kul arachnida

Upload: helmi-zzt

Post on 03-Apr-2018

240 views

Category:

Documents


0 download

TRANSCRIPT

  • 7/28/2019 Kul Arachnida

    1/36

    kuliah S-1 FK dr Teguh WSJun-13

    Phylum: Chelicerata(Arthropoda)Class: Arachnida

    Dr. Teguh Wahju Sardjono, DTM&H, MSc.Laboratorium Parasitologi

    Fakultas Kedokteran Unibraw

  • 7/28/2019 Kul Arachnida

    2/36

    kuliah S-1 FK dr Teguh WSJun-13

    Phylum: Chelicerata

    (Arthropoda)Class: Arachnida

    There are 7 orders, three orders are MedicallyImportant :

    Acarina (Ticks and Mites)

    Scorpionida (Scorpion)Araneae /Araneida (Spiders)

  • 7/28/2019 Kul Arachnida

    3/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    General morphological characteristics :

    Cephalo thorax No antenna With or without eyes Hypostome Chelicera Pedipalp

    4 pairs of legs Wingless Genital opening - ventral

  • 7/28/2019 Kul Arachnida

    4/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Life cycle

    Oviparous hemimetabolous Ova hatches to be larvae (6 legs) Nymphs adults (8 legs) but no genital organ The nymphs molt 8 legged male or female

    adult ticks climb up grass and plants andhold their legs up "sensing" and "looking" fortheir prey

    Male and female ticks usually mate while

    attached to the host. A few weeks later, theengorged female detaches from the host andlays her eggs (1000 - 8000 eggs) on a leaf.

    A tick usually lives a year before dying.

  • 7/28/2019 Kul Arachnida

    5/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Order : Acarina

    Family Ixodidae = Hard ticks Family Argasidae = Soft ticks

    Family Trombiculidae = Chiggers Family Sarcoptidae Family Demodicidae

    Family Tyroglyphidae

  • 7/28/2019 Kul Arachnida

    6/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Morphological Characteristics

    Adult form four pairs of legs Cephalothorax, no segmentation

    Mouthparts prominent capitulum Nymphs four pairs of legs, no genital organ Larva form three pairs of legs

    Scutum : dorsal of the body, covers a half orwhole of dorsal body

  • 7/28/2019 Kul Arachnida

    7/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Order : AcarinaFamily :Ixodidae

    (Hard ticks) Round or oval. 1 mm- 1 cm. female > male

    Jointed Cephalothorax and Abdomen Capitulum (false head) visible from dorsal Mouth parts :

    A pair pedipalp 4 segments.

    A pair chelicera (cutter)

    Hypostome; at ventral some rows of teeth

  • 7/28/2019 Kul Arachnida

    8/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    4 pairs of legs (adult and nymph) : coxa, trochanter, femur, genu, tibia and tarsus

    3 pairs of legs (larva)

    spiracle (stigmata) breathing organ: behind coxa IV Scutum :

    Male : fully covering dorsal part of the body

    Female : half/anterior-dorsal part.

  • 7/28/2019 Kul Arachnida

    9/36

    From the left, larva, nymph,two engorged nymphs,female (top), and male(bottom).

    Ticks begin as eggs (stage 1)hatch into 6-legged larvae(stage 2).

    Larvae live and feed on animalsfor about a week beforedetaching then molting(shedding) anywhere from 1week to 8 months later.

    The larvae then become 8-legged nymphs(stage 3).Nymphs feed on animals,engorge for 3 to 11 days, detach,and molt about a month later(on the species and

    environmental conditions). Ticks insert their mouths, attachto their prey, and engorgethemselves with a blood meal(stage 4).

    Life cycle

  • 7/28/2019 Kul Arachnida

    10/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Ovipositing (left) and unengorged (right) females ofIxodesscapularis. (Bottom scale in mm.)

  • 7/28/2019 Kul Arachnida

    11/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Various life cycle stages ofIxodes scapularis.Top left = male; bottom left = female; center = nymph;

    right = ovipositing female. (Top scale in mm.)

