Ancylostomiasis pathophysiology: Difference between revisions

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==Pathophysiology==
==Pathophysiology==
===Hookworm life cycle===
===Hookworm life cycle===
All species of [[hookworm]] have no [[intermediate host]], they have a direct [[life cycle]]. [[Mature females]] released eggs in the host’s [[small intestine]] and these eggs are passed in the feces, where they hatch [[first stage]] [[rhabditiform]] [[larva]] (L1) within several days. The L1 feeds on soil [[microbes]] and [[molts]] to the L2 stage, and under appropriate conditions, each eggs hatch in warm, moist, sandy soil, or in faeces and develops into an [[infective]] [[filariform]] (L3) stage larva. The infective-stage larvae (L3) enter the body either through a cutaneous route or by direct oral ingestion. Some species of human hookworm such as Ancylostoma and Necator Americanus enter the body by skin penetration which may cause a local pruritic dermatitis, also called ground itch at the site of penetration whereas the ancylostoma species can also enter the body orally.<ref name="pmid8939719">{{cite journal| author=Hawdon JM, Hotez PJ| title=Hookworm: developmental biology of the infectious process. | journal=Curr Opin Genet Dev | year= 1996 | volume= 6 | issue= 5 | pages= 618-23 | pmid=8939719 | doi=10.1016/s0959-437x(96)80092-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8939719  }} </ref> The infective larvae (L3) migrate through the dermis, enters the bloodstream, and reach the lungs within 10 days. Once they reach the lungs, they migrate across the alveoli and breaks into alveoli leads to mild and usually asymptomatic alveolitis with eosinophilia. Then they ascend from the bronchial tree to the pharynx, can be coughed up, swallowed, and reach the small intestine where they mount into fourth stage larvae and mature into blood feeding adults male or female.<ref name="pmid28882382">{{cite journal| author=Jourdan PM, Lamberton PHL, Fenwick A, Addiss DG| title=Soil-transmitted helminth infections. | journal=Lancet | year= 2018 | volume= 391 | issue= 10117 | pages= 252-265 | pmid=28882382 | doi=10.1016/S0140-6736(17)31930-X | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28882382  }} </ref>
All species of [[hookworm]] have no [[intermediate host]], they have a direct [[life cycle]]. [[Mature females]] released eggs in the host’s [[small intestine]] and these eggs are passed in the feces, where they hatch [[first stage]] [[rhabditiform]] [[larva]] (L1) within several days. The L1 feeds on soil [[microbes]] and [[molts]] to the L2 stage, and under appropriate conditions, each eggs hatch in warm, moist, sandy soil, or in feces and develops into an [[infective]] [[filariform]] (L3) stage larva. The infective-stage larvae (L3) enter the body either through a cutaneous route or by direct oral ingestion. Some species of human hookworm such as Ancylostoma and Necator Americanus enter the body by skin penetration which may cause a local pruritic dermatitis, also called ground itch at the site of penetration whereas the ancylostoma species can also enter the body orally.<ref name="pmid8939719">{{cite journal| author=Hawdon JM, Hotez PJ| title=Hookworm: developmental biology of the infectious process. | journal=Curr Opin Genet Dev | year= 1996 | volume= 6 | issue= 5 | pages= 618-23 | pmid=8939719 | doi=10.1016/s0959-437x(96)80092-x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8939719  }} </ref> The infective larvae (L3) migrate through the dermis, enters the bloodstream, and reach the lungs within 10 days. Once they reach the lungs, they migrate across the alveoli and breaks into alveoli leads to mild and usually asymptomatic alveolitis with eosinophilia. Then they ascend from the bronchial tree to the pharynx, during which the host may develop a cough, sore throat, fever. They coughed up, swallowed, and reach the small intestine where they mount into fourth-stage larvae and mature into blood-feeding adults male or female.<ref name="pmid28882382">{{cite journal| author=Jourdan PM, Lamberton PHL, Fenwick A, Addiss DG| title=Soil-transmitted helminth infections. | journal=Lancet | year= 2018 | volume= 391 | issue= 10117 | pages= 252-265 | pmid=28882382 | doi=10.1016/S0140-6736(17)31930-X | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28882382  }} </ref>


==References==
==References==

Revision as of 04:28, 23 August 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

Pathophysiology

Hookworm life cycle

All species of hookworm have no intermediate host, they have a direct life cycle. Mature females released eggs in the host’s small intestine and these eggs are passed in the feces, where they hatch first stage rhabditiform larva (L1) within several days. The L1 feeds on soil microbes and molts to the L2 stage, and under appropriate conditions, each eggs hatch in warm, moist, sandy soil, or in feces and develops into an infective filariform (L3) stage larva. The infective-stage larvae (L3) enter the body either through a cutaneous route or by direct oral ingestion. Some species of human hookworm such as Ancylostoma and Necator Americanus enter the body by skin penetration which may cause a local pruritic dermatitis, also called ground itch at the site of penetration whereas the ancylostoma species can also enter the body orally.[1] The infective larvae (L3) migrate through the dermis, enters the bloodstream, and reach the lungs within 10 days. Once they reach the lungs, they migrate across the alveoli and breaks into alveoli leads to mild and usually asymptomatic alveolitis with eosinophilia. Then they ascend from the bronchial tree to the pharynx, during which the host may develop a cough, sore throat, fever. They coughed up, swallowed, and reach the small intestine where they mount into fourth-stage larvae and mature into blood-feeding adults male or female.[2]

References

  1. Hawdon JM, Hotez PJ (1996). "Hookworm: developmental biology of the infectious process". Curr Opin Genet Dev. 6 (5): 618–23. doi:10.1016/s0959-437x(96)80092-x. PMID 8939719.
  2. Jourdan PM, Lamberton PHL, Fenwick A, Addiss DG (2018). "Soil-transmitted helminth infections". Lancet. 391 (10117): 252–265. doi:10.1016/S0140-6736(17)31930-X. PMID 28882382.

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