Geografical
distrubtion
Far East
•
•
•
•

Malaysia
Indonesia
India
China
Lymphatic tissue of
Habitat

IH

RH

upper limps and
mammary gland

Mansoni ,Anopheles
and Aedes

Mokey and cats






Adult is similar to W.
bancrofti but smaller

Similar to that of
W.bancrofti but differs
in
Nocturnal periodicity
2a.m-10a.m
Size ;200x8micro M
Tail end; with nuclei

Microfilaria
G.
distribution

Habitat

DH

West Africa especially
Cameron
Loose subcutaneous tissue
Man

IH

Chrysops fly

RH

Monkeys and Rodents
Morphology

A dult

Similar to
W.bancrofti but
smaller (3-6 cm)
Simple head with
no lips
The cuticle is
covered with small
posses except at
head and tail
Microfilaria

•Size;250x8

micro M
•Tight sheath
•Angular curves
•Tail full of nuclei
•Appears in blood in day
time
•
•

•
•

Loiasis and calaber swelling
Adult worm migrates through
conjunctiva ,cornea & subcutaneous
connective tissue proving allergic
reaction then
irritation,itching&creeping sensation
Invation CNS encephalitis
Arthritis
•

•

•
•

Due to allergic reaction to the
worm metabolites
Rapid swelling appear for 2-3
days then disappear
About 2-3 cm in size
Localized,hard,non pitting
,painful swelling observed on
the wrists and ankles
Clinical

Laboratary
•

•

Observation of adult
worm,under
conjunctiva or over
the nose bridge
History of calaber
swelling
•

•
•

Demonstration of
microfilaria in blood
at day time
Serological tests
Esinophilia
•Antihistaminc,antibiotics

&corticosteroid
•Diethyl –carbamazin citrate
•Ivermectin
•Surgical removal of adult worms from the
conjunctiva
•Mass

treatment of patient
•Control of Chryysops
•Health education
•
•

•
•
•

Tropical Africa
Sudan
Saudi Arabia
Yemen
Central Africa
•Subcutaneous

tissue over bony brominances
•Microfilaria doesnot reach the circulation.they
are present in the dermis,subcutaneous
nodules,all chamber of the eye and they are
non periodic
DH

IH

Man

Black flies
male

female

microfilaria
Cutaneous lesions

Eye lesions
•Onchocerca

nodules or tumor
•The skin over the nodules show sever
dermatitis and intense itching
•The lymph node in femoral triangle is
enlarged
•Due

to immunologic response to
microfiraria
•River blindness
•Keratitis
•Iridocyclitis
•Blindness
•Degeerative changes and optic
neuritis
laboratory

clinical

direct

indirect
•Excision

of the nodule
•Hartrazan
•Ivermectin
•Mass

nodulectomy in endemic areas
•Elimination of the vectors by application of
insecticides in the running water
•Mass treatment with Ivermectin

Brugia malayi