関: hookworm

WordNet

infestation of the intestines by hookworms which enter the body (usually) through the skin (同)hookworm_disease
parasitic bloodsucking roundworms having hooked mouth parts to fasten to the intestinal wall of human and other hosts
in or relating to the duodenum; "duodenal ulcer"

PrepTutorEJDIC

十二指腸虫 / 十二指腸虫症
十二指腸の

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/06/07 12:52:21」(JST)

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Ancylostoma duodenale is a species of the worm genus Ancylostoma. It is a parasitic nematode worm and commonly known as Old World hookworm. It lives in the small intestine of hosts such as humans, cats and dogs, where it is able to mate and mature. Ancylostoma duodenale and Necator americanus are the two human hookworms that are normally discussed together as the cause of hookworm infection. They are dioecious.^[1] Ancylostoma duodenale is abundant throughout the world, including in the following areas: southern Europe, north Africa, India, China, southeast Asia, some areas in the United States, the Caribbean, and South America.

Characteristics

Ancylostoma duodenale is small cylindrical worm, greyish-white in color. It has two ventral plates on the anterior margin of the buccal capsule. Each of them has two large teeth that are fused at their bases. A pair of small teeth can be found in the depths of the buccal capsule. Males are 8 mm to 11 mm long with a copulatory bursa at the posterior end. Females are 10 mm to 13 mm long, with the vulva located at the posterior end; females can lay 10,000 to 30,000 eggs per day. The average lifespan of Ancylostoma duodenale is one year.

When a filariform larva (infective stage) penetrates the intact skin, the larva enters the blood circulation. It is then carried to the lungs, coughed up, and swallowed back into the small intestine. The larva later matures into an adult in the small intestine and female worms can lay 25,000 eggs per day. The eggs are released into the feces and reside on soil. Embryonated eggs on soil will hatch into juvenile 1 stage (rhabditiform or noninfective stage) and mature into filariform larvae. The filariform larvae can then penetrate another exposed skin and begin a new cycle of infection.

Ancylostoma duodenale is prevalent in southern Europe, northern Africa, India, China, and southeast Asia, small areas of United States, the Caribbean islands, and South America. This hookworm is well known in mines because of the consistency in temperature and humidity that provide an ideal habitat for egg and juvenile development. It is estimated 1 billion people are infected with hookworms. Transmission of Ancylostoma duodenale is by contact of skin with soil contaminated with larvae.

Infection

Light infection causes abdominal pain, loss of appetite and geophagy. Heavy infection causes severe protein deficiency or iron deficiency anemia. Protein deficiency may lead to dry skin, edema and potbelly, while iron deficiency anemia might result in mental dullness and heart failure.

The eggs of Ancylostoma duodenale and Necator americanus cannot be distinguished. Larvae cannot be found in stool specimen unless they are left at ambient temperature for a day or more.

Education, improved sanitation and controlled disposal of human feces are important. Wearing shoes in endemic areas can reduce the prevalence of infection as well.

Ancylostoma duodenale can be treated with albendazole, mebendazole and benzimidazoles. Pyrantel pamoate is an alternative. In severe cases of anemia, blood transfusion may be necessary.

Notes

^ "Ancylostoma duodenale". http://plpnemweb.ucdavis.edu/NEMAPLEX/Taxadata/Aduodenale.htm. Retrieved 2009-01-22.

References

Hotez, P. J., and D. I. Pritchard. 1995(June). Hookworm infection. Sci. Am. 272:68–74.
Looss, A. 1898. Zur Lebensgeschichte des Ankylostoma duodenale. Cbt. Bakt. 24:441–449, 483–488.
Murray, P. R., K. S. Rosenthal, and M. A. Pfaller. 2009. Medical Mirobiology, 6th ed. Elsevier/Mosby Publishing Company, Philadelphia, U.S.A., 865 p.
Schmidt, G.D., and L. S. Roberts. 2009. Foundations of parasitology, 8th ed. McGraw-Hill Companies, New York,p. 472–473.

