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Parasitology What are parasites and what do they cause?
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Page 1: Parasitology What are parasites and what do they cause?

ParasitologyParasitology

What are parasites and what do they cause?

What are parasites and what do they cause?

Page 2: Parasitology What are parasites and what do they cause?

ParasitologyParasitology

Protozoans – These are one-celled organisms belonging to

the kingdom Protista. Of the 20,000 species, only a few cause disease. They were traditionally classified into phyla

based upon their means of motility. Sarcodina - consists of amoebas that move by

extending out projections, called pseudopods, from the cytoplasm. The rest of the cell flows towards the pseudopod

Mastigophora – possess flagella which are capable of whip-like movements that pull the cell through the medium.

Protozoans – These are one-celled organisms belonging to

the kingdom Protista. Of the 20,000 species, only a few cause disease. They were traditionally classified into phyla

based upon their means of motility. Sarcodina - consists of amoebas that move by

extending out projections, called pseudopods, from the cytoplasm. The rest of the cell flows towards the pseudopod

Mastigophora – possess flagella which are capable of whip-like movements that pull the cell through the medium.

Page 3: Parasitology What are parasites and what do they cause?

ParasitologyParasitology

Ciliata – possess projections called cilia around the whole cell. The cilia move to propel the cell through the medium. Cilia are similar to, but shorter than flagella.

Sporozoa – these are incapable of independent movement.

Biology of protozoans Nutrition – aerobic heterotrophs which live in

areas with a large water supply. Reproduction –

Ciliata – possess projections called cilia around the whole cell. The cilia move to propel the cell through the medium. Cilia are similar to, but shorter than flagella.

Sporozoa – these are incapable of independent movement.

Biology of protozoans Nutrition – aerobic heterotrophs which live in

areas with a large water supply. Reproduction –

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ParasitologyParasitology

Asexual - can occur by fission, budding or schizogony (this is where multiple divisions of the nucleus occur before the cell divides).

Sexual – may be used by ciliates Encystment – under adverse conditions, some

protozoans are capable of producing a protective capsule called a cyst.

The cyst allows the organism to survive without food, water, or oxygen, and under unsuitable temperature or chemical conditions.

For parasitic species, it allows the organism to survive outside the host.

Asexual - can occur by fission, budding or schizogony (this is where multiple divisions of the nucleus occur before the cell divides).

Sexual – may be used by ciliates Encystment – under adverse conditions, some

protozoans are capable of producing a protective capsule called a cyst.

The cyst allows the organism to survive without food, water, or oxygen, and under unsuitable temperature or chemical conditions.

For parasitic species, it allows the organism to survive outside the host.

Page 5: Parasitology What are parasites and what do they cause?

ParasitologyParasitology

Medically important protozoans Sarcodina (amoebas)

Entamoeba histolytica – Causes amoebic dysentery (diarrhea with blood and

mucous). This organism can actually bore through the

intestinal wall to cause ulcers in the liver as well as the intestine.

Consists of 2 stages – trophozoite (motile stage ) and cyst.

It is transmitted from human to human via cysts passed in the feces and ingested by the next host.

Diagnosis – finding the cyst or trophozoite in the feces.

Medically important protozoans Sarcodina (amoebas)

Entamoeba histolytica – Causes amoebic dysentery (diarrhea with blood and

mucous). This organism can actually bore through the

intestinal wall to cause ulcers in the liver as well as the intestine.

Consists of 2 stages – trophozoite (motile stage ) and cyst.

It is transmitted from human to human via cysts passed in the feces and ingested by the next host.

Diagnosis – finding the cyst or trophozoite in the feces.

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Entamoeba histolytica trophozoiteEntamoeba histolytica trophozoite

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Entamoeba histolytica trophozoiteEntamoeba histolytica trophozoite

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Entamoeba histolytica cystEntamoeba histolytica cyst

Page 9: Parasitology What are parasites and what do they cause?

ParasitologyParasitology

Naegleria fowleri Causes an often fatal meningitis or

encephalitis. Humans acquire it by jumping into

contaminated, usually stagnant water. The organism gets in when waster containing

the organism rushes up the nose.

Naegleria fowleri Causes an often fatal meningitis or

encephalitis. Humans acquire it by jumping into

contaminated, usually stagnant water. The organism gets in when waster containing

the organism rushes up the nose.

