Both trematodes and cestodes
exhibit alternation of generations, that
switching back-and-forth between sexual and asexual
reproduction. As parasites in all stages,
the asexual stages take place in intermediate hosts
and the sexual stages take place in final or definitive
hosts. One would think since this approach produces both
of the reproductive types advantages (high variation plus
ability to copy successful forms), it would be fairly common, but in
practice it becomes an
extremely complicated life cycle. Following are a
few flatworm parasites of humans, just a fraction of the full list.
TREMATODES OR FLUKES
There are
many types of
trematodes
/ flukes that cause human disease. They include
Schistosomes,
which infect perhaps a quarter-billion people, with well
over twice that at risk for the disease. There are three
different species of schistosomes, which
range
across the world. The
intermediate hosts for schistosomes are snails
- each fluke species has particular snails that they must infect in
order to complete their life cycles. After reproducing in the
snails,
larvae swim about seeking skin to burrow through. Once
under a humans skin, the larvae migrate eventually through the blood to the
linings of either the intestine or the bladder (depending upon the
species of fluke). In the linings, they reproduce sexually and
the females (schistosomes are unusual flukes in that they are dioecious,
with the male individuals
wrapped around the females) lay eggs. If all
goes well for the worm, the eggs pass into the space of the
intestine or bladder and are passed into a water body where they can
hatch and the early larvae can infect more snails. In many
cases, though, the eggs dont make it out, and circulate in the body. Sometimes the
eggs have
spines (for tearing through the linings), which make them
very damaging as they circulate; sometimes the body, in an
attempt to fight the invaders, just makes matters worse.
In North
America, a
schistosome of water birds can invade humans by mistake
and cause an irritation and rash called
swimmer's itch
(cercarial dermatitis). These
worms, evolved to live in birds, cannot survive long in mammals like us,
though.
The Chinese
liver fluke,
Clonorchis
sinensis, is common in eastern
Asia. Its
life cycle starts like schistosomes, with a snail,
but the emerging larvae attach to fish (or to crustaceans which are
then eaten by fish), and it is through the eating of uncooked Asian
freshwater fish that it passes to humans. The adult flukes
live in the liver, eating the tissues; their eggs travel down
the bile duct to the intestines and out.
CESTODES / TAPEWORMS
As mentioned above,
adult tapeworms in the intestine rarely cause serious health
problems. It is when humans become the intermediate hosts
that real problems can happen.
The beef and pork tapeworms,
Genus
Taenia, rarely use humans as definitive hosts.
If eggs are picked up, from eating poorly-cooked infected meat or
from contaminated vegetation (watercress is a common source), the
larvae bore out of the digestive system and use the blood to get to
various places in the body. Asexual reproduction produces a
larvae that resembles a
cyst, which can damage surrounding tissues.
A similar type of infections can be
caused by larvae of a tapeworm of carnivorous mammals, including
dogs and cats:
Echinococcus. Eggs picked
up from the environment and accidentally swallowed produce larvae
that grow in humans as
hydatids, sometimes called bladder
worms. These may become
quite large if the structures
around them allow it. The hydatids can both press on
neighboring organs and cause trouble, or cause allergic reactions to
the worm fluid inside them. If you were to be eaten by your
dog, the hydatids would break up into many tapeworms - Echinococcus
is one of the smaller tapeworms, limited to about three proglottids
at a time, and so can invade canaine intestines in large numbers
(sometimes dangerously so).
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