Nematodes are invertebrate roundworms that inhabit marine, freshwater, and terrestrial environments. They comprise the phylum Nematoda (or Nemata) which includes parasites of plants and of animals, including humans, as well as species that feed on bacteria, fungi, algae, and on other nematodes. Four out of every five multicellular animals on the planet are nematodes (Platt, 1994). Cobb (1914) calculated that if the nematodes resident in a single acre of soil near San Antonio, Texas, USA, were to proceed in head-to-tail procession to Washington D.C., some 2000 miles away, the first nematode would reach Washington before the rear of the procession left San Antonio!
Ghost Worms in the Sky
Lyrics: Kathy Merrifield
Vocals: Pointless Sisters
The majority of nematodes are microscopic, averaging less than a millimeter in length, but some of the animal parasites are quite large and readily visible to the naked eye. The animal and plant parasites are of direct importance in agriculture, the environment, and in human health; however, most nematodes in the environment are not parasites. Nematodes that feed on other organisms are important participants in the cycling of minerals and nutrients in the ecosystem that is fundamental to other biological activity. Some of these nematodes may have major roles in decomposition, including biodegradation of toxic compounds. In fact, the incidence of certain nematode species is sometimes used as an indicator of environmental quality. Insect-parasitic nematodes can be of importance in regulating insect populations, and are being used in the biological control of insect pests.
The developmental biology of one nematode species, Caenorhabditis elegans, is better characterized than that of any other multicellular organism. C. elegans is studied as a model system in molecular and developmental biology, and is providing insights into many other areas of biology and medicine.
2. Nematodes
Nematodes also known as roundworms are Among the most numerous of all
animals.
A cubic metre of soil contains about millions of round worms.
Simplest animals
Linear digestive system
Most primitive animals to show cephalization.
3. Nematodes
Characteristics:
Slender, unsegmented with tapered ends.
Range from microscopic to 1 meter long.
Most are free living and some are parasitic.
Develop from three germ layers.
Have a digestive tract with two openings.
4. Form and function
Feeding
Free living worms are predators with grasping mouth parts
Soil dwelling and aquatic forms eat algae,
fungi or decaying organic matter
Respiration, Circulation and Excretion
These processes take place by diffusion
5. Form and function
Response
Simple nervous system with several ganglia
Numerous sense organs
Movement
Nematodes have muscles that extend
the length of the body
Use the pseudocoelom and a hydrostatic
skeleton
6. Reproduction
Separate male and female organisms
Reproduce sexually using internal fertilization
Parasitic roundworms have life cycles that involve two or three
host or multiple organs in one host
7. Some Important Nematode Parasites of Humans
Ascaris lumbricoides
Enterobius vermicularis
Necator americanus
Trichinella spiralis
Wuchereria bancrofti
8. Ascaris lumbricoides
The Giant Intestinal Roundworm-
The adult female worm can be over 30 cm long and 2-6 mm
wide 800 million infected- most common parasitic worm
disease in the world the largest of the human intestinal
nematodes.
This is the most common parasitic worm disease in the
world, very prevalent in tropical regions but rarely found also
in our country.
In the United States about 4 million people are infected.
The adult female worm can be over 30 cm long and 2-6 mm
wide.
The female worm produces 200.000 eggs per day.
9. Ascaris lumbricoides
Adults live in small intestines of humans
Eggs exit with through feces
Once the eggs are ingested, they hatch in
intestine and travel to the lungs
Larvae molt twice, they travel to the
trachea where they are swallowed
12. Ascaris lumbricoides
Mass of Ascariasis lumbricoides
worms passed rectally by a child in
Africa; SOURCE: James
Gathany/CDC
Ascariasis lumbricoides nematode worms
(male on left, female on right); females can
reach lengths of over 12 inches (26.4 cm);
SOURCE: CDC
14. Signs and symptoms
The signs and symptoms of the nematode infection by Ascaris lumbricoides may include the
following:
Abdominal discomfort
Abdominal cramping
Abdominal swelling(especially in children)
Fever
Coughing and/or wheezing
Nausea
Vomiting
Passing roundworms and their eggs in the stool
15. Treatments
Fortunately, there are effective anthelmintic treatments available for ascariasis.