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Naegleria fowleriNaegleria fowleri

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ParasitologyParasitology

Mastigophora – some have an undulating membrane consisting of a highly modified flagella. Giardia lamblia

Is found in the small intestine and causes acute or chronic enteritis – more common in children.

Consists of two stages – trophozoite and cyst. Acquired through ingestion of the cyst passed in

the feces. Diagnosis is based on finding the trophozoite or

cyst in feces.

Mastigophora – some have an undulating membrane consisting of a highly modified flagella. Giardia lamblia

Is found in the small intestine and causes acute or chronic enteritis – more common in children.

Consists of two stages – trophozoite and cyst. Acquired through ingestion of the cyst passed in

the feces. Diagnosis is based on finding the trophozoite or

cyst in feces.

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Giardia lamblia troph and cyst

Giardia lamblia troph and cyst

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ParasitologyParasitology

Trichomonas vaginalis Causes vaginitis. Only has a trophozoite stage and must be

transferred from host to host very quickly. The organism inhabits the vaginal tract and

the male urinary tract. It is transmitted via sexual intercourse or by

toilet facilities or towels.

Trichomonas vaginalis Causes vaginitis. Only has a trophozoite stage and must be

transferred from host to host very quickly. The organism inhabits the vaginal tract and

the male urinary tract. It is transmitted via sexual intercourse or by

toilet facilities or towels.

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Trichomonas vaginalisTrichomonas vaginalis

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ParasitologyParasitology

Hemoflagellates – transmitted by blood sucking insects and are found in the circulatory system of the bitten host.

Trypanosoma brucei (gambiense or rhodescience) –

Cause african sleeping sickness Transmitted by the tsetse fly.

Hemoflagellates – transmitted by blood sucking insects and are found in the circulatory system of the bitten host.

Trypanosoma brucei (gambiense or rhodescience) –

Cause african sleeping sickness Transmitted by the tsetse fly.

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Trypanosoma bruceiTrypanosoma brucei

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ParasitologyParasitology

Trypanosoma cruzi Causes Chagas’ disease Transmitted by the reduviid bug (“kissing

bug”) which bites and defecates at the same time. The feces, containing the organism contaminates the bite wound and the organism gets in to cause the infection.

Cells in almost all of the internal organs can be invaded.

Cardiac problems and meningoencephalitis are the leading causes of death.

This is a major problem in Central and South America.

Trypanosoma cruzi Causes Chagas’ disease Transmitted by the reduviid bug (“kissing

bug”) which bites and defecates at the same time. The feces, containing the organism contaminates the bite wound and the organism gets in to cause the infection.

Cells in almost all of the internal organs can be invaded.

Cardiac problems and meningoencephalitis are the leading causes of death.

This is a major problem in Central and South America.

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Trypanosoma cruziTrypanosoma cruzi

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ParasitologyParasitology

Ciliata Balantidium coli

Causes a severe, rare type of dysentery. Consists of two stages – trophozoite and cyst. Humans acquire the organism by ingestion of

the cysts that are passed in the feces of an infected individual.

Ciliata Balantidium coli

Causes a severe, rare type of dysentery. Consists of two stages – trophozoite and cyst. Humans acquire the organism by ingestion of

the cysts that are passed in the feces of an infected individual.

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Balantidium coliBalantidium coli

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ParasitologyParasitology

Sporozoa Mature forms are obligate, intracellular parasites. They have complex life cycles as they are transmitted

from one host to another Plasmodium species cause malaria and have a complex

life cycle: Infected Anopheles mosquito bites and injects sporozoites

(infective stage for humans) Sporozoites go to the liver and undergo schizogony which

produces thousands of merozoites (exoerythrocytic portion of the life cycle).

The merozoites are released and can either reinfect new liver cells or they can infect RBCs to begin the erythrocytic cycle.

When the merozoite invades the RBC, it first transforms into a young trophozoite that looks like a ring consisting of a nucleus and cytoplasm.

Sporozoa Mature forms are obligate, intracellular parasites. They have complex life cycles as they are transmitted

from one host to another Plasmodium species cause malaria and have a complex

life cycle: Infected Anopheles mosquito bites and injects sporozoites

(infective stage for humans) Sporozoites go to the liver and undergo schizogony which

produces thousands of merozoites (exoerythrocytic portion of the life cycle).

The merozoites are released and can either reinfect new liver cells or they can infect RBCs to begin the erythrocytic cycle.

