexacant

(embrion cu 6

carlige)

http://www.google.ro/url?sa=i&rct=j&q=tenia+solium+egg&source=images&cd=&cad=rja&docid=gGif9Xr4cZEV9M&tbnid=97g9_D60hk5zvM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.wikispot.info%2F2011%2F06%2Fpork-tapeworm-taenia-solium.html&ei=dHZMUcGzDY7EswbJoYGgBQ&bvm=bv.44158598,d.bGE&psig=AFQjCNGvIUI10TVu4NmETv1v2Qn73kttpQ&ust=1364051946728978

Tenia sp.

Cisticerci

cu scolecsul

evaginat

Stadiul de LARVA = CISTICERC

Scolex

invaginat Vezicula

cisticerc

Tenia solium Cisticercoza cardiaca

Tenia solium Neurocisticercoza

Neurocisticercoza -CT

Tenia

solium

Cisticerc

viabil

Cisticerc

calcificat

Stadii de

involutie

cisticerci

Neurocisticercoza -RMN

Tenia solium

Cisticerci

viabili

Cisticerc

racemos

http://anatpat.unicamp.br/radcisti16.html

Cisticercoza retiniana

Tenia solium

Scolex

invaginat

Vezicula

cisticerc

Examen

fund de

ochi

Tenia solium Cisticercoza subcutanata

Diphyllobothrium latum (Tenia

pestelui)

Diphyllobothrium latum (Tenia pestelui)

Cyclops sp.

Diphyllobothrium latum VIERME ADULT – Scolex/ Cap

botridii

Diphyllobothrium latum VIERME ADULT – Strobil

Proglote late Linia discontinua reprezentanta de

rozetele uterine = tenia cu spina

Diphyllobothrium latum

opercul

Stadiu de OU (50µm)

Masa

vitelina

Examen

coproparazitologic

= Preparat proaspat

L+ l din fecale + SF

Hymenolepis nana (Tenia pitica)

Hymenolepis nana VIERME ADULT

Scolex/ Cap

Strobil

Proglote

trapezoidale

Hymenolepis nana Stadiu de OU (50µm)

Embrion

hexacant

(embrion cu 6

carlige)

Examen

coproparazitologic

= Preparat proaspat


Echinococcus granulosus

(Tenia cainelui)

Echinococcus

granulosus

(Tenia cainelui)

Echinococcus granulosus VIERME ADULT

http://www.google.ro/url?sa=i&rct=j&q=caine&source=images&cd=&cad=rja&docid=PgJeHKkttWZ9VM&tbnid=V1UofHG5-o71HM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.copilul.ro%2Fplanse-de-colorat%2Fanimale%2FCaine-Bullgog-1538.html&ei=WYZMUeuHBM3YsgaNlYAQ&bvm=bv.44158598,d.bGE&psig=AFQjCNG9o7hk1-Ea63Hgl3LdSDj4987dXg&ust=1364056015348770


Examen coproparazitologic = Preparat proaspat L+ l din fecale CAINE


http://www.google.ro/url?sa=i&rct=j&q=echinococcus+granulosus+egg&source=images&cd=&cad=rja&docid=VtZDzL8u14p8vM&tbnid=3zxdWaNkMicSJM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.dpd.cdc.gov%2FDPDx%2FHTML%2FImageLibrary%2FA-F%2FEchinococcosis%2Fbody_Echinococcosis_il4.htm&ei=pnVMUfSuNsOXtQbi9YHADA&bvm=bv.44158598,d.bGE&psig=AFQjCNHMGRrDm9FvILlE1vkCBqH7fCvhmA&ust=1364051707942392

http://www.google.ro/url?sa=i&rct=j&q=caine&source=images&cd=&cad=rja&docid=PgJeHKkttWZ9VM&tbnid=V1UofHG5-o71HM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.copilul.ro%2Fplanse-de-colorat%2Fanimale%2FCaine-Bullgog-1538.html&ei=WYZMUeuHBM3YsgaNlYAQ&bvm=bv.44158598,d.bGE&psig=AFQjCNG9o7hk1-Ea63Hgl3LdSDj4987dXg&ust=1364056015348770

Echinococcus granulosus Stadiul de LARVA = CHIST HIDATIC = HIDATIDA

Echinococcus granulosus HIDATIDA sparta

Vezicule

proligere fiice cuticula

adventice


Vezicula

proligera fiica

Sectiune transversala printr-o HIDATIDA - schema

protoscolecsi

Adventice

Cuticula

Membrana

germinativa

/proligera

Lichid

hidatic

Echinococcus

granulosus

PROTOSCOLECSI = LARVE PROPIU-ZISE

Examen microscopic nisip hidatic

CARLIGE

http://www.google.ro/url?sa=i&rct=j&q=HYDATIC+SAND&source=images&cd=&cad=rja&docid=tNBqvhpEVouToM&tbnid=K0eOytEW2ruvIM:&ved=0CAUQjRw&url=http://www.flickr.com/photos/parasite_asp/3555530949/&ei=wL5MUe_VHMWSswaVpYCQBg&bvm=bv.44158598,d.bGE&psig=AFQjCNH2Rc38Om4TK78FngJbs4tkDbiZJQ&ust=1364070386244650

http://www.google.ro/url?sa=i&rct=j&q=protoscolex+echinococcus&source=images&cd=&cad=rja&docid=KnJ2ksHF4qh-jM&tbnid=6BbI5kh2LwJGhM:&ved=0CAUQjRw&url=http%3A%2F%2Fparasitewonders.blogspot.com%2F2011%2F09%2Fanswer-to-case-175.html&ei=m31MUbv2O4jktQa0koCQBQ&bvm=bv.44158598,d.bGE&psig=AFQjCNFa3RdkM335-QCBCxAUeSYmowY29Q&ust=1364053777257504


