寄生虫同学(蛲虫, 线虫).pdfVIP

Enterobius vermicularis (pinworm) 蠕行住肠线虫 （蛲虫） The common name of Enterobius vermicularis is “ pinworm” Adult worms live in the human colon and cause enterobiasis （蛲虫病） •Characteristics of morphology Adult worm 1) pin-like and white color 2) cephalic alae prominent 3) esophageal bulb present ♀：8-13mm ♂：2-5mm Double reproductive system in female Cephalic alae Esophageal bulb  Egg  size: 50-60 µm by 20-32 µm  shape: asymmetrical, with one convex side and one flattened side  colour: colorless  the egg contains an embryo  the egg is very light and can drift on the air • Life cycle perianal skin moist, warm Ingestion Female eggs infective eggs （ileum, cecum) at night 6hrs 回盲部 migrate to cecum and colon larvae adults （duodenum ） （cecum, colon） • After copulation,males died and passed out, gravid females deposit their eggs only outside the anus at night • The life span of female is about two months •The mode of infection  Auto-infection anus—hands— mouth occurs by transferring infective eggs to the mouth with hands that have scratched the perianal area  Person-to-person transmission occurs through handling of contaminated underclothes, bed covers or toys •Pathogenesis and Clinical Manifestation The most common symptoms are: 1) perianal, perineal （会阴）and vaginal irritation caused by the female migration 2) Insomnia and restlessness caused by itching 3) Gastrointestinal symptoms (abdominal pain, nausea, vomiting, rectal prolapse etc.) may