External links

http://workforce.cup.edu/buckelew/Ancylostoma%20duodenale%20ova.htm

UpToDate Contents

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1. 鉤虫感染 hookworm infection
2. 皮膚幼虫移行症（皮膚爬行症） cutaneous larva migrans creeping eruption
3. 集団寄生虫駆除 population deworming
4. 肺好酸球増多症の原因 causes of pulmonary eosinophilia
5. 駆虫薬療法 anthelminthic therapies

English Journal

Helminths and human ancestral immune ecology: What is the evidence for high helminth loads among foragers?

London D1, Hruschka D.Author information 1Department of Anthropology, Adelphi University, Garden City, New York, 11530.AbstractOBJECTIVES: Recent theories of human immune ecology have invoked high helminth loads as an important selection factor among early humans. However, few studies have assessed this assumption among extant human foragers.
American journal of human biology : the official journal of the Human Biology Council.Am J Hum Biol.2014 Mar 4;26(2):124-9. doi: 10.1002/ajhb.22503. Epub 2014 Jan 28.
OBJECTIVES: Recent theories of human immune ecology have invoked high helminth loads as an important selection factor among early humans. However, few studies have assessed this assumption among extant human foragers.METHODS: We review the current evidence for high helminth loads in documented forag
PMID 24469911

Data on the parasitological status of golden jackal (Canis aureus L., 1758) in Hungary.

Takács A1, Szabó L2, Juhász L1, Takács AA3, Lanszki J4, Takács PT5, Heltai M2.Author information 1University of Debrecen Centre for Agricultural and Applied Economic Sciences Debrecen Hungary.2Szent István University Institute for Wildlife Conservation Páter K. u. 1 H-2100 Gödöllő Hungary.3University of West Hungary Faculty of Geoinformatics Székesfehérvár Hungary.4University of Kaposvár Department of Nature Conservation Kaposvár Hungary.5Sárospatak Hungary.AbstractIn Hungary, twenty Canis aureus individuals were submitted to parasitological examinations in 2010-2012. Two Coccidia: Cystoisospora canis (15%) and Toxoplasma-type oocysts (5%), one Trematoda: Alaria alata (10%), six Cestoda: Mesocestoides lineatus (20%), Echinococcus granulosus (10%), Dipylidium caninums (5%), Taenia hydatigena (15%), Taenia pisiformis (20%), Taenia crassiceps (40%), and nine Nematoda: Angiostrongylus vasorum (10%), Crenosoma vulpis (30%), Capillaria aerophila (5%), Toxocara canis (20%), Toxascaris leonina (15%), Trichuris vulpis (10%), Ancylostoma caninum (45%), Uncinaria stenocephala (40%), Capillaria plica (45%) have been identified. Angiostronglyus vasorum has been reported from carnivores in Europe, Africa, South America and North America. The helminth A. vasorum or French heartworm is a metastrongylid nematode, widely distributed in Western Europe, that infects the pulmonary arterial tree of dogs, various species of foxes, wolves, Eurasian badgers, coyotes and stoats. To our knowledge, this is the first report of natural A. vasorum infection in golden jackal.
Acta veterinaria Hungarica.Acta Vet Hung.2014 Mar;62(1):33-41. doi: 10.1556/AVet.2013.058.
In Hungary, twenty Canis aureus individuals were submitted to parasitological examinations in 2010-2012. Two Coccidia: Cystoisospora canis (15%) and Toxoplasma-type oocysts (5%), one Trematoda: Alaria alata (10%), six Cestoda: Mesocestoides lineatus (20%), Echinococcus granulosus (10%), Dipylidium c
PMID 24334089

Parasitological and hematological aspects of co-infection with Angiostrongylus vasorum and Ancylostoma caninum in dogs.

