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CHAPTER 11 The Trematodes

279

Developed

miracidium

Small lateral spine

(difficult to see)

A

Size range: 50-85 m by 38-60 m

B

FIGURE 11-10 A, Schistosoma japonicum egg. B, Schistosoma japonicum egg. (B from Mahon CR, Lehman DC,

Manuselis G: Textbook of diagnostic microbiology, ed 4, St Louis, 2011, Saunders.)

Large

terminal spine

Developed

miracidium

B

A Size range: 110-170 m by 38-70 m

FIGURE 11-11 A, Schistosoma haematobium egg. B, Schistosoma haematobium egg. (B from Mahon CR, Lehman DC,

Manuselis G: Textbook of diagnostic microbiology, ed 4, St Louis, 2011, Saunders.)

Epidemiology

There are a number of reservoir hosts capable

of carrying Schistosoma spp. These include

monkeys, cattle and other livestock, rodents, and

domesticated animals such as dogs and cats. The

specific geographic distribution of each of the

three Schistosoma spp. vary by species.

It is believed that S. mansoni originated in the

Old World because it is prevalent primarily in

parts of Africa. Transport of the organism to the

New World most likely occurred via the slave

trade. Known endemic areas include Puerto Rico,

the West Indies, and portions of Central and

South America.

The geographic distribution of S. japonicum

is limited to the Far East. Areas known to harbor

the parasite include parts of China, Indonesia,

and the Philippines. There is evidence to suggest

that although portions of Japan were once known

endemic areas, it may no longer be considered

as such.

S. haematobium has been known to occur primarily

in the Old World. Almost all of Africa and

portions of the Middle East, including Iran, Iraq,

and Saudi Arabia are considered endemic regions.

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