  • 7/28/2019 Kul Arachnida

    12/36

    Jun-13 kuliah S-1 FK dr Teguh WS

  • 7/28/2019 Kul Arachnida

    13/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Brown dog tick (Riphicephalus)

  • 7/28/2019 Kul Arachnida

    14/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Classificationdepends on number of hosts required for

    completing their life cycle

    One host ticks:Hyalomma, Boophilus. Two host ticks: Riphicephalus. Three host ticks: Ixodidae, Dermacentor,

    Haemaphysalis

    Many host ticks : goes through many stages

    during its lifecycle, and feeds on differentspecies at each point. Ornithodoros.

  • 7/28/2019 Kul Arachnida

    15/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Medical Importance

    1. Tick bite :

    a. Mechanical primer & secondary effectb. Tick paralysis : (neurotoxin)

    - Dermacentor

    - Amblyoma Amerika- Ixodes Australia, Africa

    Characteristics of paralysis:

    - Flaccid- Ascending

    Treatment

    - Remove the tick with chloroform, ether, alcohol

    - Avoid contaminationwith ticks secrete

  • 7/28/2019 Kul Arachnida

    16/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    2. Transmission of many diseasesTrans-stadial or Trans-ovarial

    a. Rickettsial Diseases (Ehrlichiosis)- Rocky Mountain Spotted Fever -R. rickettsii.(trans-ovarial) Dermacentor andersoni Amblyoma americanum Riphicephalus sanguineus

    - Q fever(R. burnetti ) Dermacentor andersoni Amblyoma americanum Ixodes Ornithodorus

    - Boutonneuse fever(R. conorii.) Amblyoma hebraeum Rhipicephalus sanguineus

    - African Tick fever(R. conorii.)

  • 7/28/2019 Kul Arachnida

    17/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    b. Viral diseases Colorado tick fever: D. andersoni Russian spring and summer encephalitis: D. silvarum- Hemorrhagic fevers : Hyalomma marginatum Kyasanur forest disease : Haemophysalis spimigera

    c. Bacterial and Spirochaetal diseases:- Lyme Disease

    - Tularemia Amblyomma americanum Dermacentor andersoni Dermacentor variabilis

    - Relapsing fever Ornithodorus

    Controlinsecticides : DDT, Chlordane, Dieldrin

  • 7/28/2019 Kul Arachnida

    18/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Lyme disease a tick-borne multisystem infectious syndrome of substantial

    medical importance and public concern. the most frequently reported vector-borne illness in the US

    (>12,000 cases annually). also has been seen on four other continents. The causative organism: Borrelia burgdorferi:

    (a flagellated spirochete) transmitted from small-mammal reservoirs to humans through bites from infected ticks of Ixodes species I. scapularisin US (deer ticks) I. pacificusin California, (deer ticks) I. ricinusin Europe, and (sheep ticks) I. persulcatusin Asia

  • 7/28/2019 Kul Arachnida

    19/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Lyme disease Relatively new disease (1975)Three stages: Stage 1:rash, flu like syndrome, including fatique, stiff neck,

    muscle aches and pain, within 30 days post infection

    Stage 2 : next several weeks inflammation of the brain,nerve roots, facial paralysis, dizziness, shortness of breath,heart beat irregular.

    Disappear within several weeks.

    - Stage 3 : arthritic problem may appear 2 years after the rash pain, swelling, elevated temp. in joints. Sleep walking, lossof memory, mood changes, inability to concentrate.

