understanding intestinal parasites, causes of intestinal parasites in children, risk factors, signs and symptoms, diagnosis and treatment

1. Training in Medical Diagnostic
Imaging
Factsheet # 6:
Intestinal Parasites
Nchanji Nkeh Keneth
Radiologic Technologist/Sonographer
B.TECH/HPD in MDIRT
(St. LOUIS UNIHEBS, Mile 3 Nkwen Bamenda)
excellence660@gmail.com
+237 671459765
St. Blaise Catholic Clinic, Big Mankon Bamenda
6/26/2018
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3. Overview
•Intestinal parasites remain one of the Neglected
Tropical Diseases in LEDCs
•Different types exist and commonly associated
with children
•Poverty, poor water and food hygiene are
common risk factors of intestinal parasites
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4. Overview of Intestinal Parasites Cont
•IP could lead to malnutrition, anemia,
lung infections and also death if
neglected
•School based deworming and Preventive
Health care education are crucial
methods in reducing the incidence of
intestinal parasites
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5. Introduction
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9. Abdominal cyst
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10. Classification of IP
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11. Helminthiasis
Nematodes
(Round Worms)
Trematodes
(Flukes)
Cestodes
(Tape worms)
Ascaris lumbricoides
Enterobius vermicularis
Hook worm
Trichuris trichiura
Brugia malayi
Wuchereria bancrofti
Schistosoma
Clonorchis
Fasciola hepatica
Taenia solium
Taenia saginata
Echinococcus
Diphyllobothrium latum

12. Intestinal Parasites
Ascaris Lumbricoides
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13. IP1: Ascaris Lumbricoides
Typical Case
• 14 yr old girl with hx of asthma, presents at the
hospital with abdominal pains, distension, absence
of stool for the past three days. Persistent
vomiting; and now her abdomen is firm and she
is ill
• Ascaris Lumbricoides ?
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15. Life Cycle/Transmission of Ascaris Lumbricoides
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16. Notes on Ascaris Lumbricoides
1.
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18. Intestinal Parasites
Whipworm: Trichuris Trichuria
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19. Typical Signs and Symptoms of
Whipworm Infestation, Case 2
•12 year old boy, brought to Wat Integrated
health center, complains of intermittent diarrhea
and blood stained stools. Growth chart also
reveals that the child has lost weight of 3kg for
the past 6 months
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23. Intestinal Parasites
Hookworms: Necator americanus
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24. Case 3: Hookworms
School Children in rural area X walk
bare footed, Play in local streams. No
Latrines exists, besides pit toilets; all
fecal matter are released in the streams
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25. Hookworms: Mode of Transmission
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30. Intestinal Parasites
Strongyloides stercoralis
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34. Note!
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35. Intestinal Parasites
Taenia solium: Taeniasis or
cysticercosis
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36. Case 5
15 yr old girls very healthy, though
has been complaining of left sided
headache for 2 months, suddenly had
a seizure this afternoon and eventually
herm paralysis associated with clonic-
tonic seizures
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43. Intestinal Parasites
Entamoeba histolytica
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47. Intestinal Parasites Clinical manifestations
• Seizures
• Abdominal pains
• Bloody stool
• Hemoptysis
• Asthma
• Headache
• Anemia
• Constipation
• Abdominal guarding etc
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48. Complications of Intestinal Parasites
Infestations
1.Bowel Obstruction
2.Malabsorption leading to :
Anemia, malnutrition
3.Neurological effects
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49. Dx/Rx of Intestinal Parasites
•Stool examination
•Medical Imaging Studies (Plain
Radiography, Ultrasonography,
CT Scan, MRI Scans etc)
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50. Treatment of IP
•Use of Albendazole
•Mebendazole
•Iron Supplements etc
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51. Prevention of IP
•Deworm the Kids
•Maintain high levels of Food and
water Sanitation
•Avoid swimming in local streams
•Health education
•Do not walk bear footed
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52. References
1.James Gaensbuer, MD, MPH, Kevin
Messacar MD (2011); Intestinal
Parasites. Global H4alth Conference,
October 25, 2011
2. Dr Nishant Verma. Common
Infestations in Children; Department of
Pediatrics6/26/2018 Nchanji N Keneth, 6714597 6 5, DMI Training Resource 52

53. End of Lecture
?
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54. Beri wi ba’a ghor
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