Dracz RM1, Mozzer LR1, Fujiwara RT1, Lima Wdos S2.Author information 1Department of Parasitology, Universidade Federal de Minas Gerais, Av. Presidente Antônio Carlos 6627, 31270-901 Belo Horizonte, MG, Brazil.2Department of Parasitology, Universidade Federal de Minas Gerais, Av. Presidente Antônio Carlos 6627, 31270-901 Belo Horizonte, MG, Brazil. Electronic address: wlima@icb.ufmg.br.AbstractDogs are frequently infected by one or more species of endoparasites, which can lead to secondary infections that cause high morbidity and death. In this context, 2 nematode species are of veterinary importance: Angiostrongylus vasorum, which is a parasite of the pulmonary artery and right ventricle in domestic and wild canids, and Ancylostoma caninum, which is a parasite of the small intestine in felids and domestic and wild canids. We used 20 mongrel dogs that were divided into groups and infected as follows: Group A included 5 uninfected dogs, Group B included 5 dogs infected with A. vasorum, Group C included 5 dogs infected with A. caninum, and Group D included 5 dogs co-infected with A. vasorum and A. caninum. Parasitological and hematological monitoring were performed. The counts of larvae and eggs shed in the feces varied throughout the collection period. Moreover, negativation was not observed in any of the infected groups. The animals in Group C had macrocytic and hypochromic anemia, whereas the animals in Group D had macrocytic and normochromic anemia. Infected dogs also presented with eosinophilia and lymphocytosis. These data from coproparasitological techniques provide an improved assessment of disease severity and a more thorough understanding of parasitism in the host.
Veterinary parasitology.Vet Parasitol.2014 Feb 24;200(1-2):111-6. doi: 10.1016/j.vetpar.2013.12.003. Epub 2013 Dec 10.
Dogs are frequently infected by one or more species of endoparasites, which can lead to secondary infections that cause high morbidity and death. In this context, 2 nematode species are of veterinary importance: Angiostrongylus vasorum, which is a parasite of the pulmonary artery and right ventricle
PMID 24373514

Japanese Journal

Hookworm burden reductions in Balb/c mice vaccinated with recombinant Ancylostoma secreted proteins (ASPs) from Ancylostoma duodenale, Ancylostoma caninum and Necator americanus

LIU S.
Vaccine 18, 1096-1102, 2000
NAID 30006365287

Ancylostoma duodenale is responsible for hookworm infections among pregnant women in the rural plains of Nepal

NAVITSKY R. C.
J. Parasitol. 84(3), 647-651, 1998
NAID 30021033903

ネパール国カトマンズ市内の附属大学病院における鉤虫感染状況 : lO年間の記録

KUMAR RAI SHIBA,GOVINDA SHRESTHA HARI,中西守,久保隆,小野一男,宇賀昭二,松村武男
日本熱帯医学会雑誌 25(2), 81-84, 1997-06-15
NAID 10011490709

Related Pictures

★リンクテーブル★

リンク元	「蠕虫」「Ancylostomatoidea」「ズビニ鉤虫」「Uncinaria stenocephala」
関連記事	「Ancylostoma」「duodenal」

「蠕虫」

Ancylostoma duodenale
Scientific classification
Kingdom:	Animalia
Phylum:	Nematoda
Class:	Secernentea
Order:	Strongylida
Family:	Ancylostomatidae
Genus:	Ancylostoma
Species:	Ancylostoma duodenale

　　[★]

