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 Ancylostoma duodenale (old hookworms)
 Necatore americanus (new hookworms)
SUPERFAMILY : Ancylostomatoidea
FAMILY : Ancylostomatidae
SUB FAMILY : Ancylostomatinae
GENUS : Ancylostoma
SPECIES : A. duodenale (human) , A. braziliense (dog and cats),
A. caninum (dog), A. tubaeforme (cats )
SYNONYMS : hook worm
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 Common name: Old world hookworm
 Habitat: Small intestine
 Definitive host: Human
 Route of infection: Filariform larvae penetrate the skin of human
 Infective stage: Third stage larvae ( filariform)
 Diagnostic stage: Eggs in Stool
 Disease: Hookworm infection, Ancylostomiasis
 Geographic Distribution: Southern Europe, North parts of Africa, China,
India,and Japan.
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1- Adult female is about 9-13 mm, and the male is smaller than
5-11mm.
2- The anterior end have buccal capsule (analogous to mouth)
armed with two ventral pairs of teeth.
3- The posterior end of the male has copulatory bursa to attach
the female during the copulation, females have simple conical
tail.
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10/12/16asifkanth89@gmail.com
10/12/16asifkanth89@gmail.com
10/12/16asifkanth89@gmail.com
ChitinousChitinous
teeth platesteeth plates 10/12/16asifkanth89@gmail.com
• Shape : oval with an empty space between the shell and content
• Size: 60 x 40 μm
• Shell: thin egg shell
• Color: colorless and transparent
• Content: 4-8 cell unembryonated
• Immature eggs pass in feces (20,000 eggs ⁄ day).
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3-Rhabditiform larva:
-thin -size: 200-400µ
-long buccal cavity.
-rhabditiform oesophagus, very small genital
-pointed tail end.
4-Filariform larva:
-size: 600-700µ.
-cylindrical oesophagus( one third of the
body length)
-sharply pointed tail
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10/12/16asifkanth89@gmail.com
1-Invasion stage:
The skin, at the site of entry of filariform larva
Maculopapular lesions “ ground itch” or “dew itch”
Itching, edema.
2-Migration stage: passage of the larvae in the lung leads to:
Haemorrhages and pneumonia, cough, fever, eosinophylia.
10/12/16asifkanth89@gmail.com
10/12/16asifkanth89@gmail.com
10/12/16asifkanth89@gmail.com
1) sucking of blood by the worm (iron-dificiency anaemia ),
 Severe anaemia leads to weakness.
 0.15-0.26 mL of blood may be withdrawn by a Ancylstoma in 24 houre.
 Approximately 50% of the red blood cells are hemolyzed
2) Bleeding at the site of attachment and after movement to a new sites.
3) Toxic substances .
-intestinal ulcers: flatulence, nausea, vomiting ,diarrhea.
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Hookworms do not permanently attach in one spot, but move
around the gut and reattach when they are ready to feed.
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1-Diagnosis can be determined by looking for
hookworm eggs in a recently collected stool sample.
2-Blood tests for anemia and nutritional deficiencies,
particularly iron, can help to confirm the diagnosis.