When the merozoite invades the RBC, it first transforms into a young trophozoite that looks like a ring consisting of a nucleus and cytoplasm.

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ParasitologyParasitology

The ring stage enlarges and divides repeatedly to form many merozoites.

The RBCs rupture and the merozoites and their waste products are released.

This causes fever and chills (a febrile paroxysm).

Most of the merozoites reinfect new RBCs and undergo a new cycle of asexual reproduction.

The length of time required for schizogony and production and release of merozoites is characteristic for each species and determines the length of time between febrile paroxysms.

The ring stage enlarges and divides repeatedly to form many merozoites.

The RBCs rupture and the merozoites and their waste products are released.

This causes fever and chills (a febrile paroxysm).

Most of the merozoites reinfect new RBCs and undergo a new cycle of asexual reproduction.

The length of time required for schizogony and production and release of merozoites is characteristic for each species and determines the length of time between febrile paroxysms.

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ParasitologyParasitology Instead of invading RBCs, some of the merozoites will

develop into male and female sexual forms called gametocytes.

Gametocytes are picked up by an Anopheles mosquito when it bites an infected host.

They enter the intestine of the mosquito to begin their sexual cycle.

The male and female gametocytes unite to form a zygote that forms a cyst in the wall of the mosquito gut.

Cell division occurs and asexual sporozoites are formed. The cyst ruptures and the sporozoites migrate to the

salivary glands of the mosquito from whence they are injected into a new human host by the mosquito.

 

Instead of invading RBCs, some of the merozoites will develop into male and female sexual forms called gametocytes.

Gametocytes are picked up by an Anopheles mosquito when it bites an infected host.

They enter the intestine of the mosquito to begin their sexual cycle.

The male and female gametocytes unite to form a zygote that forms a cyst in the wall of the mosquito gut.

Cell division occurs and asexual sporozoites are formed. The cyst ruptures and the sporozoites migrate to the

salivary glands of the mosquito from whence they are injected into a new human host by the mosquito.

 

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Plasmodium life cyclePlasmodium life cycle

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Plasmodium young trophozoites (ring forms)

Plasmodium young trophozoites (ring forms)

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Plasmodium gametocytePlasmodium gametocyte

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ParasitologyParasitology

Helminths (worms) – contains 2 phyla: platyhelminths and aschelminths Biology of helminths

Multicellular and most are free-living. A few are parasites.

Reproduction – the reproductive systems of the parasitic species are highly developed.

Adult worms can be either dioecious (male and female reproductive organs in different individuals) in which reproduction occurs when 2 species of the opposite sex are in the same host.

Adult helminths may also be monoecious or hermaphroditic in which one animal contains both male and female reproductive organs.

Helminths (worms) – contains 2 phyla: platyhelminths and aschelminths Biology of helminths

Multicellular and most are free-living. A few are parasites.

Reproduction – the reproductive systems of the parasitic species are highly developed.

Adult worms can be either dioecious (male and female reproductive organs in different individuals) in which reproduction occurs when 2 species of the opposite sex are in the same host.

Adult helminths may also be monoecious or hermaphroditic in which one animal contains both male and female reproductive organs.

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ParasitologyParasitology

Life cycle – may be extremely complex and involve many different hosts.

Definative host – harbors the adult, sexually mature

helminth Intermediate host – harbors a larval or

developmental stage of the parasite.

Life cycle – may be extremely complex and involve many different hosts.

Definative host – harbors the adult, sexually mature

helminth Intermediate host – harbors a larval or

developmental stage of the parasite.

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ParasitologyParasitology

Platyhelminths - Flatworms – are dorsoventrally flattened and either lack or have an incomplete digestive system. Consist of 2 classes: Trematodes (flukes) – have ventral and oral suckers

that hold the organism in place and are also used to suck fluids from the host. They can also absorb fluid through their outer covering called a cuticle.

Paragonimus westermani – the lung fluke. The adult lives in the bronchioles of the lungs of

humans and other mammals. They are hermaphroditic and liberate eggs into the

bronchi. Sputum containing the eggs is swallowed and eggs are excreted in the feces.

Platyhelminths - Flatworms – are dorsoventrally flattened and either lack or have an incomplete digestive system. Consist of 2 classes: Trematodes (flukes) – have ventral and oral suckers

that hold the organism in place and are also used to suck fluids from the host. They can also absorb fluid through their outer covering called a cuticle.

