Echinostoma revolutum
Introduction '''''Echinostoma revolutum''''' is a trematode parasite of which the adults can infect birds and mammals, including humans. In humans, it causes echinostomiasis.
Distribution ''Echinostoma revolutum'' is the most widely distributed species of the known 20 Echinostomatidae species; it is found in  Asia, Oceania, Europe, and the Americas. In Asian countries the disease is endemic to humans. Outbreaks have been reported in North America after travellers returned from Kenya and Tanzania.
Description The worms are leaflike, elongated, and an average of 8.8 mm long (8.0–9.5 mm) and 1.7 mm wide (1.2–2.1 mm). When first passed in the feces, they were pinkish red and coiled in a "c" or "e" shape. The eggs in uteri were an average of 105 μm long (97–117 μm) and 63 μm wide (61–65 μm).
Life cycle Cercariae of ''Echinostoma revolutum'' from snailsInfection of ''Echinostoma revolutum'' usually results from ingestion of raw snails or frogs that serve as an intermediate host. This parasite is predominantly found throughout North America. Two asexual generations occur in a snail or mollusc. The first snail host is penetrated by a miracidium, producing a sporocyst. Many sporocysts are produced and mother rediae emerge. Mother rediae asexually reproduce daughter rediae, which also multiply. Each rediae then develop into a cercariae, which penetrates a second host. The second host could be another snail or a tadpole, in which development into metacercaria occurs. Cercariae typically find a snail host through chemotaxis. The cercariae are attracted to the slime of the snail, which contains small peptides. The first larval stage is the miracidium, and are found to be attracted to macrocmolecular glycoconjugates associated with a possible snail host. Environmental stimuli such as light and gravity can also be used to assist in searching for a host.===Intermediate hosts===Intermediate hosts of ''Echinostoma revolutum'' include:* ''Anentome helena'' (formerly ''Clea helena'')* ''Bithynia funiculata''* ''Bithynia siamensis siamensi''* ''Corbicula producta''* ''Eyriesia eyriesi''* ''Filopaludina sumatrensis polygramma''* ''Filopaludina martensi martensi''* ''Filopaludina'' spp. * ''Idiopoma doliaris'' (formerly ''Filopaludina doliaris'')* ''Lymnaea stagnalis''* ''Lymnaea'' sp. in Thailand* ''Physa occidentalis''* ''Radix auricularia''
In humans In Pursat Province, Cambodia, children eating undercooked snails or clams were identified as a possible source of infection in humans.===Prevalence===The first reported human infection was in Taiwan in 1929.The prevalence of ''Echinostoma revolutum'' trematodes in Taiwan during 1929–1979 varied from 0.11% to 0.65%. Small ''Echinostoma revolutum''–endemic foci or a few cases of human infection were discovered in the People's Republic of China, Indonesia, and Thailand until 1994.However, no information is available about human ''Echinostoma revolutum'' infection after 1994, even in areas where the parasite was previously endemic. In 2007 prevalence of ''E. revolutum'' adults in school children in Pursat Province, Cambodia ranged from 7.5% to 22.4%.Authors reported echinostomiasis as an endemic trematode infection among schoolchildren in Pursat.===Symptoms===Signs of infection in humans due to this type of fluke can result to weakness and emaciation. In cases where infection is heavy, hemorrhagic enteritis can occur.===Diagnosis===''Echinostoma revolutum'' could be detected through observing feces containing eggs under a microscope.===Prevention======Treatment===Albendazole and praziquantel are typically prescribed to rid the parasite from the body.
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