    Treatment: Antibiotics

  • 7/28/2019 Kul Arachnida

    20/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Treatment

    Oral therapy for early localized disease (10 to 21 days)

    Doxycycline (Vibramycin)* 100 mg twice daily

    Not recommendedin pregnant women. Amoxicillin 250 to 500 mg three times dailyChildren Amoxicillin 40 mg per kg per day Erythromycin 30 mg per kg per day

    Phenoxymethylpenicillin 25 to 50 mg per kg per dayIntravenous therapy for disseminated and late disease Ceftriaxone (Rocephin) 2 g every day or 1 g twice daily Cefotaxime (Claforan) 3 g twice daily Penicillin G 20 U every 4 hrs

    Chloramphenicol (Chloromycetin) 50 mg /kg /day in 4 divided dosesChildren Ceftriaxone 75 to 100 mg per kg per day Cefotaxime 90 to 180 mg per kg per day in divided doses Penicillin G 300,000 U per kg per day in 6 divided doses

  • 7/28/2019 Kul Arachnida

    21/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Order : AcarinaFamily : Argasidae

    (Soft ticks) Mostly are ectoparasites of birds Tropic and sub tropic areas

    Genus : Otobius : pets

    Argas : birds

    Ornithodoros : human

  • 7/28/2019 Kul Arachnida

    22/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    General characteristics

    Oval shape, may vary in size - depends on theamount of sucked blood

    no scutum

    without or with eyes, if with lateral position. Capitulum at ventral not visible from dorsal can

    be used to distinguish between Argasidae andIxodidae

    Spiracle at ventral of 4th coxae.

    Adult form : 4 pairs of legs Male and female are difficult to be distinguished

  • 7/28/2019 Kul Arachnida

    23/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Life cycle

    Hemimetabolous Life longer months - year

    Female may lay 10 1000 eggs after blood meal several times (Remember: Female Ixodids

    dye after oviposition)

    Has 4 - 5 stages of nymphs needs bloodmeal for each moulting

  • 7/28/2019 Kul Arachnida

    24/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Medical importance

    Biting Tick borne relapsing fever

    Treponema dultoni

    O d i

  • 7/28/2019 Kul Arachnida

    25/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Order : AcarinaFamily : Trombiculidae

    (Red bugs = Chiggers, Harvest mites, Scrub itch mites)

    Hundreds species, distributed in all parts of the world Hemimetabolous : (egg, larva, nymph, adult) Only larva stage is parasitic Yellow colour or orange

    Six hairy legs

    0,15 - 0,3 mm Dorsal part : scutum (+) Mouth parts, celicera and palps jointed together forming

    pseudo head Needs blood of mammals, birds or reptils

    Trombiculidae :Trombicula akamushi Adult stage : free living, hairy 1- 1.5 mm, Eight legs

  • 7/28/2019 Kul Arachnida

    26/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Habitats:Areas that contain thick layers of pine straw or leaf litter

    Medical importances chiggers do not burrow into the skin. feed at the base of a hair follicle or in a pore. generally attach to those areas of the body where clothing fits

    tightly, such as at the sock line and waistline.

    Larvae ingest lymph and partially digested cells after the chiggerattaches commonly cause itching 3 to 6 hours, dermatitisdevelops 10 to 16 hours.

    allergic reactions to the bites blister-like lesions. Chiggers do not transmit any disease agents to people. The adults

    and nymphs are free-living predators of insects.

    http://www.ces.ncsu.edu/depts/ent/notes/Urban/mites.htmhttp://www.ces.ncsu.edu/depts/ent/notes/Urban/mites.htm
  • 7/28/2019 Kul Arachnida

    27/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Medical importances

    Biting dermatitis Scrub itch

    Autumnal itch

    Treatment :

    Topical : sulfur ointment

    vector of ScrubTyphus

    (Ricketsia tsutsugamushi) Trombicula akamushi

    Trombicula deliensis

    Mite bite site

  • 7/28/2019 Kul Arachnida

    28/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Control : Treating chigger-infested areas with a pesticide spray.

    Ground cover in these areas should be wetted down to the soilsurface.

    Avoid excess treatments that can lead to pesticide runoff intocreeks, streams and storm sewers

    Personal protection Insect repellents.

    DEET or Permanone (permethrin) clothing.

    DEET is appropriate to use on exposed skin. Repellents should be used in moderation by children and

    pregnant women.