Medications such as single-dose albendazole (Albenza) or mebendazole (Vermox) are drugs of choice for
ascariasis.Health care providers administer drugs for only about one to three days.
Other drugs such as ivermectin (Stromectol), levamisole (Ergamisol), pyrantel pamoate (Pin Rid, Pin X),
nitazoxanide, and piperazine citrate have also been used effectively.
Pyrantel pamoate treats pregnant women; other drugs like mebendazole and albendazole may cause teratogenic
effects in the fetus.
There are a number of home remedies for ascariasis.
Garlic,
wormwood,
pumpkin seeds, and
many other herbs have been used to treat ascariasis.
16. Prevention and control
Before handling or eating any food, wash hands with soap and water.
Avoid drinking any local water sources when traveling.
Use only boiled water or bottled water
avoid raw vegetables .
18. Enterobius vermicularis
Pinworm
Most common parasite in US
Adults live in large intestine
At night females migrate out of the anus and lay eggs on skin
21. Symptoms
Enterobiasis is frequently asymptomatic.
The most typical symptom is perianal pruritus, especially at night, which may lead to excoriations
and bacterial superinfection.
Occasionally, invasion of the female genital tract with vulvovaginitis and pelvic or peritoneal
granulomas can occur.
Other symptoms include, teeth grinding, enuresia, insomnia, anorexia, irritability, and abdominal
pain, which can mimic appendicitis.
E. vermicularis larvae are often found within the appendix on appendectomy, but the role of this
appendectomy, but the role of this nematode in appendicitis remains controversial.
22. TREATMENT
The medications used for the treatment of pinworm are either mebendazole, pyrantel
pamoate, or albendazole. Any of these drugs are given in one dose initially, and then another
single dose of the same drug two weeks later.
Pyrantel Health practitioner and parents should weigh the health risks and benefits of these
drugs for patients under 2 years of age.
Repeated infections should be treated by the same method as the first infection. In
households where more than one member is infected or where repeated, symptomatic
infections occur, it is recommended that all household members be treated at the same time.
In institutions, mass and simultaneous treatment, repeated in 2 weeks, can be effective.
23. Prevention and control
with good hygiene practices such as
washing their hands with soap and warm water after using the toilet
changing diapers, and before handling food.
They should also cut fingernails regularly, and avoid biting the nails and scratching around the anus.
Frequent changing of underclothes and bed linens first thing in the morning is a great way to prevent possible
transmission of eggs in the environment and risk of reinfection.
These items should not be shaken and carefully placed into a washer and laundered in hot water followed by a
hot dryer to kill any eggs that may be there
In institutions, day care centers, and schools, control of pinworm can be difficult, but mass drug administration
during an outbreak can be successful. Teach children the importance of washing hands to prevent infection.
24. Necator americanus
Hookworm
Found in Southern US
Adults live in small intestine with teeth and
feed on blood & tissue fluid
Females 10,000 eggs daily & pass out of
body in feces Hookworm
25. Necator americanus
Eggs hatch in warm moist soil and
releases a small larva, the larva molts
and becomes the infective filariform
larva.
26. Necator americanus
Humans become infected when filariform
penetrates the skin (usually b/w toes) to
reach our circulatory system
29. Symptoms
High-intensity infections with these worms are less
common among adults.
The most serious effects of hookworm infection are the
development of anemia and protein deficiency caused by
blood loss at the site of the intestinal attachment of the
adult worms.
When children are continuously infected by many worms,
the loss of iron and protein can retard growth and mental
development.
30. Treatment
Anthelminthic medications (drugs that rid the body of parasitic worms), such as
albendazole and mebendazole, are the drugs of choice for treatment of hookworm
infections.
Infections are generally treated for 1-3 days. The recommended medications are
effective and appear to have few side effects.
Iron supplements may also be prescribed if the infected person has anemia.
31. Prevention and control
The best way to avoid hookworm infection is not to walk barefoot in areas where
hookworm is common and where there may be human fecal contamination of the
soil.
Also, avoid other skin contact with such soil and avoid ingesting it.
Infection can also be prevented by not defecating outdoors and by effective
sewage disposal systems.
