Schistosomiasis Overview and Lifecycle
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Questions and Answers

What is a possible consequence of bladder damage caused by schistosomiasis?

  • Hematuria (correct)
  • Increased bladder capacity
  • Improved kidney function
  • Enhanced urinary flow
  • What condition can Schistosoma haematobium cause in females?

  • Kidney stones
  • Bladder inflammation
  • Infertility (correct)
  • Hematospermia
  • Which treatment is effective against schistosomiasis?

  • Antibiotics
  • Vaccination
  • Praziquantel (correct)
  • Surgery
  • What public health measure is important for controlling schistosomiasis?

    <p>Improving sanitation</p> Signup and view all the answers

    What is a significant factor contributing to the presence of schistosomiasis in South America?

    <p>Consequences of the slave trade</p> Signup and view all the answers

    Which species of schistosomes primarily affect the liver and intestines?

    <p>Both B and C</p> Signup and view all the answers

    What environmental condition is a major risk factor for acquiring schistosomiasis?

    <p>Swimming in contaminated water</p> Signup and view all the answers

    What happens to cercariae after they penetrate human skin?

    <p>They transform into schistosomula.</p> Signup and view all the answers

    What is a common symptom of schistosome infection that occurs shortly after the larval penetration of the skin?

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

    What complication can arise from schistosome eggs becoming trapped in the liver?

    <p>Fibrosis and portal hypertension</p> Signup and view all the answers

    How do schistosomes maintain a reproductive relationship in the bloodstream?

    <p>They remain together in a permanent copulation.</p> Signup and view all the answers

    Which statement best describes the lifecycle of schistosomes?

    <p>They require snails as intermediate hosts.</p> Signup and view all the answers

    What is a potential consequence of inflammation caused by schistosome eggs trapped in tissues?

    <p>Granulomas and fibrosis</p> Signup and view all the answers

    Study Notes

    Schistosomiasis

    • Schistosomiasis is a chronic parasitic disease caused by flatworms known as schistosomes.
    • Schistosomiasis is caused by five species of schistosomes, but the most common are Schistosoma mansoni, Schistosoma japonicum, and Schistosoma haematobium.

    Types of Schistosomiasis

    • Schistosoma mansoni and Schistosoma japonicum affect the liver and intestines, causing hepatosplenic schistosomiasis.
    • Schistosoma haematobium infects the bladder and reproductive organs, causing genitourinary schistosomiasis.

    Schistosome Lifecycle and Transmission

    • Schistosomiasis is acquired through contact with contaminated water containing the larvae of the parasite.
    • Schistosomes require certain species of snails as intermediate hosts.
    • Swimming or bathing in infested bodies of water is a major risk factor.

    Schistosome Larvae: Cercariae and Schistosomula

    • Free-swimming larvae known as cercariae penetrate the skin of humans.
    • Cercariae lose their tails after entering the skin, transforming into schistosomula.
    • Schistosomula travel through the bloodstream to the lungs, heart, and eventually to their target organs.

    Schistosomiasis Symptoms

    • Schistosomes can cause a skin rash known as "swimmer's itch" when they penetrate the skin but are unable to mature.
    • Schistosomes can remain silent in the body, producing no symptoms.
    • Schistosomiasis symptoms often appear 4-8 weeks after infection, and they can range from mild to severe, depending on factors such as parasite load.

    Schistosome Maturation

    • Schistosomula mature into sexually mature male and female worms in the blood vessels.
    • Male schistosomes have a ventral groove called the gynecophoral canal, which carries the female.
    • Schistosomes remain together in a permanent copulation for years, feeding on blood and laying eggs.

    Schistosome Eggs: A Major Cause of Disease

    • Schistosome eggs are released into the bloodstream and spread to the liver or bladder.
    • Schistosome eggs can penetrate the intestines or bladder walls, but many fail to reach there and become trapped, causing inflammation.
    • Inflammation caused by trapped eggs can lead to fibrosis, granulomas, and other problems.

    Liver Damage

    • Schistosome eggs often become trapped in the liver, leading to fibrosis around the portal vein branches.
    • This fibrosis can block the flow of blood through the liver, causing portal hypertension.
    • Portal hypertension can lead to abdominal fluid buildup (ascites), varices, and splenomegaly.

    Bladder Damage

    • Schistosome eggs can cause bladder inflammation, granulomas, and urethral obstruction.
    • Bladder damage can lead to kidney damage, urinary tract infections, and hematuria.

    Reproductive System Damage

    • Schistosoma haematobium can cause genital inflammation, granulomas, and hematospermia in males.
    • Schistosoma haematobium can cause vaginal inflammation and infertility in females.
    • Genital inflammation predisposes females to acquiring HIV.

    Treatment and Control

    • Schistosomiasis can be treated with a single dose of praziquantel.
    • Glucocorticoids can manage severe inflammation.
    • Control measures include improving sanitation, educating the public, and reducing snail populations.

    Schistosomiasis in South America

    • Schistosomiasis in South America is believed to be a consequence of the slave trade.
    • The presence of similar snail species in South America and Africa suggests that schistosomiasis was introduced through historical migration.

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    Description

    This quiz explores the chronic parasitic disease schistosomiasis, its causative agents, and types. You will learn about the lifecycle of schistosomes, their transmission through contaminated water, and the role of snails as intermediate hosts. Gain insights into the symptoms and impacts of this disease on human health.

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