Paragonimus westermani – the lung fluke. The adult lives in the bronchioles of the lungs of

humans and other mammals. They are hermaphroditic and liberate eggs into the

bronchi. Sputum containing the eggs is swallowed and eggs are excreted in the feces.

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ParasitologyParasitology

If excreted into a body of water, a miracidium develops and enters a suitable snail host (very specific type of snail required).

Inside the snail asexual reproduction results in the formation of rediae that develop into cercariae that bore out of the snail and penetrate the cuticle of a crayfish.

There the parasite encysts as a metacercaria in the muscles and other tissues. Humans acquire the organism by eating undercooked, infested crayfish. The metacercaria is released in the intestine and migrates to the lungs to mature into an adult.

Diagnosis is by finding eggs in the feces.

If excreted into a body of water, a miracidium develops and enters a suitable snail host (very specific type of snail required).

Inside the snail asexual reproduction results in the formation of rediae that develop into cercariae that bore out of the snail and penetrate the cuticle of a crayfish.

There the parasite encysts as a metacercaria in the muscles and other tissues. Humans acquire the organism by eating undercooked, infested crayfish. The metacercaria is released in the intestine and migrates to the lungs to mature into an adult.

Diagnosis is by finding eggs in the feces.

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Paragonimus westermaniParagonimus westermani

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ParasitologyParasitology Clonorchis sinensis – liver fluke.

Has a similar life cycle but has fresh water fish as the second intermediate host and is acquired by humans by eating undercooked, infected fresh water fish.

Fasciolopsis buski – intestinal fluke. Similar life cycle, but has fresh water vegetation as

the second definative host and is acquired by humans by ingestion of fresh water vegetation.

Schistosoma – causes schistosomiasis. Adults live in the mesenteric and pelvic veins of

humans. Cercaria are not ingested but can burrow through the

skin of the human host and enter the circulatory system. Fresh water snails serve as the intermediate host.

Diagnosis is based on finding the eggs in the urine and feces.

Clonorchis sinensis – liver fluke. Has a similar life cycle but has fresh water fish as the

second intermediate host and is acquired by humans by eating undercooked, infected fresh water fish.

Fasciolopsis buski – intestinal fluke. Similar life cycle, but has fresh water vegetation as

the second definative host and is acquired by humans by ingestion of fresh water vegetation.

Schistosoma – causes schistosomiasis. Adults live in the mesenteric and pelvic veins of

humans. Cercaria are not ingested but can burrow through the

skin of the human host and enter the circulatory system. Fresh water snails serve as the intermediate host.

Diagnosis is based on finding the eggs in the urine and feces.

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Clonorchis sinensisClonorchis sinensis

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Fasciolopsis buskiFasciolopsis buski

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Schistosoma mansoni and japonicum eggs

Schistosoma mansoni and japonicum eggs

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Schistosoma haematobium eggSchistosoma haematobium egg

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ParasitologyParasitology

Cestodes – tapeworms. Are intestinal parasites. Have a head or scolex that has suckers and

possibly hooks for attachment to the intestinal mucosa.

They completely lack a digestive system and absorb food through their cuticle.

Their body consists of segments called proglottids that are continually produced by the neck region of the scolex. Each proglottid contains both male and female organs. Those furthest from the scolex are filled with eggs (gravid proglottid)

Humans may either be the definative or the intermediate host.

Cestodes – tapeworms. Are intestinal parasites. Have a head or scolex that has suckers and

possibly hooks for attachment to the intestinal mucosa.

They completely lack a digestive system and absorb food through their cuticle.

Their body consists of segments called proglottids that are continually produced by the neck region of the scolex. Each proglottid contains both male and female organs. Those furthest from the scolex are filled with eggs (gravid proglottid)

Humans may either be the definative or the intermediate host.

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Taenia solium scloexTaenia solium scloex

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Taenia solium proglotitdsTaenia solium proglotitds

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ParasitologyParasitology Humans as the definative host – Tania saginata (beef

tapeworm) and Tania solium (pork tapeworm). Adults are found in humans. Mature proglottids with

eggs are released into the feces (diagnosis) Upon ingestion by cattle (T. saginata) or pigs (T. solium), the larvae hatch and encyst in the muscles as cysticercaria which are then ingested by humans eating undercooked beef or pork.

