Parasites and Health [Last Modified: ]
Intestinal Parasites: Comparative Morphology
 

Table 8c (Trematodes)
Differential Morphology of the Diagnostic Stages of Helminths Found in Humans: Eggs (Trematodes)

 
Species Size Shape Color Stage of Development When Passed Specific Features and Variations
TREMATODES
Schistosoma mansoni 140 mm × 66 mm.  Range, 114-180 mm × 45-73 mm. Elongated with prominent lateral spine near posterior end.  Anterior end tapered and slightly curved. Yellow or yellow brown. Embryonated.  Contains mature miracidium. Lateral spine.  Found in feces; in rare cases, in urine also.  Eggs are discharged at irregular intervals and may not be found in every stool specimen.  Are rare in chronic stages of infection.
Schistosoma japonicum 90 mm × 70 mm.  Range, 68-100 mm × 45-80 mm. Oval.  Small lateral spine is often seen or may appear as a small hook or "knob" located in a depression in the shell. Yellow or yellow brown. Embryonated.  Contains mature miracidium. Found in feces.  Often coated with debris and may be overlooked.
Schistosoma haematobium 143 mm × 60 mm.  Range, 112-170 mm × 40-70 mm. Elongated with rounded anterior end and terminal spine at posterior end. Yellow or yellow brown. Embryonated.  Contains mature miracidium. Terminal spine.  Found in urine, occasionally in feces.  Egg often covered with debris.
Schistosoma intercalatum 175 mm × 60 mm.  Range, 140-240 mm × 50-85 mm. Elongated with tapered anterior end and terminal spine.  Sometimes "spindle-shaped." Yellow or yellow brown. Embryonated.  Contains mature miracidium. Terminal spine long, slender with bent tip.  Resembles S. haematobium egg except it is longer, is thinner, and has a longer spine.  Found in feces.  May have debris adhering to shell.
Schistosoma mekongi 69 mm × 56 mm*  Range, 51-73 mm × 39-66 mm. Spherical.  Small lateral spine, not always visible or may appear as a small "knob" in a depression in the shell. Yellow or yellow brown. Embryonated.  Contains mature miracidium. Found in feces.  Closely resembles S. japonicum egg except it is smaller.  May be coated with debris.
Clonorchis sinensis 30 mm × l6 mm.  Range, 27-35 mm × 11-20 mm. Small, ovoidal, or elongated with broad rounded posterior end and a convex operculum resting on "shoulders."  A small "knob" may be seen on the posterior end. Yellow brown. Embryonated.  Contains mature miracidium. Small size, operculum and "knob" on posterior end.  Shell often is covered by adhering debris.
Opisthorchis felineus 30 mm × 12 mm.  Range, 26-30 mm × 11-15 mm. Elongated with operculum on anterior end and pointed terminal "knob" on posterior end. Yellow brown. Embryonated.  Contains mature miracidium. Lacks prominent shoulders characteristic of Clonorchis and has more tapered end.
Heterophyes heterophyes 28 mm × 15 mm.  Range, 28-30 mm × 15-17 mm. Small, elongated or slightly ovoidal.  Operculum. Slight "knob" at posterior end. Yellow brown. Embryonated.  Contains mature miracidium. Resembles Clonorchis egg but with less distinct shoulders.  Operculum is broader than in Clonorchis.
Metagonimus yokogawai 28 mm × 17 mm.  Range, 26-30 mm × 15-20 mm. Small, elongated or ovoidal. Operculum.  No "shoulders" at anterior end.  Small "knob" often seen on posterior end. Yellow or yellow brown. Embryonated.  Contains mature miracidium. Resembles Clonorchis and Heterophyes eggs.  Shell is slightly thinner than Heterophyes.  Operculum is broader than Clonorchis.
Paragonimus westermani 85 mm × 53 mm.  Range, 68-118 mm × 39-67 mm. Ovoidal or elongate with thick shell.  Operculum is slightly flattened and fits into shoulder area of shell.  Posterior end is thickened.  Egg often asymmetrical with one side slightly flattened. Yellow brown to dark brown. Unembryonated.  Filled with yolk material in which a germinal cell is imbedded.  Cells are irregular in size. Found in sputum, occasionally in feces.  Resembles egg of D. latum but is larger, slightly asymmetrical and the operculum is smaller and flatter.  The widest part of the Paragonimus egg is usually anterior to the center; in a D. latum, the widest area is around the center.
Fasciola hepatica 145 mm × 80 mm.  Range, 120-150 mm × 63-90 mm. Ellipsoidal, thin shell.  Small, indistinct operculum. Yellow to light brown. Unembryonated.  Filled with yolk cells in which an indistinct germinal cell is imbedded. Large size.  Broadly oval eggs.
Fasciolopsis buski 140 mm × 80 mm.  Range, 130-159 mm × 78-98 mm. Ellipsoidal, thin shell.  Small, indistinct operculum. Yellow brown. Unembryonated.  Filled with yolk cells in which an indistinct germinal cell is imbedded. Large size.  Resembles F. hepatica egg and cannot be easily distinguished from Fasciola.

*Based on sizes of eggs in human fecal specimens reported by Harinasuta and Kruatrachue (1962) and Taylor and Moose (1971).

 

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