Clinic of Complementary and Osteopathy Medicine
Classification of human parasites
PROTOZOA
Making up approximately 70 percent of all invading organisms, protozoa are invisible to the naked eye. They are one-celled microscopic organisms, but don't let their size fool you. Certain protoans, through their intensely rapid reproductive ability, can take over the intestinal tract of their host; and from there go on to other organs and tissues. Some feed on red blood cells. Some protozoa produce cysts - closed sacs in which they may be safely transported through food and water from one person to another. In the cyst state, protozoans are safe from destruction by human digestive juices. These one-celled 'vampires' can actually destroy the tissues of their hosts. According to experts, an estimated 7 million people across the U.S. have some form of protozoa living inside of them. Common protozoa include: Endolimax nana, Giardia lamblia, Entamoeba histolytica, Cryptosporidum parvum, Blastocystis hominis, Trichomonas vaginalis, Toxoplasma gondii, Cyclospora cayetanensis, Cryptosporidium muris, Pneumocystis carinii, Plasmodium malariae, Plasmodium ovale, Plasmodium vivax, Plasmodium falciparum, Leishmania donovani, Leishmania tropica, and Leishmania braziliensis.
NEMATODE
While the protozoans are only single-celled, nematode creatures are multi cellular. The adult worms multiply by producing eggs called ova or larvae. The eggs usually become infectious in soil or in an intermediate host before humans are infected. It is interesting to note that unless the worm infection is heavy, many individuals do not show signs of infestation. While it may be unpleasant to consider, it is true that the human host can coexist quite comfortably with a few worms, unless they reproduce in great numbers and create organ obstruction. Experts claim that 'some type of worm is already in the intestines of over 75 percent of the world's population'. This is a frightening statement. Common nematode include: Roundworm (Ascaris lumbricoides), Hookworm (Necator Americanus, Ancylostoma duodenal), Pinworm (Enterobius vermicularis), Roundworm (Toxocara canis, Toxocara cati), Heart worm (Dirofilaria immitis), Strongyloides (Stronglyoides stercoralis), Trichinella (Trichinella spiralis), Filaria (Wuchereria bancrofti, Brugia malayi, Onchocerca volvulus, Loa loa, Mansonella streptocerca, Mansonella perstans, Mansonella ozzardi), and Anisakine larvae.
CESTODA
Among the oldest known parasites, tapeworms are considered humanity's largest intestinal inhabitant. They each have a scolex (head) that attaches to the intestinal wall. As long as the head remains attached to the intestinal mucosa, a new worm can grow from it. Tapeworms do not contain digestive tracts but get their nourishment by absorbing partially digested substances from the host. They are whitish in color, flat, and ribbon-like, with a covering that is a transparent skin-like layer. Common cestoda include: Beef tapeworm (Taenia saginata), Pork tapeworm (Taenia solium), Fish tapeworm (Diphyllobothrium latum), and Dog tapeworm (Dipylidium caninum).
TREMATODE
Trematode are leaf-shaped flatworms also known as flukes. They are parasitic during nearly all of their life-cycle forms. The cycle begins when larvae are released into freshwater by infected snails. The free-swimming larvae can then directly penetrate the skin of the human host or are ingested after encysting in or on various edible, vegetation, fish, or crustaceans. Common trematode include: Intestinal fluke (Fasciolopsis buski), Blood fluke (Schistosoma japonicum, Schistosoma mansoni) Schistosoma haematobium), Liver fluke (Clonorchis sinensis), Oriental lung fluke (Paragonimus westermani), and Sheep liver fluke (Fasciola hepatica).
ASCARIS
round worms are parasites commonly hosted in the intestines of various terrestrial animals, chiefly herbivores.
They are typically large worms characterized by a mouth surrounded by three lips. The species Ascaris lumbricoides
is probably the most familiar parasite in humans. An almost identical worm, often called A. suum, occurs in pigs.
