Filarial Worms Overview Quiz
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Questions and Answers

What species are responsible for transmitting Loa loa?

  • Anopheles species
  • Aedes species
  • Chrysops species (correct)
  • Culex species

What is a distinguishing feature of the microfilariae of Loa loa compared to Brugia malayi and Brugia timori?

  • They have no sheath.
  • They possess a curved tail full of nuclei. (correct)
  • They have a tapered tail.
  • They are smaller in length.

During which time of day are Loa loa microfilariae typically detected in peripheral blood?

  • Evening
  • Early morning
  • Night
  • Afternoon (correct)

Which of the following symptoms is associated with the migration of adult Loa loa worms?

<p>Mild irritation (D)</p> Signup and view all the answers

What is the typical length of microfilariae from Brugia malayi and Brugia timori?

<p>177-230 µm (D)</p> Signup and view all the answers

Which clinical feature is characteristic of Calabar swellings?

<p>Localized subcutaneous edema (D)</p> Signup and view all the answers

What clinical presentation can occur if Loa loa migrates through the eye?

<p>Irritation and congestion (A)</p> Signup and view all the answers

Which diagnostic method is preferred for detecting microfilariae in a patient suspected of having a filarial infection?

<p>Thin blood smear (D)</p> Signup and view all the answers

Flashcards

Brugia malayi/tiimori

Cause lymphatic filariasis in Southeast Asia, have similar pathology and life cycle to Wuchereria bancrofti.

Microfilariae size (Brugia)

177-230 µm long, with a pointed tail and terminal nuclei, and a sheath.

Loa loa

African eye worm, a filarial nematode found in rainforests of West and Central Africa.

Loa loa microfilariae size

250-300 µm long, with curved tail and multiple nuclei, and a sheath.

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Loa loa microfilariae periodicity

Diurnal periodicity (12-2 pm).

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Loa loa adult location

Lives in subcutaneous tissues, and may occur in subconjunctival tissue.

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Loa loa clinical presentation (migration)

Worm migration causes mild or no pain, noticeable when passing over bridge of nose or eye, causing irritation, congestion, pain (15-20 min process).

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Loa loa clinical presentation (swellings)

Migratory, localized subcutaneous edema (Calabar swellings) that develop rapidly and might be preceded by pain, itching, or rash.

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Study Notes

Brugia Malayi & Brugia Timori

  • Cause lymphatic filariasis in Southeast Asia
  • Pathology and life cycle similar to W. bancrofti
  • Vector: Mansonia species

Morphology

  • Microfilariae are 177-230 µm long
  • Tapered tails with two terminal nuclei
  • Have a sheath

Loa Loa

  • Also known as the African eye worm
  • Filarial nematode found in rainforests of West and Central Africa
  • Transmitted by Chrysops species

Loa Loa Morphology

  • Microfilariae are 250-300 µm long
  • Have a sheath
  • Curved tails with numerous nuclei
  • Diurnal periodicity (12-2 pm)

Wuchereria

  • Adult Wuchereria lives in subcutaneous tissues; sometimes in the subconjunctival tissue
  • Life cycle similar to W. bancrofti

Clinical Presentation

  • Adult worm migration through subcutaneous tissues is usually painless
  • Noticed only when worm passes over bridge of nose or through conjunctiva of eye
  • Eye involvement may lead to irritation, congestion and pain (15-20 minutes)

Calabar Swellings

  • Migratory, localized subcutaneous edema
  • Can appear anywhere on the body, but most common on the extremities
  • Develops quickly, may be preceded by localized pain, itching, and hives

Lab Diagnosis

  • Detecting microfilariae in peripheral blood samples (daytime)
  • Thin blood smear, thick blood smear, or ideally a concentration technique (Knott or nucleopore filter)

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Related Documents

Brugia and Loa Loa PDF

Description

Test your knowledge on Brugia malayi, Brugia timori, and Loa loa, including their morphology, life cycles, and clinical presentations. This quiz covers essential information about lymphatic filariasis and the vectors involved in their transmission. Prepare to dive into the fascinating world of filarial nematodes and their impact on human health!

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