CLINICAL
PARASITOLOG
Y
TRICHURIS
TRICHIURA
PRESENTED BY: GROUP 3 MLT 5 T H E (HUSNAIN
KHALID)
PRESENTED TO: MAM ANUM TANVEER
• Husnain Khalid 224359 • Nimra Asad 224350
• Muhammad Atif 224362 • Ambreen Asghar 224369
• Muhammad Tauheed 224372 • Fiza Nawaz 224374
• Usama Rehman 224373 • Sana Iram 224378
• Muhammad Shoukat • Ayesha Fazal 224379
224385
• Amina noor 224391
• Rajab Ali
224388
CONTENT
• Introduction • Pathogenesis
• Stages in life cycle • Clinical finding
• Morphology • Lab diagnosis
• Transmission • Treatment
• Life cycle • Prevention
INTRODUCTION
• It is an intestinal Nematode
• Cause Whipworm infection ( Trichuriasis )
• Host … … Human
• Habitat… … soil
STAGES IN LIFE CYCLE
• Three main stage in life
cycle
1: Egg
2: Larva
3: Adult worm
MORPHOLOGY
EGG:
• SHAPE: Barrel or lemon shape
with a plug at each end , thick
shelled.
• SIZE: 50 – 55 micro meter
• COLOR: Brown, ( pink on H&E
stain )
• INFECTIVE STAGE:
Embryonated egg
• DIAGNOSTIC STAGE:
Unembryonated egg
MORPHOLOGY
ADULT WORM:
STRUCTURE:
• Whip like appearance
• Narrow anterior esophageal end
• Shorter and thicker posterior
end
• Attach to host through the
slender anterior
• Cuticle layer
MORPHOLOGY
• Feed on tissue secretion, not
blood
• Trichuris have both male and
female gender
• Females are larger than male
POSTERIOR END: Female
(round), Male (coiled)
SIZE: Male (30-45) , Female
(35-50)
TRANSMISSION
• By feco-oral route ( food and water
contaminated with human feces)
• By soil contact
LIFE CYCLE IN HUMAN
• Infection acquired by ingesting worm egg ( in food and
water contaminated with human feces)
• Egg hatch in small intestine
• Larva differentiate into immature adult
• Migrate to colon and mature
• Male and female adult live in colon
• Where matting occur
• Release thousand of eggs per day (3,000 to 20,000)
• Eggs passed in feces
LIFE CYCLE IN EXTERNAL
ENVIRONMENT
• Eggs deposit in warm and moist soil
• Form embryos
• Eggs become infective in 15-30 days
• Embryonated egg ingested by human and life
cycle is complete.
LIFE CYCLE
PATHOGENESIS
• Hairlike anterior end burrows into small
intestine mucosa
• Posterior end burrows into lumen
• Cause rectal prolapse
• increased peristalsis
• prolapsed mucosa
CLINICAL FINDINGS
(SYMPTOMS)
• Mostly asymptomatic
• Diarrhea (bloody)
• Rectal prolapse
• Nausea
• Anemia (no significant
as in hookworms
infection)
LAB DIAGNOSIS
SAMPLE:
• Feces
MICROSCOPY
• Eggs ( number and
shape)
• Having pink color on H&E
stain
TREATMENT
• Mebendazole drug of choice
PREVENTION
• Proper disposal of human feces
• Good hand & food hygiene
• Avoid walking bare foot