英: helminth, worms
ラ: helminthen
関: 微生物学、蠕虫症、家畜伝染病予防法

蠕虫類

吸虫類 trematoda
条虫類 cestoda
線虫類 nematoda
鉤頭虫類 acanthocephala

蠕虫類と感染症

蠕虫類	病原体名		病名	感染経路	寄生部位	症状	診断	治療
線虫類	Ancylostoma duodenale	ズビニ鉤虫	鈎虫症/十二指腸虫症	F型幼虫経口感染、経皮	空腸上部	皮膚炎、若菜病、貧血	飽和食塩水浮遊法、遠心沈降法	pyrantel pamoate、鉄剤
	Necator americanus	アメリカ鉤虫	鈎虫症/十二指腸虫症	F型幼虫経口感染、経皮	空腸上部	皮膚炎、若菜病、貧血	飽和食塩水浮遊法、遠心沈降法	pyrantel pamoate、鉄剤
	Strongyloides stercoralis	糞線虫	糞線虫症	F型幼虫経皮感染	小腸上部	Loffler症候群	糞便塗沫、普通寒天平板培養による R型、F型幼虫の検出	thiabendazole, ivermectin
	Enterobius vermicularis	蟯虫	蟯虫症	虫卵経口感染	盲腸～大腸	夜間の掻痒、不眠、情緒不安定	肛囲検査法「柿の種」	pyrantel pamoate
	Ascaris lumbricoides	回虫	回虫症	虫卵経口感染	小腸孵化→門脈→ 肺発育→食道嚥下→小腸	Loffler症候群。急性腹痛	糞便虫の虫卵の証明	pyrantel pamoate
	Toxocara canis	イヌ回虫	幼虫移行症	生後1-2ヶ月の感染犬の糞から経口感染	なし	幼虫移行症→失明	免疫診断	治療法無し？
	Wuchereria bancrofti	バンクロフト糸状虫	フィラリア症/糸状虫症	アカイエカ	リンパ系	急性期：リンパ肝炎、リンパ腺炎を伴う熱発作(filarial fever) 慢性期：乳糜尿、リンパ管瘤、陰嚢水腫、象皮病	急性期：夜間のmicrofilariaの検出慢性期：特有の症状を考慮	diethylcarbamazine & ivermectin
	Brugia malayi	マレー糸状虫	フィラリア症/糸状虫症	アカイエカ	リンパ系		急性期：夜間のmicrofilariaの検出慢性期：特有の症状を考慮	diethylcarbamazine & ivermectin
	Dirofilaria immitis	イヌ糸状虫		アカイエカ	なし	幼虫移行症→肺血管閉塞→胸部X線画像銭形陰影
	Gnathostoma spinigerum	有棘顎口虫	顎口虫症	ドジョウ、雷魚、ヘビの生食		消化管壁貫通→皮下移動による腫瘤や線状皮膚炎	移動性腫瘤、皮膚爬行疹雷魚やドジョウの生殖の問診免疫血清診断	なし
	Gnathostoma hispidum	剛棘顎口虫
	Gnathostoma doloresi	ドロレス顎口虫
	Gnathostoma nipponicum	日本顎口虫
	Anisakis simplex, larva	アニキサス幼虫	アニサキス症 (1)胃アニサキス症、 (2)腸アニサキス症、 (3)異所性アニサキス症	経口感染終宿主：クジラ、イルカ。中間宿主：オキアミ。待機宿主：サバ、ニシン、アジ、タラなど	胃や腸	(1)急激な上腹部痛"胃けいれん" (2)腹痛、急性虫垂炎、イレウス様。劇症型と緩和型がある (3)腹腔内の炎症性肉芽腫	胃内視鏡検査	内視鏡による虫体摘出
	Pseudoterranova decipiens	アニキサス幼虫	アニサキス症 (1)胃アニサキス症、 (2)腸アニサキス症、 (3)異所性アニサキス症	経口感染終宿主：クジラ、イルカ。中間宿主：オキアミ。待機宿主：サバ、ニシン、アジ、タラなど	胃や腸		胃内視鏡検査	内視鏡による虫体摘出
	Trichinella spiralis	旋毛虫	旋毛虫症	経口感染豚肉、クマ肉の生食		(1)成虫侵襲期：下痢、腹痛 (2)幼虫筋肉移行期：顔面浮腫、心筋障害など (3)幼虫被嚢期：全身浮腫、衰弱		急性期：ステロイド殺虫：mebendazole
