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Fasciolopsiasis – intestinal fluke [10] Fasciolopsis buski: intestines stool or vomitus (microscope) East Asia – 10 million people ingestion of infested water plants or water (intermediate host:amphibic snails) Metagonimiasis – intestinal fluke Metagonimus yokogawai: stool Siberia, Manchuria, Balkan states, Israel, Spain
Fasciolopsis buski is commonly called the giant intestinal fluke, because it is an exceptionally large parasitic fluke, and the largest known to parasitise humans. Its size is variable and a mature specimen might be as little as 2 cm long, but the body may grow to a length of 7.5 cm and a width of 2.5 cm.
The earliest known parasite in a human was eggs of the lung fluke found in fossilized feces in northern Chile and is estimated to be from around 5900 BC. There are also claims of hookworm eggs from around 5000 BC in Brazil and large roundworm eggs from around 2330 BC in Peru.
Microscopic identification of eggs, or more rarely of the adult flukes, in the stool or vomitus is the basis of specific diagnosis. The eggs are indistinguishable from those of the very closely related Fasciola hepatica liver fluke, but that is largely inconsequential since treatment is essentially identical for both. [citation needed]
Lung flukes require three different hosts in order to complete their life cycle. The first intermediate host is a snail, the second intermediate host is a crab or crayfish, and the definitive host for lung flukes is an animal or human host. [4] Intestinal flukes inhabit the epithelium of the small intestine.
Intestinal parasites produce a variety of symptoms in those affected, most of which manifest themselves in gastrointestinal complications and general weakness. [1] Gastrointestinal conditions include inflammation of the small and/or large intestine , diarrhea / dysentery , abdominal pains , and nausea / vomiting .
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Fasciola hepatica, a species of liver flukes, has a higher incidence rate in children and females, with more cases of lung fluke and intestinal trematodiases in children. [5] Cases of liver and lung fluke trematodiasis are frequent due to the length of time the trematode can live in host organisms, and increased chances of reinfection. [9]