The intestinal roundworm Ascaris lumbricoides infection in humans follows the ingestion of Ascaris eggs that have
contaminated foods or soil. In the small intestine the larvae are liberated and migrate through the intestinal
wall, reaching the lungs, where they may produce a host sensitization that results in lung inflammation and fluid
retention. About 10 days later, the larvae pass from the respiratory passages into the digestive tract and mature
into egg-producing worms, which grow to some 15 to 40 cm (6 to 16 inches) in length, in the small intestine. Serious,
even fatal, complications of ascariasis result from the infiltration of the larvae into sensitive tissues, such as
the brain, and from the migration of the adult worms into various body structures where they produce abcesses and
toxic manifestations.
PINWORMS
Pinworms generally live in the large intestine and cecum. It is found worldwide, and causes the most common
infection enterobiasis in humans. Unlike many other intestinal parasites, the pinworm does not usually enter the
bloodstream or any other organs besides the intestines. Only in rare cases are pinworms found in the vagina, and
even more rarely in the uterus, fallopian tubes, liver, and peritoneum, but the worms cannot survive long in these
places.
Over 200 million people worldwide are thought to be infested by pinworms with 30 to 40 million living in the United
States. This worm is found in both warm and cold climates and no socioeconomic group is immune to infection. It
is commonly found in crowded institutions such as day-care centers, schools, hospitals and orphanages. It is most
prevalent in children. They are tiny, 2-13 millimeters, and ivory or pearly-white in color. Up to eighty percent
of the children between 2 and 10 years of age contract pinworms at some time. Children are more likely than adults
to acquire the infestation because they are more likely to play with soil and mud and insert their fingers in their
mouths without washing them first.
Hookworm
Hookworm infection begins when the worm is in the larval stage. It penetrates the skin and migrates during
its life cycle through the liver and the lungs, and it attaches to the mucosa of the small intestine where it
matures. Hookworms deplete the body of nutrients, and a major effect is severe chronic iron-deficiency anemia.
Necator americanus, which ranges in size from 5 to 11 millimetres (0.2 to 0.4 inch), is responsible for about
90 percent of human hookworm infections that occur in tropical and subtropical regions of the world. Ancylostoma
duodenale, 8 to 13 millimeters long, is found on all continents but is most prevalent in warm regions. A.
braziliense, from 8 to 11 millimetres long, is normally parasitic in dogs and cats; man, however, is sometimes
infected by this species in the southern United States, South America, and Asia. A. ceylanicum, normally parasitic
in dogs, is sometimes found in man in South America and Asia. A. duodenale, possesses four hooklike teeth in its
adult stage, and N. americanus has plates in its mouth rather than teeth.
Tapeworm
The fish tapeworm is a broad, long worm, often growing to lengths of 3-7 feet at maturity and capable of attaining 30 feet. It is the longest tapeworm invading humans with as many as 4,000 segments (proglottids). The main body of the worm is virtually filled with male and female reproductive organs allowing it to produce an incredible number of eggs, often more than 1,000,000 a day. The adult attaches to the wall of the intestine with the aid of two sucking grooves located in its head (scolex).
Fasciolopsis buski
The adult worms, 2-7.5 cm (0.8-3 inches) long, attach themselves to the tissues of the small intestine of the host by means of ventral suckers; the sites of attachment may later ulcerate and form abscesses. In the early stage of the infection, there is usually abdominal pain, as well as diarrhea and nausea alternating with constipation. Heavy infestations that go untreated cause general body weakness and fluid retention, which may have serious consequences, especially in children.
Amoebas
Free-living protozoan groups that inhabit soils and natural waters are extremely diverse, not only in their structure but also in the manner in which they feed, reproduce, and move. The amoebas are a diverse group of free-living protozoa that probably evolved from a number of different primitive protozoan ancestors. The amoeboid group includes hundreds of different organisms, ranging in size from about .25 to 2.5 mm (about 0.0098 to 0.098 in). Amoebas are considered the most primitive animals and are classified in the kingdom Protista. All amoeboid organisms have thin cell membranes, a semirigid layer of ectoplasm, a granular, jellylike endoplasm, and an oval nucleus. Some species live on aquatic plants and some in moist ground; others are parasitic in animals and humans.