			鞭虫症		盲腸	慢性下痢、腹痛、異食症、貧血	セロファン重層塗沫法、ホルマリンエーテル法	mebendazole
	Spirurin nematode larva	旋尾線虫	旋尾線虫幼虫	ホタルイカの生食	なし	皮膚爬行疹、イレウス様症状	予防：-30℃24時間。生食には-30℃4日間以上	摘出
吸虫類	Shistosoma japonicum	日本住血吸虫	日本住血吸虫症	糞便虫の虫卵→ミラシジウム→ ミヤイリガイ体内でセルカリア→ 人畜の皮膚より浸入→循環系→ 門脈に寄生	門脈	(1)潜伏期：侵入部の掻痒性皮膚炎。肺移行期：咳、発熱 (2)急性期：虫卵の門脈系寄生、産卵。住血吸虫性赤痢。 (3)慢性期：虫卵の肝、脳などの塞栓。肝硬変。脾腫、腹水	糞便虫の虫卵の検出。直腸粘膜層掻爬法、肝穿刺による組織内虫卵の検出。補助診断として免疫血清学的検査。	praziquantel
	Paragonimus westermani	ウェステルマン肺吸虫	肺吸虫症/肺ジストマ症	経口感染淡水産のカニ、イノシシ肉の生食	肺	痰、咳、胸痛、時に喀血	痰や便の虫卵検査、胸部写真、断層写真で明らかな虫嚢。免疫学血清検査
	Paragonimus miyazakii	宮崎肺吸虫	肺吸虫症/肺ジストマ症	経口感染淡水産のカニ、イノシシ肉の生食	肺	気胸、胸水貯留、膿胸、好酸球増加		praziquantel
	Clonorchis sinensis	肝吸虫	肝吸虫症/肝ジストマ症	経口感染虫卵→(マメタニシ:セルカリア)→ セルカリア→(魚:メタセルカリア)→ 摂取→(ヒト:成虫)→虫卵	胆管	胆汁流出障害による肝障害→肝硬変	糞便、胆汁(十二指腸ゾンデ法)。肝吸虫卵の検出。CT像。エコー検査。	praziquantel
			横川吸虫症	淡水魚(アユ、フナ、ウグイ、シラウオ)の生食	小腸粘膜	下痢、腹痛	糞便虫の虫卵	praziquantel
条虫類	Taeniarhynchus saginatus	無鉤条虫	腸管条虫症	経口感染。中間宿主：ウシ	小腸	無症状。下痢。広節裂頭条虫感染では悪性貧血。	糞便虫の虫卵と体節により診断	praziquantel。有鉤条虫の場合はガストログラフィン。有鉤条虫の駆虫の際、虫体を破壊しない →虫体の融解による嚢虫症
	Taenia solium	有鉤条虫		経口感染。中間宿主：ブタ
	Diphyllobothrium latum	広節裂頭条虫		経口感染。中間宿主：サケ、マス
		日本海裂頭条虫		経口感染。中間宿主：サケ
			腸管外条虫症
			有鉤嚢虫症	有鉤条虫の虫卵の経口摂取	皮下、筋肉内脳、脊髄、眼球	皮下、筋肉内：小指頭大の無症状腫瘤脳、脊髄、眼球：Jacksonてんかん。痙性麻痺など	皮下の虫嚢	外科的摘出。成虫寄生がなければ、praziquantel, albendazole + ステロイド
	Echinococcus granulosus	単包虫	包虫症/ エキノコックス症 (単包虫症)	終宿主：イヌ、キツネなど。中間宿主：ヒト、ブタ、野ネズミなど。終宿主の糞便虫の虫卵を中間宿主が接種して発症	肝、肺、まれに脳、腎、筋肉	肝寄生：肝部疼痛、満腹、時に黄疸、下肢浮腫肺寄生：胸部圧迫感、胸痛、咳、血痰、時に喀血	肝や肺の嚢胞形成から疑う。早期に診断に皮内反応→ CT、エコー→ 生検。免疫血清学的診断法	外科的切除。 albendazoleの長期投与
	Echinococcus multilocularis	多包虫	包虫症/ エキノコックス症 (多包虫症)	終宿主：イヌ、キツネなど。中間宿主：ヒト、ブタ、野ネズミなど。終宿主の糞便虫の虫卵を中間宿主が接種して発症	肝、肺、まれに脳、腎、筋肉	肝寄生：肝部疼痛、満腹、時に黄疸、下肢浮腫肺寄生：胸部圧迫感、胸痛、咳、血痰、時に喀血	肝や肺の嚢胞形成から疑う。早期に診断に皮内反応→ CT、エコー→ 生検。免疫血清学的診断法	外科的切除。 albendazoleの長期投与