Schistosomiasis: Introduction and Overview
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Questions and Answers

Which genus of trematodes causes a series of related diseases in humans, primarily affecting the intestine and liver?

  • Schistosoma (correct)
  • Clonorchis
  • Paragonimus
  • Fasciola
  • Which species of Schistosoma primarily causes urinary tract disease and female genital schistosomiasis?

  • S. mekongi
  • S. haematobium (correct)
  • S. mansoni
  • S. japonicum
  • What is a critical factor for the tropical distribution of schistosomes that infect humans?

  • Geographical distribution of their intermediate host snail species (correct)
  • Avian migration patterns
  • Pollution levels in water bodies
  • Climate change
  • In which veins does S. mansoni live, draining the intestine?

    <p>Inferior mesenteric veins</p> Signup and view all the answers

    Apart from S. haematobium, which body parts are primarily affected by human schistosomes?

    <p>Intestine and liver</p> Signup and view all the answers

    What contributes to regional increases in schistosomiasis, particularly in Africa?

    <p>Encroachment into natural systems, e.g., constructing irrigation canals and dams</p> Signup and view all the answers

    How long does it take for S. mansoni cercariae to penetrate unbroken skin?

    <p>45 minutes</p> Signup and view all the answers

    What is the initial clinical manifestation caused by penetrating cercariae of S. mansoni?

    <p>Swimmer's itch</p> Signup and view all the answers

    How do adult schistosomes avoid long-term exposure to the host immune surveillance system?

    <p>By shedding tegumental components regularly</p> Signup and view all the answers

    Where does egg deposition occur for S. mansoni?

    <p>Circulation of the small intestine and liver</p> Signup and view all the answers

    In which hosts does clinical illness caused by schistosomiasis generally occur?

    <p>Only in individuals with recurrent heavy worm burdens</p> Signup and view all the answers

    What triggers host inflammatory response in schistosomiasis?

    <p>Soluble egg antigens (SEAs)</p> Signup and view all the answers

    Study Notes

    • Genus Schistosoma causes diseases in humans, primarily affecting the intestine and liver.

    Schistosoma Species and Urinary Tract Disease

    • Schistosoma haematobium primarily causes urinary tract disease and female genital schistosomiasis.

    Tropical Distribution of Schistosomes

    • A critical factor for the tropical distribution of schistosomes is the presence of freshwater habitats, which support the life cycle of the snail intermediate hosts.

    Habitat of S. mansoni

    • S. mansoni resides in the mesenteric veins, specifically draining the intestine.

    Affected Body Parts by Schistosomes

    • Apart from the urinary system impacted by S. haematobium, human schistosomes primarily affect the liver, intestines, and sometimes the lungs.

    Regional Increases in Schistosomiasis

    • Factors contributing to regional increases in schistosomiasis, particularly in Africa, include poor sanitation, increased water contact, and the spread of snail populations.

    Penetration Time of S. mansoni Cercariae

    • It takes approximately minutes to hours for S. mansoni cercariae to penetrate unbroken skin.

    Initial Clinical Manifestation

    • The initial clinical manifestation caused by penetrating cercariae of S. mansoni is known as cercarial dermatitis, characterized by itchy rashes.

    Immune Evasion of Adult Schistosomes

    • Adult schistosomes avoid long-term exposure to host immune surveillance through mechanisms such as coating themselves with host antigens and releasing immunomodulatory substances.

    Egg Deposition of S. mansoni

    • Egg deposition occurs in the mesenteric veins and subsequently released into the intestinal lumen.

    Hosts for Clinical Illness

    • Clinical illness caused by schistosomiasis generally occurs in humans, who are the definitive hosts for these parasites.

    Host Inflammatory Response Trigger

    • The presence of eggs and their associated antigens in tissues triggers the host inflammatory response, leading to symptoms characteristic of schistosomiasis.

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    Description

    Learn about the different species of Schistosoma and the related diseases they cause in humans. Understand the impact on the urinary tract, female genitalia, intestine, and liver, as well as the chronic effects of schistosomiasis.

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