32. Trichinella spiralis
The Porkworm
Adults live in mucus of small intestine
of humans and other mammals
33. Trichinella spiralis
Females birth young, larvae enter circulatory
system and are carried to Skeletal (striated)
Muscles
36. Trichinella spiralis
Humans become infected by eating
improperly cooked pork products
Larvae encyst in stomach move to
small intestine molt 4 times, turn into
Adults
37. Symptoms
The first symptoms of trichinellosis are gastrointestinal, usually occurring 1–2 days after a person
consumes raw or undercooked meat from a trichinella infected animal.
Nausea
Diarrhea
Vomiting
Abdominal pain
38. Symptoms
The following classic symptoms of trichinellosis often occur within 2 weeks after eating contaminated meat,
and can last up to 8 weeks
Muscle pain
Fever
Swelling of the face, particularly the eyes
Weakness or fatigue
Headache
Chills
Itchy skin or rash
Cough
Diarrhea
Constipation
39. • Control and prevention
The best way to prevent trichinellosis is to cook meat to safe temperaturesexternal icon.
A food thermometer should be used to measure the internal temperature of cooked meat. Do not
sample meat until it is cooked.
In addition:
Wash your hands with warm water and soap after handling raw meat.
Curing (salting), drying, smoking, or microwaving meat alone does not consistently kill infective worms;
homemade jerky and sausage were the cause of many cases of trichinellosis reported to CDC in recent
years.
Freeze pork less than 6 inches thick for 20 days at 5°F (-15°C) to kill any worms.
Freezing wild game meats, unlike freezing pork products, may not effectively kill all worms because
some worm species that infect wild game animals are freeze-resistant.
Clean meat grinders thoroughly after each use.
41. Wuchereria bancrofti
Thread-like worms that live in the Lymphatic System,
block the vessels
This causes enlargement of various appendages:
Elephantiasis
An Adult female Wuchereria bancrofti is about 80-100 mm
long and 0.24-0.30 mm in diameter, whereas a male is
about 40 mm long and 0.1 mm in diameter.
43. Wuchereria bancrofti
Adults copulate produce microfilariae.
The microfilariae released into the blood
stream
A microfilaria is about 240-300 µm
(micrometers) long and 7.5-10 µm thick
44. Wuchereria bancrofti
Mosquito (intermediate host) feeds on human
(definitive host) ingest microfilariae and larvae molts
2 times
Mosquito bites another human it injects 3rd stage
larvae into human blood, molts, enters lymphatic
system
Wuchereria bancrofti
46. SYMPTOMS
Although the parasite damages the lymph system , most infected people have no symptoms and will never develop
clinical symptoms. These people do not know they have lymphatic filariasis unless tested. A small percentage of
persons will develop lymphedema. This is caused by fluid collection because of improper functioning of the lymph
system resulting in swelling. This mostly affects the legs, but can also occur in the arms, breasts, and genitalia. Most
people develop these symptoms years after being infected.
The swelling and the decreased function of the lymph system make it difficult for the body to fight germs and
infections. These people will have more bacterial infections in the skin and lymph system. This causes hardening and
thickening of the skin, which is called elephantiasis. Many of these bacterial infections can be prevented with
appropriate skin hygiene as well as skin and wound care .
Men can develop hydrocele or swelling of the scrotum due to infection with one of the parasites that causes LF
specifically W. bancrofti.
Filarial infection can also cause tropical pulmonary eosinophilia syndrome, although this syndrome is typically found
in persons living with the disease in Asia. Eosinophilia is the presence of higher than normal disease-fighting white
blood cells in the body. Symptoms of tropical pulmonary eosinophilia syndrome include cough, shortness of breath,
and wheezing. The eosinophilia is often accompanied by high levels of Immunoglobulin E ( IgE) and antifilarial
antibodies.
47. Prevention and control
The best way to prevent lymphatic filariasis is to avoid mosquito bites.
The mosquitoes that carry the microscopic worms usually bite between the hours
of dusk and dawn . If you live in an area with lymphatic filariasis:
Sleep in an air-conditioned room or
Sleep under a mosquito net
Wear long sleeves and trousers and
Use mosquito repellent on exposed skin.