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PREVENTION AND CONTROL
 Sanitary disposal of human faeces
 Wearing of footwear
 Health education
 Treatment of infected individuals
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Ancylostoma caninum
Ancylostoma braziliense
Ancylostoma caninum
Dog hookworm
Ancylostoma braziliense
Cat hookworm
Both cause creeping eruptions
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Necator americanus
Ancylostoma duodenale
Treatment
Albendazole
 Drug of choice
 Ovicidal and larvicidal
 400 mg single dse in adults and children over 2 years old
Mebendazole
 500 mg single dose in adults and children
 Not recommended for children below 2 years old
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CONTACT
asifkanth89@gmail.com
(ASIF IBRAHIM) At Facebook,twitter,linkedin,SlideShare,Google+
Mob.9070262786,9018533143
10/12/16asifkanth89@gmail.com

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Ancylostoma duodenale

  • 2.  Ancylostoma duodenale (old hookworms)  Necatore americanus (new hookworms) SUPERFAMILY : Ancylostomatoidea FAMILY : Ancylostomatidae SUB FAMILY : Ancylostomatinae GENUS : Ancylostoma SPECIES : A. duodenale (human) , A. braziliense (dog and cats), A. caninum (dog), A. tubaeforme (cats ) SYNONYMS : hook worm 10/12/16asifkanth89@gmail.com
  • 3.  Common name: Old world hookworm  Habitat: Small intestine  Definitive host: Human  Route of infection: Filariform larvae penetrate the skin of human  Infective stage: Third stage larvae ( filariform)  Diagnostic stage: Eggs in Stool  Disease: Hookworm infection, Ancylostomiasis  Geographic Distribution: Southern Europe, North parts of Africa, China, India,and Japan. 10/12/16asifkanth89@gmail.com
  • 4. 1- Adult female is about 9-13 mm, and the male is smaller than 5-11mm. 2- The anterior end have buccal capsule (analogous to mouth) armed with two ventral pairs of teeth. 3- The posterior end of the male has copulatory bursa to attach the female during the copulation, females have simple conical tail. 10/12/16asifkanth89@gmail.com
  • 8. ChitinousChitinous teeth platesteeth plates 10/12/16asifkanth89@gmail.com
  • 9. • Shape : oval with an empty space between the shell and content • Size: 60 x 40 μm • Shell: thin egg shell • Color: colorless and transparent • Content: 4-8 cell unembryonated • Immature eggs pass in feces (20,000 eggs ⁄ day). 10/12/16asifkanth89@gmail.com
  • 10. 3-Rhabditiform larva: -thin -size: 200-400µ -long buccal cavity. -rhabditiform oesophagus, very small genital -pointed tail end. 4-Filariform larva: -size: 600-700µ. -cylindrical oesophagus( one third of the body length) -sharply pointed tail 10/12/16asifkanth89@gmail.com
  • 12. 1-Invasion stage: The skin, at the site of entry of filariform larva Maculopapular lesions “ ground itch” or “dew itch” Itching, edema. 2-Migration stage: passage of the larvae in the lung leads to: Haemorrhages and pneumonia, cough, fever, eosinophylia. 10/12/16asifkanth89@gmail.com
  • 15. 1) sucking of blood by the worm (iron-dificiency anaemia ),  Severe anaemia leads to weakness.  0.15-0.26 mL of blood may be withdrawn by a Ancylstoma in 24 houre.  Approximately 50% of the red blood cells are hemolyzed 2) Bleeding at the site of attachment and after movement to a new sites. 3) Toxic substances . -intestinal ulcers: flatulence, nausea, vomiting ,diarrhea. 10/12/16asifkanth89@gmail.com
  • 16. Hookworms do not permanently attach in one spot, but move around the gut and reattach when they are ready to feed. 10/12/16asifkanth89@gmail.com
  • 17. 1-Diagnosis can be determined by looking for hookworm eggs in a recently collected stool sample. 2-Blood tests for anemia and nutritional deficiencies, particularly iron, can help to confirm the diagnosis. 10/12/16asifkanth89@gmail.com
  • 18. PREVENTION AND CONTROL  Sanitary disposal of human faeces  Wearing of footwear  Health education  Treatment of infected individuals 10/12/16asifkanth89@gmail.com
  • 19. Ancylostoma caninum Ancylostoma braziliense Ancylostoma caninum Dog hookworm Ancylostoma braziliense Cat hookworm Both cause creeping eruptions 10/12/16asifkanth89@gmail.com
  • 20. Necator americanus Ancylostoma duodenale Treatment Albendazole  Drug of choice  Ovicidal and larvicidal  400 mg single dse in adults and children over 2 years old Mebendazole  500 mg single dose in adults and children  Not recommended for children below 2 years old 10/12/16asifkanth89@gmail.com
  • 21. CONTACT asifkanth89@gmail.com (ASIF IBRAHIM) At Facebook,twitter,linkedin,SlideShare,Google+ Mob.9070262786,9018533143 10/12/16asifkanth89@gmail.com