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The Biology of Schistosomiasis. By: Tricia Stone, Marielle Remillard & Tracy Wright. Schistosomes. macroscopic parasite from the genus Schistosoma characterized by significant sexual dimorphism Schistosoma= split body. Types of Schistosomes. Three species affect humans:
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The Biology of Schistosomiasis By: Tricia Stone, Marielle Remillard & Tracy Wright
Schistosomes • macroscopic parasite from the genus Schistosoma • characterized by significant sexual dimorphism • Schistosoma=splitbody
Types of Schistosomes • Three species affect humans: 1.) S. mansoni: large intestine 2.) S. japonicum: small intestine 3.) S. haematobium: urinary bladder
Life Cycle intermediate fresh water snail host miracidia feces and urine
Intermediate Snail Hosts • S. mansoni: Biomphalaria (Africa) • S. haematobium: Bulinus (Africa) • S. japonicum: Oncomelania (Asia) Biomphalaria Bulinus Oncomelania
Life Cycle intermediate fresh water snail host cercariae
YUMMY!! Life Cycle in the Human cercariae human host human host
Life Cycle in the Human schistosomulum human host
Life Cycle in the Human schistosomulum human host adult schistosome
Life Cycle in the Human eggs excreted in the feces and urine adult schistosome
Stage 1: Migratory Phase • moves through the body to target tissue • begins with penetration through egg production • often symptomless • possible rash and itchy skin • some upper respiratory complications (i.e. cough)
Stage 2: Acute Phase • 4-10 weeks after infection • begins with egg production • Symptoms: - fever - headache - diarrhea - fatigue - nonspecific abdominal pain
Stage 3: Chronic Phase • prolonged infection (up to 10 years) symptoms: - cirrhosis of the liver - kidney damage - bleeding of upper bowel - urinary bladder damage - enlargement of liver and spleen
“Slippery Little Suckers Aren’t They…”~Julia Roberts (Pretty Woman) • Innate Immunity • penetration of skin • Specific Immunity • adults take on host antigens
Risk Factors • 200 million infected globally • 20 million with chronic schistosomiasis • 600 million at risk -extreme poverty -lack of public health facilities -unsanitary conditions -unawareness among the people
Prevention • avoid swimming in fresh water in countries where schistosomiasis is prevalent. • drink clean water • scrape body down after accidental exposure • water-resistant creams • Snail Control
Diagnosis and Treatment • Diagnosis • blood tests • examination of stool and urine samples to detect eggs • Treatment • Drugs • Praziquantel - effective in the treatment of all forms of schistosomiasis, with virtually no side effects * • Oxamniquine - used exclusively to treat intestinal schistosomiasis in Africa and South America * • Metrifonate - effective for the treatment of urinary schistosomiasis • Vaccination • Research efforts are directed at finding a vaccine, but no success *obtained from W.H.O.
Interested in More??? • http://www.wellcome.ac.uk/en/labnotes5/animation_popups/schisto.html • http://www.cdc.gov/ncidod/dpd/parasites/schistosomiasis/default.htm • http://en.wikipedia.org/wiki/Schistosomiasis • http://www-micro.msb.le.ac.uk/224/Schisto.html • http://www.path.cam.ac.uk/~schisto/