US hepatic

HIDATIDA


HIDATIDA

CT cerebral


RMN cerebral

HIDATIDA HIDATIDA

http://tmcr.usuhs.mil/tmcr/chapter3/large3/03-123B.jpg

HIDATIDA

cu localizare

in corpul

vertebral


Echinococcus multilocularis

(Tenia vulpii)


(Tenia vulpii) Egg

Intermediate host

Adult

stage

Definitive host

Echinococcus multilocularis Hepatectomie - LARVA = HIDATIDA ALVEOLARA – sectionata aspect “miez de paine”


protoscolecsi Examen

histoplatologic =

Sectiune tisulara

hepatica coloratie

H&E

PROTOSCOLECSI = LARVE PROPIU-ZISE

Trematode

Fasciola hepatica

(Viermele de galbeaza)

Fasciola hepatica

Fasciola hepatica VIERME ADULT

cm

Ventuza ventrala

Ventuza bucala

Fasciola hepatica RMN T1

VIERME ADULT

Fasciola hepatica Stadiu de OU (120µm)

opercul

Masa

vitelina

pinten

Examen

coproparazitologic

= Preparat proaspat


Fasciola hepatica VI Stadiu de LARVA = METACERCAR

Metacercar fixat pe frunza planta

acvatica

Paragonimus westermani


Sectiune tisulara plaman - Adulti sectionati transversal, inconjurati de

capsula fibroasa in parenchimul pulmonar

VIERME ADULT

Ventuza bucala

http://tmcr.usuhs.mil/tmcr/chapter22/large22/22-06.jpg

http://www.google.ro/url?sa=i&rct=j&q=paragonimus+worm&source=images&cd=&cad=rja&docid=YfzGNTDvDHuaXM&tbnid=xNbf63poebwZ6M:&ved=0CAUQjRw&url=http%3A%2F%2Fonline-bp.blogspot.com%2F2010%2F09%2Fparasitas-assassinos.html&ei=ZYpMUerYJcSytAa0soHQBw&bvm=bv.44158598,d.bGE&psig=AFQjCNHAiMbgqqTkmuwSz9c0Ycw1zeC2BQ&ust=1364057033860697

Paragonimus westermani VIERMi ADULTI cu localizare pulmonara


Semnul “bulelor de sapun”

CT cerebral (in lobul dr frontal si lobul temporal - noduli cacificati)

VIERMi ADULTI cu localizare cerebrala

Paragonimus westermani Stadiu de OU (OU cu “umeri’).

Examen

microscopic

sputa

opercul

Masa

vitelina


VI Stadiul de LARVA = METACERCAR

A II a gazda intermediara = sursa de infectie

1. Schistosoma japonicum

2. Schistosoma mansoni

3. Schistosoma haematobium

Schistosoma sp.

Schistosoma sp. VIERMI ADULTI

Femela

adult

Mascul

adult Sant

ginecofor

Ventuza ventrala

Ventuza bucala

Schistosoma mansoni

Examen

coproparazitologic

= Preparat proaspat



Pinten lateral bine

dezvoltat

Miracidium

incomplet

dezvoltat

Schistosoma japonicum Stadiu de OU (80µm)

Examen

coproparazitologic

= Preparat proaspat


Pinten lateral

rudimentar

Schistosoma haematobium Stadiu de OU (110µm)

Examen

microscopic urina

= Preparat proaspat

L+ l

Pinten

terminal

Schistosoma sp. Granulom dezvoltat in jurul unui ou

OU Examen

histopatologic

= Sectiune

tesut intestinal

– coloratie

H&E

Schistosoma sp. I stadiu LARVAR = MIRACIDIUM

LARVA cu

corpul

acoperit ce

cili

Schistosoma sp.

gazda intermediara = melc acvatic

Schistosoma sp.

II -Stadiu LARVAR = FURCOCERCAR

Coada bifurcata

Apa cu

furcocercari

= sursa de

infectie

http://www.google.ro/url?sa=i&rct=j&q=FURCOCERCARIA+IN+WATER&source=images&cd=&cad=rja&docid=tREzvusZCOFkVM&tbnid=nXAhmCszslwkhM:&ved=0CAUQjRw&url=http%3A%2F%2Fplatelmintosagro.blogspot.com%2F&ei=_pdMUYT_GomxtAa58ICoAg&bvm=bv.44158598,d.bGE&psig=AFQjCNEzozYLOXnJ1BPxXVifoHo3LofN0Q&ust=1364060523177003

http://www.google.ro/url?sa=i&rct=j&q=FURCOCERCARIA+IN+WATER&source=images&cd=&cad=rja&docid=tREzvusZCOFkVM&tbnid=nXAhmCszslwkhM:&ved=0CAUQjRw&url=http%3A%2F%2Fwww.superstock.com%2Fsearch%2FPlatyhelminth&ei=MJhMUdaWIIrRsgbR1ICwDw&bvm=bv.44158598,d.bGE&psig=AFQjCNEzozYLOXnJ1BPxXVifoHo3LofN0Q&ust=1364060523177003

Schistosoma sp. Dermatita provocata de furcocercari

Schistosoma sp. III Stadiu LARVAR = SCHISTOSOMULA

Stadiu larvar

cu dezvoltare

in tesuturile

umane

Hepatosplenomegalie

in schistosomioza

intestinala

Urografie -

Calcificarea

ureterului;

vezica urinara

cu pereti

calcificati

(nefunctionali)

Schistosoma haematobium Schistosomioza urinara

Helminti 1 Handout

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