HELMINTI + ECTOPARAZITI2
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Transcript of HELMINTI + ECTOPARAZITI2
HELMINTI
Cestode
Tenia solium
Cutanat tissue
Tenia solium
Tenia solium
Tenia saginata
Tenia saginata
Tenia sp.
T. solium T. saginata
Tenia sp.Stadiu de ou
Tenia sp.
Cisticercicu scolecsul
evaginat
Cisticerc -larva
Tenia soliumCisticercoza
Tenia soliumNeurocisticercoza
Neurocisticercoza -CTTenia solium
Neurocisticercoza -RMN
Tenia solium
Cisticercoza retiniana
Tenia solium
Tenia soliumCisticercoza
Diphyllobothrium latum
Diphyllobothrium latum
Diphyllobothrium latum
Diphyllobothrium latum
opercul
Hymenolepis nana
Hymenolepis nana
Hymenolepis nana
Echinococcus granulosus
Echinococcus granulosus
Echinococcus granulosus
Echinococcus granulosusStadiul de larva = Chist hidatic = Hidatida
Echinococcus granulosus
Echinococcus granulosus
Vezicula proligera in lichidul hidatic cu protoscolecsi in interior.
Sectiune transversala printr-un chist hidatic - schema
protoscolecs
Echinococcus granulosusProtoscolecsi – test de determinare a viabilitatii
Echinococcus granulosus
US hepatic
Echinococcus granulosus
CT cerebral
Echinococcus granulosusRMN cerebral
Chist hidatic cu localizare la corpului vertebral
Echinococcus granulosus
Echinococcus multilocularisEgg
Intermediate host
Adult stage
Definitive host
Echinococcus multilocularisHepatectomie –Larva (hidatida alveolara) sectionata – “miez de paine”
Echinococcus multilocularis
protoscolecsi
Sectiune tisulara hepatica col H&E
Trematode
Fasciola hepatica
Fasciola hepatica
Fasciola hepaticaStadiu de ou
Fasciola hepatica
V stadiu larvar - cercar
Fasciola hepatica
VI std larvar - Metacercar
Fasciola hepaticaRMN T1
Paragonimus westermani
Paragonimus westermani
Sectiune tisulara plaman - Adulti sectionati transversal, inconjurati de capsula fibroasa in parenchimul pulmonar
Paragonimus westermaniStadiu de ou (oua cu “umeri’).
Paragonimus westermaniI stadiu larvar - Miracidium
Paragonimus westermani
Paragonimus westermaniVI std larvar - Metacercar
Paragonimus westermani
Paragonimus westermani
Semnul “bulelor de sapun”
CT cerebral (in lobul dr frontal si lobul temporal - noduli cacificati)
Schistosoma sp.
Schistosoma sp.
Schistosoma mansoni
Schistosoma japonicum
Schistosoma haematobium
Schistosoma sp.
Granulom dezvoltat in jurul unui ou
Schistosoma sp.I stadiu larvar - Miracidium
Schistosoma sp.
Schistosoma sp.
II -Stadiu larvar - Furcocercar
Schistosoma sp.Dermatita provocata de furcocercari
Schistosoma sp.III Std larvar - Schistosomula
\Hepatosplenomegalie in schistosomioza
intestinala
Urografie - Calcificarea ureterului; vezica urinara cu pereti calcificati (nefunctionali)
Schistosoma haematobium
Nematode
Ascaris lumbricoides (Limbricul)
Ciclu de migrare perienteric al larvei
Larva inghitita odata cu sputa ajunge in intestinul subtire unde se transforma in adult
Ou cu larva
Pe sol
Ascaris lumbricoides (Limbricul)
Ascaris lumbricoides (Limbricul)
Ascaris lumbricoides (Limbricul)
Ascaris lumbricoides (Limbricul)Cristal Charcot-Leyden
Toxocara sp.
La om ciclu perienteric incomplet (larva ramane cantonata in diferite viscere)
Toxocara sp.
Toxocara sp.
Toxocaroza - LMV
Rx pulmonar – mici noduli (contin larvele) pulmonari inconjurati de infiltratii leucocitare cu caracter migrator
Toxocara sp.
Oftalmoscopie indirecta - indica prezenta unei leziuni granulomatoase albicioase cu necroza, pronuntata la nivelul retinei in zona maculara -determinata de prezenta larvelor de Toxocara
Trichiuris trichiura
Pe sol
Trichiuris trichiura
Trichiuris trichiura
Trichiuris trichiura
Enterobius vermicularis
Enterobius vermicularis (Oxiurul)mascul adult ; femela adult
Enterobius vermicularis
Enterobius vermicularis
Ancylostoma duodenale
strongiloid
In prezenta unei potentiale gazde
Larva strongiloida
Ciclu perienteric al larvei strongiloide (sange- plaman-intestin)
Ancylostoma duodenale
Ancylostoma duodenale
Ancylostoma duodenale
Ancylostoma duodenaleI stadiu larvar – Larva rhabditoida)
Necator americanus
Necator americanus
Strongiloides stercoralis
Strongiloid larvae
Strongiloid larvae enterCiclu perienteric al larvei strongiloide
Strongiloides stercoralis
Frotiu din fecale colorat cu H&E
Tehnica coproculturii cu carbune
Strongiloides stercoralisII std larvar - Larva strongiloida– stadiul infectant pt om
Larva migrans cutanata (LMC)
Ancylostoma caninum
Trichinella spiralis
Trichinella spiralis
Lame compresor
Trichinella spiralisEx trichineloscopic
Trichinella spiralis
Nematode evoluate = Filarii
Wuchereria bancrofti
Wuchereria bancrofti
Anopheles sp
Wuchereria bancroftiCulex salinarius
Wuchereria bancroftiAedes sp
Wuchereria bancrofti
Wuchereria bancrofti
Wuchereria bancroftiI std larvar - Microfilarie
Wuchereria bancrofti
Chilurie
Limfangiografie
Wuchereria bancrofti
Inregistrare – “dans filarie”
US scrotala
Brugia malayi
Brugia malayi
Mansonia sp
Anopheles sp
Brugia malayi
Elefantiasis (limfedem) in “cizma”
Onchocerca volvulus
Onchocerca volvulusSimulium damnosus
Onchocerca volvulusOnchocercom
Ghem adulti
vf. portiunii caudale
I Stadiu de larva = Microfilarie
Onchocerca volvulus
Onchocerca volvulus
Dermatita pruriginoasa + tulburari de melanogeneza
Onchocerca volvulus
Hanging groin
Onchocerca volvulus“River blindness” - Keratita semilunara sclerozanta
Onchocerca volvulus
Loa-Loa
Loa-Loa
Chrysops
Loa-Loa
Loa-Loa
Dracunculus medinensis
Dracunculus medinensis
Dracunculus medinensis
Dracunculus medinensisTehnica Avicenna
ECTOPARAZITI
Sarcoptes scabie
Sarcoptes scabie
Vezicula perlata
Sant acarian
Sarcoptes scabie
Scabie norvegiana la imunosupresati
Pediculus humanus capitis
Pediculus humanus capitis
Pediculus humanus corporis
Phthrius pubis (Paduchele lat)
Phthrius pubis
Ixodes sp
Ixodes sp (Capusa)
Ixodes sp
Scut chitinos
Femela-adult – parte anterioara corp – aparatul bucal (capitulum) prevazut cu spini recurenti , scut chitinos mic, membre
Ixodes sp
Ixodes sp
femela adult de Ixodes holocyclus localizata in tegumentul din spatele urechi stangi – paralizie faciala pe partea stg