Humans as the intermediate host – Echinococcus granulosis. Dogs and cats are the definative host. Eggs are excreted in the feces and humans can be infected by contaminating their hands with dog or cat feces or by saliva from the animals’ tongue. The eggs hatch and migrate to the lungs or liver. The host will form a cyst around the larva called a hydatid cyst. Diagnosis in humans – X-ray or autopsy.

Humans as the definative host – Tania saginata (beef tapeworm) and Tania solium (pork tapeworm).

Adults are found in humans. Mature proglottids with eggs are released into the feces (diagnosis) Upon ingestion by cattle (T. saginata) or pigs (T. solium), the larvae hatch and encyst in the muscles as cysticercaria which are then ingested by humans eating undercooked beef or pork.

Humans as the intermediate host – Echinococcus granulosis. Dogs and cats are the definative host. Eggs are excreted in the feces and humans can be infected by contaminating their hands with dog or cat feces or by saliva from the animals’ tongue. The eggs hatch and migrate to the lungs or liver. The host will form a cyst around the larva called a hydatid cyst. Diagnosis in humans – X-ray or autopsy.

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Taenia eggsTaenia eggs

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Echinococcus granulosis hydatid cyst

Echinococcus granulosis hydatid cyst

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ParasitologyParasitology

Aschelminths – roundworms. Have complete digestive systems and most are

dioecious. The class nematodes has human parasites. Don’t have complicated life cycles and can be divided into 2 categories.

Eggs infective for humans Enterobius vermicularis – pinworm. Spends its

entire life in humans. Adult worms are in the large intestine in humans. The female migrates to the anus to deposit her eggs. This causes the itching that is the most common symptom. Eggs are then ingested by the host or another human (commonly transmitted in young children who are not very hygienic). Diagnosis – sticky tape method.

Aschelminths – roundworms. Have complete digestive systems and most are

dioecious. The class nematodes has human parasites. Don’t have complicated life cycles and can be divided into 2 categories.

Eggs infective for humans Enterobius vermicularis – pinworm. Spends its

entire life in humans. Adult worms are in the large intestine in humans. The female migrates to the anus to deposit her eggs. This causes the itching that is the most common symptom. Eggs are then ingested by the host or another human (commonly transmitted in young children who are not very hygienic). Diagnosis – sticky tape method.

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Enterobius vermicularisEnterobius vermicularis

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ParasitologyParasitology Ascaris lumbricoides – large – 30cm. in length.

Adults live in the small intestine of humans, pigs and horses. Eggs are excreted in the feces and can survive in the soil. Infection occurs by ingesting the eggs and diagnosis is by finding eggs in the feces.

Larvae infective Necator americanus – hookworm. Adults live in

the small intestine and eggs are excreted with feces. They hatch in the soil and the larva can enter a new host by penetrating the skin. The go to the blood and the lungs where they are swallowed and get to the small intestine to mature into an adult. Diagnosis is by finding eggs in the feces. To prevent infection – wear shoes

Ascaris lumbricoides – large – 30cm. in length. Adults live in the small intestine of humans, pigs and horses. Eggs are excreted in the feces and can survive in the soil. Infection occurs by ingesting the eggs and diagnosis is by finding eggs in the feces.

Larvae infective Necator americanus – hookworm. Adults live in

the small intestine and eggs are excreted with feces. They hatch in the soil and the larva can enter a new host by penetrating the skin. The go to the blood and the lungs where they are swallowed and get to the small intestine to mature into an adult. Diagnosis is by finding eggs in the feces. To prevent infection – wear shoes

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Ascaris lumbricoides eggsAscaris lumbricoides eggs

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Hookworm eggsHookworm eggs

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ParasitologyParasitology

Trichinella spiralis – causes trichinosis. Acquired by ingestion of contaminated

pork containing the encysted larva. The larvae mature into adults in the

human digestive tract. They sexually reproduce and give birth to

live nematodes that migrate throughout the body and become encysted in muscles and other tissue.

Diagnosis is by muscle biopsy. 

Trichinella spiralis – causes trichinosis. Acquired by ingestion of contaminated

pork containing the encysted larva. The larvae mature into adults in the

human digestive tract. They sexually reproduce and give birth to

live nematodes that migrate throughout the body and become encysted in muscles and other tissue.

Diagnosis is by muscle biopsy. 

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Encysted Trichinella spiralis

Encysted Trichinella spiralis