ATLASINTESTINAL PARASITES (Helminths)
      NEMATODA Order: Strongylata

       TRICHOSTRONGYLUS spp.

      By Lykourgos-Christos Alexakis M.D.

      Lykourgos_trycostrongylus-ic

      Trichostrongylus: Trichostrongyles spp. are parasites of herbivores, distributed throughout the world; human infections, due to several Trichostrongylus spp.
      (mainly T. orientalis) are observed in Asia (Korea, Japan, China, Iran) and Africa.
      Adult worms are slender; males measure 4 mm in lenght by 75 µm in diameter µm; females measure 6 mm in length and 85 µm in diameter.
      The eggs, observed in fresh stools at the morular stage measure 75-91 x 47 µm.
      The infection is acquired after consumption of raw vegetables contaminated by
      third larval stages, which are capable of invasion when ingested orally, without lung migration; the worms establish directly in the small intestinal wall
      (duodenum and jejunum) and grow to sexually mature worms.
      Trichostrongyles play both a mechanical and a toxic action; symptoms are usually mild (abdominal pain, malaise), except in heavy infections (anemia, weight loss).
      Diagnosis: detection of eggs in fresh stool samples with concentration techniques.
      The differentiation of eggs from those of hookworms is sometimes difficult and can be obtained in specimens treated with the formalin-ether concentration technique; identification of different Trichostrongylus species requires molecular biology
      techniques.
      (Tai-Soon YONG et al. Differential diagnosis of Trichostrongylus and hookworm eggs via PCR using ITS-1 sequence Korean Journal of Parasitology
      Vol. 45, No. 1: 69-74, March 2007)

      Trichostrongylus spp.: egg of Trichostrongylus spp. at morular stage.
       

      Courtesy of Lykourgos-Christos Alexakis M.D. , DTM & IH
       Aide Médicale Internazionale, Thailand Mission
      (21/22-26 Maesot-Maetao road, Mae Sot, Tak, 63110, Thailand)
      153 Ionias Avenue, Kato Patissia,
      Athens , 10445 Attiki, Greece.
      Photos are taken at x40, microscope 18L, with an Olympus camera SP-310
      simply attached on the eyepiece (with maximum zoom 8.0mm)