Fasciolopsiasis is endemic in china india malaysia south east asia and taiwan especially in areas where pigs are raised and fed with freshwater plants. In some cases the person may start passing segments of the intestinal worm in their stool.
Intestinal Flukes Background Pathophysiology Epidemiology
In rarer cases the intestinal worm may lead to severe blockages in the intestine making it difficult.
Intestinal flukes in stool. Severe infections may also cause intestinal obstruction or malabsorption leading to hypoalbuminemia protein losing enteropathy and impaired vitamin b 12 absorption. Intestinal flukes trematodes are flat hermaphroditic worms that vary in length from a few millimetres to many centimetres. Approximately 70 species are known to colonise the human intestine but only a few species are known to cause actual infection.
The most common human intestinal trematode is fasciolopsis buski. It causes a parasitic disease called fasciolopsiasis and is commonly known as the giant intestinal fluke. Intestinal flukes reside in the small intestine of the mammalian host see figure 3 and figure 4.
After ingestion the metacercariae excyst in the duodenum and attach to the intestinal wall where they develop into adult flukes 20 75 mm x 8 20 mm in approximately 3 months and attach to the. Fasciolopsis buski is the largest intestinal fluke in humans. The trematodes or flukes are estimated to include 18000 to 24000 species including the liver fluke intestinal fluke and lung fluke.
Eggs are passed in the stool and embryonate in fresh water. The eggs are either ingested by snails in the case of fasciolopsis or miracidia are released and invade an intermediate snail host in the case of heterophyes and metagonimus. Intestinal flukes cause inflammation ulceration and mucous secretion at the site of attachment.
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