Schistosomiasis Life Cycle
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Questions and Answers

What is the estimated number of deaths caused by schistosomiasis per year?

  • 500,000+
  • 200,000+ (correct)
  • 300,000+
  • 100,000+
  • What is concomitant immunity, and how does it affect the host and the parasite?

  • The host is completely cured of the parasite, and the parasite is eliminated.
  • The host is protected against new infections, but the parasite eliciting the immunity remains alive and unaffected. (correct)
  • The host develops a strong immune response, killing all parasites including the adults.
  • The host and parasite have no interaction, and the host remains unaffected.
  • What is the difference between mean intensity and abundance in the context of parasitic infections?

  • Mean intensity counts the infected individuals, while abundance counts the total number of parasites.
  • Mean intensity divides the total number of parasites by the infected individuals, while abundance divides by the total sample size. (correct)
  • Mean intensity counts the total number of parasites, while abundance counts the infected individuals.
  • Mean intensity divides the total number of parasites by the total sample size, while abundance divides by the infected individuals.
  • Why does the host develop an immune response to mansoni, but not to japonicium?

    <p>Because the immune response to mansoni is specific and does not cross-react with japonicium.</p> Signup and view all the answers

    What is the number of countries where schistosomiasis transmission has been reported?

    <p>78 countries</p> Signup and view all the answers

    Which species of Schistosoma has the highest level of host specificity?

    <p>Schistosoma haematobium</p> Signup and view all the answers

    What is the primary epidemiological factor in the transmission of Schistosoma?

    <p>Human waste water containing an intermediate host</p> Signup and view all the answers

    Which of the following is a characteristic of the Acute phase of Schistosomiasis?

    <p>Egg production dramatically increases antigen release</p> Signup and view all the answers

    Which species of Schistosoma is found in the portal veins draining the small intestine?

    <p>Schistosoma japonicum</p> Signup and view all the answers

    What is the term for the stage of the Schistosoma life cycle where the miracidium goes in and the cercaria goes out?

    <p>Skin penetration</p> Signup and view all the answers

    Study Notes

    Life Cycle of Schistosoma

    • Schistosoma Mansoni: inhabits veins that drain the large intestine
    • Schistosoma Japonicum: inhabits a vein that drains the small intestine
    • Schistosoma Haematobium: inhabits veins that drain the urinary bladder
    • Each species infects through skin penetration in water, with miracidium entering and cercaria exiting the snail host

    Host Specificity

    • Schistosoma Mansoni: moderate host specificity, with reservoir hosts including rodents and monkeys
    • Schistosoma Haematobium: highest host specificity, with no known reservoir hosts, and prefers veins of the urinary bladder
    • Schistosoma Japonicum: least host-specific, with reservoir hosts including rodents, cats, dogs, pigs, cattle, horses, and deer

    Pathology

    • Three phases: migratory, acute, and chronic
    • Migratory phase: from penetration to reproductive maturity, often with no symptoms or dermatitis reaction
    • Acute phase (Katayama fever): occurs when schistosomes begin producing eggs, causing symptoms like chills, fever, fatigue, and more
    • Chronic phase: S. Mansoni causes hepatic and pulmonary cirrhosis, hepatosplenomegaly; S. Haematobium causes ulcerated bladder wall and bloody urine; S. Japonicum causes hepatic and pulmonary cirrhosis, hepatosplenomegaly, and cerebral schistosomiasis

    Epidemiology

    • Human waste water containing an intermediate host is the primary epidemiological factor
    • Schistosoma Mansoni: broad distribution in Africa, Middle East, South America, and the Caribbean
    • Schistosoma Japonicum: limited to Japan, China, Taiwan, the Philippines, and Southeast Asia
    • Schistosoma Haematobium: limited to Africa and adjacent regions
    • Schistosomes can live 20-30 years in the body
    • Schistosomiasis transmission reported in 78 countries, with 75.3 million people treated in 2021 and 200,000+ deaths per year

    Immunity and Transmission

    • Concomitant immunity: the host is protected against new infections, but the parasite remains alive and unaffected
    • Example: once infected with S. Mansoni, the host develops immunity, but it only affects future S. Mansoni infections, not existing ones
    • S. Japonicum can penetrate and infect an individual already infected with S. Mansoni due to concomitant immunity

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    Description

    Learn about the life cycle of Schistosoma, including the species Mansoni, Japonicum, and Haematobium, and how they infect humans through skin penetration in water.

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