University:
Camosun College
Course:
NURS132 | Promoting Health and Wellbeing
Academic year:

2023
Views:

326

Pages:

3
Author:

Aysha A

3 STRONGYLOIDIASIS Caused by stronglyloides stercoralis MORPHOLOGY S.stercoralis exist in three forms Adult, Lorvue, & egg. •Adult worm:- ouf female woring are present in the sl of man, 2-3mmlung. Male is free-living in the environment. • Egg- Viviparar, Gone laid latch pats lorvae/ ous LIFE CYCLE 5. stercoralis involves only one host (man) 13(Filariform) is infectious. ENVIRONMENT (SOIL) trongyloidoises Transmission-skin Penetration by L Infective form:- 13 (Kiloriforn Larva) ↓ Penetrates Venous circulation DIRECT DEVELOPMENT Lungs Swallowiry of SPUTUM Reach GIT Larvae dovolop adult female worms Pathogenesis Female worm lay eggs Contaming Larvae Moling 4 (Rhasdiliform Larva). in feces ENVIROMENTY (SOL) Lay eggs Fertilizatio Female Adult worm Male INTESTINE INDIRECT DEVELOPMENT MIGRATORY PHASE ☆ INTESTINAL PHASE LAYING EAGS (PARTHENOGENESIS) Dev in Environment: Direct (Rapiate) Indiret (Tropice) PARTHENOLGESIS & CLIMCAL FEATURES RASHES MIG LARVA Effect due to Migrating Lorva Asymptomatic rector: >50% PLL SYMPTOMS. RASHES Moctopupender or uttierial roshes that involve thigh, perineum and Buttocks. CUTANEOUS LARVA MIGRANS urterial Raches on thigh Known as Larva currents (locm/hour) PULMONARY SYMPTOMS Occurs 2° to chrank obstructive lung disease Effect due to Adult Worm and Filoriform Lorva Mild to moderate Warm load Epigastric pain, naucer, diorrhoes, constipation, Bled loss Heavy Larval Lond, Hopnfection syndrome & disseminated strongyloidiass are of compliaterms. LAB DIAGNOSIS Stool microscop •Reveals Knabdinfom bivae •Repeated stool examination (A3 single low outcome) RL Size Mouth Genital frimordiam Hook worm 100-150 pin long x 16 pm width Three time Inser Loss Prominent & small Anal Pore 80 pm from the posterior and Strongylaid 108-380 pm bag 14-2010 width shor Fer Prominent & Large 50 pm from the posteria end STOOL CULTURE Horode-Move Filler paper tube methol Baerman Funnel technique Agar Plate technique #charcoal cultue Method. SEROLOGY ELISA using crude larval Antigen (Greate sensitivity) -len specifiz becuz auss Reactivity with other helminthic infections. months - can be used for moniteng Response, Alb storts diss afls 6-12 hrs. Treatmat Ivermectin (200 mg likg box 2 days) Albendazole (400 mg for 3 days) For dissen meld stogo Prolonged course of Ivermectin (5-7 day COMPLICATIONS DHYPERINFECTION SYNDROME Due to repeated Autoinfection cycles 111 FILARIFORM CARVAT Penetrate GIT other agans. Risk factors in Impaired host immouy • Glucocorticoid therapy • Immunosuppon conditions transplant recipients, drugs. featuresır Colitis, Enteritis, malabsorption DISSEMINATED STRONGY COIDIASIS Larvae moj invade GIT and migrate to Various organs like CGIT, peritoneum, Livs skidneys -gram Bacaria sepsis, preumonia, meningit's -CNS Invasion, meningitis, & Brain Abcers-common. vao (CSF)