  • 7/28/2019 Kul Arachnida

    29/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    round, transluscent, dirty white

    six legged larvae

    eight short legged nymphs and adults

    male 0.2 mm1st , 2nd , 4th legssucker ended 3rd leg bristle endedfemale 0.3-0.4 mm:

    1st and 2nd legs sucker ended, 3rd and 4th legs bristle ended

    Order : AcarinaFamily : Sarcoptidae

    Species : Sarcoptes scabiei

  • 7/28/2019 Kul Arachnida

    30/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    the period from eggs to mature adults takes 1014 days

    both male and female make short burrows inhorny superficial layer of the skin.

    The gravid female lays her eggs in a burrow. The larvae hatch out after 3-4 days, leave the

    burrow for the skin surface and shelter in the hairfollicles.

    After 4-5 days the adults mate and the femaleburrows into the skin to complete the cycle.

    The adult live for 4-5 weeks. Itch mites are active mainly overnight.

    Life cycle

  • 7/28/2019 Kul Arachnida

    31/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Prefered sites:

    axilla, around the waist, inner aspect of thighs, back of the legs,

    interdigital and popliteal folds and also all over the body

    Clinical features: The activities and secretions cause intense itching of affecting area.

    Small vesicles and rash may be seen on the skin surface. Scratching may convert the papule into pustule (bleeding,

    secondary bacterial infection)Norwegian Scabies

    Complication In immunosupressed persons crusted scabies secondary infection with -haemolytic streptococci

    glomerulonephritis

  • 7/28/2019 Kul Arachnida

    32/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Distribution:

    world wide usually associated with: unhygienic life-style,

    poor hygienic inadequate water supply

    wide spread in the tropics, especially children

    Transmission direct skin contact sexually transmitted

    Through bedding and clothing

    TreatmentLocal :

    Benzyl Benzoate Emulsion 20 -25%

    Crotamiton Benzene Hexachloride (Lindane) Sulfur soap

  • 7/28/2019 Kul Arachnida

    33/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Controls

    Recognize symptoms Inspect all contact individuals Treat all infested persons Isolate infested person for 24 hours after treatment has

    been applied

    Machine wash bed linens, clothing and all other possiblecontaminated articles in hot (130F) water

    Soap or thightly sealing non-washables in plastic bags fortwo weeks

  • 7/28/2019 Kul Arachnida

    34/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Other mites affecting people

    Straw Itch Mites : Pyemotes tritici commonly breed in stored grain, dried beans and peas, wheat

    straw, hay and other dried grasses . frequently a problem for people doing landscaping or feeding

    horses and other livestock. The mites are actually beneficial because they attack insects that

    feed on stored grain and similar materials. People who handle

    mite-infested materials will be attacked. The bites of straw itchmites are characteristically found on the trunk of the body and onthe arms.

    Bird Mites Ornithonyssus sylviarum

    Dermanyssus gallinae, the chicken mite (or red mite of poultry House Dust Mites Dermatophagoides pteronyssinus D. farinae

    http://www.ces.ncsu.edu/depts/ent/notes/Urban/mites.htmhttp://www.ces.ncsu.edu/depts/ent/notes/Urban/mites.htmhttp://www.ces.ncsu.edu/depts/ent/notes/Urban/mites.htm
  • 7/28/2019 Kul Arachnida

    35/36

    Jun-13 kuliah S-1 FK dr Teguh WS

    Relieving the Itch of Mite Bites

    When mites attach to skin, the saliva they secretecauses the intense itch that may be felt for several daysafter the mite is no longer attached.

    As soon as possible after walking through chigger-

    infested areas or being exposed to other mites, youshould bathe in hot, soapy water and scrub down with a

    wash cloth.

    to relieve itching

    Oral antihistamines Application of a hydrocortisone cream to bites

  • 7/28/2019 Kul Arachnida

    36/36

    Jun 13 kuliah S 1 FK dr Teguh WS

    See you next week