Contact with soil contaminated with eggs or larvae of nematode
parasites is a common form of transmission that results in human infection. The
nematodes can live for years as adults in the human intestinal tract. Soil
becomes contaminated by fecal material of infected humans and other animal
hosts.
More than a billion people are infected with at least one species.
The most important nematode infections of the human gastrointestinal tract are
the intestinal roundworm (Ascaris
lumbricoides), whipworm (Trichuris trichiura),
and hookworm (Necator
americanus or Ancylostoma duodenale).
It is common for a single individual, especially a child living in a less
developed country, to be chronically infected with all three of the nematode
parasites, which results in malnutrition, stunted growth stunting, retarded
intellectual development, and cognitive and educational deficiencies.
Human
Rhabditiform larval stages feed on bacteria associated with fecal and other organic matter.
Adult stage feeds on blood and tissue from the intestinal lining of the host.
Parasites draw mucus into their buccal cavity and suck the blood and tissue. The action of
digestive juices and the shearing of teeth form a bolus of tissue that is separated from the host gut and
ingested.
Host blood is drawn almost continuously into the intestine and passed out through the anus.
Blood plasma and corpuscles undergo at least partial digestion in the nematode.
Hookworms
consume up to 1 ml blood per individual per day.
When it reaches the small intestine of the host, the the infective filariform larva molts a fourth and final time and develops to maturity in about five weeks.
Adult hookworms (Ancylostoma
duodenale and Necator americanus)
parasitize the upper part of the human small intestine, whereas
Ascaris lumbricoides parasitize the entire
small intestine and adult
Trichuris trichiura live in the large intestine, especially the caecum.
The parasites can live for several years in the human
gastrointestinal tract. After mating, each adult female produces thousands of
eggs per day which leave the body in the feces.
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Eggs in soil hatch under favorable conditions
- First
juvenile stage J1 is a rhabditiform larva which grows and molts
in soil to a J2. The J2 probably feed on microbes in soil and
fecal material.
- The J2 grows and molts to a J3
infective filariform stage which is able to penetrate human
skin, travel through the blood vessels and heart, and reach the
lungs.
- Larvae of A. duodenale may
become dormant in tiuues and then reactivate and continue
migration
- In the lungs, the filariform larva
migrates through pulmonary alveoli and up through the trachea
where it is swallowed and carried to the small intestine.
- The larva
attaches to the intestinal wall, matures into an adult which
mates and the famles commence producing eggs.
-
Adults live in the lumen of the intestinal wall cause damage to
the tissues and blood loss.
- Eggs
produced by the adults are dposited to the soil in feces. the
feces; female hookworms produce up to 30,000 eggs per day (Hotez
et al., 2005)
-
Although they can live for 3-5 years, most adult hookworms worms
are eliminated in 1-2 years.
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Source of life-cycle diagram: Centers for
Disease Control website |
Note: A. duodenale lifecycle
only differs slightly from that of
Necator americanus.
The latter
has no development arrest in immune
hosts and it must continue migrating through the lungs |
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Infection by a hookworm usually results in bloody diarrhea and anemia.
Hookworm infections undermine the health of the host, causing stunting of growth and general laziness.
Often accompanied by acute mental distress.
Bethony, J., Brooker, S., Albonico, M., Geiger, S.M., Loukas, A., Diemert,
D., Hotez, P.J. 2006.
Soil-transmitted helminth infections: ascariasis, trichuriasis, and hookworm.
The Lancet 9521:1521-1532.
https://www.cdc.gov/dpdx/hookworm/index.html
Hotez, P.J, Bethony, J. Bottazzi, M.E.; Brooker, S., Buss, P. 2005. Hookworm:
"The Great Infection of Mankind. PLOS
Medicine. 2(3)
e67. doi:10.1371/journal.pmed.0020067
Roberts, L.S.; Janovy, J.; Schmidt, G.D. 2010. Foundations
of Parasitology (8th ed.).
McGraw-Hill. pp. 472-473. ISBN
978-0071311038
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