Pfizer Parasite Atlas

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    PFIZER ATLAS OFVETERINARY CLINICAL

    PARASITOLOGY

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    Byron L. Blagburn, MS, PhD

    College of Veterinary Medicine

    Auburn University

    Michael W. Dryden, DVM, PhD

    College of Veterinary Medicine

    Kansas State University

    Editors

    Animal Health

    PFIZER ATLAS OFVETERINARY CLINICAL

    PARASITOLOGY

    ISBN 0-9678005-3-6

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    CONTENTS

    Published by The Gloyd Group, Inc.Wilmington, Delaware

    Medical illustrations created by Allison Lucas Wright, MS, CMI

    and Gene Nunnally Wright, MS, CMI, Athens, Georgia

    All photographs courtesy of Byron L. Blagburn, MS, PhD

    1999 by Pfizer Inc.All rights reserved. First printing, 2000

    Printed in the United States of America.

    INTERNAL PARASITES 345 ............Heartworms, Canine

    67 ............Heartworms, Feline

    89 ............Hookworms

    1011............Whipworms

    1213 ............Roundworms

    1415............DipylidiumTapeworms

    1617............Taenia Tapeworms

    18 ............Giardia

    EXTERNAL PARASITES 192021 ............Fleas

    22 ............American Dog Ticks

    23 ............Brown Dog Ticks

    24 ............Deer Ticks25 ............Common Ticks Compared

    26 ............Ear Mites

    27 ............DemodexMites

    28 ............Cheyletiella Mites

    29 ............SarcoptesMites

    INTERNAL ORGANS (Canine & Feline) 30-31

    UNDER THE MICROSCOPE 333445 ............Photographic aids to identifying common parasites and

    pseudoparasites as seen in blood, feces, and urine

    The hosts for each parasite are identified at the top of each page

    by the following icons representing dog, cat, and/or human hosts.

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    INTERNAL PARASITES45 Heartworms, Canine

    67 Heartworms, Feline

    89 Hookworms

    1011 Whipworms

    1213 Roundworms

    1415 DipylidiumTapeworms

    1617 Taenia Tapeworms

    18 Giardia

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    HEARTWORMSCANINEDirofilaria immitis

    4

    HEARTWORMSCANINEDirofilaria immitis

    INTERNAL

    PAR

    ASITES

    HEARTWORMS

    WHIPWORMS

    TAPEWORMS

    HOOKWORMS

    ROUNDWOR

    MS

    GIARDIA

    CANINE HEARTWORM INFECTION

    Dog heart infected withadult heartworms

    Normal dog heart

    A mosquito deposits

    heartworm larvaevia saliva puddleinto bloodstream.

    A mosquito becomes a heartwormintermediate host by ingesting microfilariae

    while biting an infected host.

    Adult heartworms live in

    the right ventricle andpulmonary artery.**

    CANINE HEARTWORM*

    Larvae develop intissues and migrate

    to the heart wherethey mature to

    adult worms.

    Length of Life Cycle = Approximately 6 Months

    Fertilized adult

    female heartwormsrelease microfilariae

    into the blood.

    * Although rare, humans may develop

    pulmonary lesions if infected with D. immitis.

    ** Adult worm is sometimes found at

    ectopic sites, eg, eye, skin, or body cavity.

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    6

    HEARTWORMSFELINEDirofilaria immitis

    INTERNAL

    PAR

    ASITES

    HEART

    WORMS

    WHIPWORMS

    TAPEWORMS

    HOOK

    WORMS

    ROUNDWORMS

    GIARDIA

    HEARTWORMSFELINEDirofilaria immitis

    Feline heart and lungs infectedwith adult heartworms.**

    FELINE HEARTWORM* FELINE HEARTWORM INFECTION

    Cat heart and lungsinfected with adult

    heartworms

    Normal catheart and lungs

    Length of Life Cycle = Approximately 8 Months

    A mosquito depositsheartworm larvae

    via saliva puddleinto bloodstream.

    A mosquito becomes a heartwormintermediate host by ingesting microfilariae

    while biting an infected host.

    Larvae develop intissues and migrate

    to the heart wherethey mature to

    adult worms

    however, many ofthe larvae do notreach maturity in

    cats.

    Fertilized adult

    female heartwormsrelease microfilariae

    into the blood.Microfilariae aredifficult to detect

    because they are

    few in number andare present in bloodfor a short time.

    * Although rare, humans may develop

    pulmonary lesions if infected with D. immitis.

    ** Adult worm is sometimes found at ectopic sites, eg,

    peripheral arteries, body cavity, or central nervous system.

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    8

    HOOKWORMSAncylostoma caninum,* Ancylostoma braziliense,* and Ancylostoma tubaeforme*

    INTERNAL

    PAR

    ASITES

    HEART

    WORMS

    WHIPWORMS

    TAPEWORMS

    HOOK

    WORMS

    ROUNDWORMS

    GIARDIA

    HOOKWORMS

    Following ingestion of infectivelarvae in the mothers milk,

    puppies begin passing eggs in the

    feces in as little as 2 weeks.

    Young animals

    may be infectedduring nursing

    via milk, byingestion ofinfective larvae

    in the soil, or byskin penetration.

    Eggs hatch and larvaedevelop to infective stage.

    Infective larvae are ingested or penetrate the skinand may migrate extensively.

    HOOKWORMSAncylostoma caninum, Ancylostoma braziliense, and Ancylostoma tubaeforme

    HOOKWORM INFECTION

    Small intestine

    infected withhookworms

    * The life cycles for A. tubaeforme and A. braziliensearesimilar to that shown for A. caninum; A. tubaeforme isgenerally found only in cats; A. caninumand A. brazilienseare found in both dogs and cats; larvae of A. braziliense andA. caninummay cause human cutaneous larva migrans andrarely, eosinophilic enteritis.

    Length of Life Cycle = 3 to 4 Weeks

    Larvae mature to adult hookworms that

    reside in the small intestine, where theycan cause significant blood loss.

    Normal smallintestine

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    WHIPWORMSTrichuris vulpis

    INT

    ERNAL

    PAR

    ASITES

    HEART

    WORMS

    WHIPWORMS

    TAPEWORMS

    HOOK

    WORMS

    ROUNDWORMS

    GIARDIA

    WHIPWORMSTrichuris vulpis

    Infective eggs hatch tolarvae and mature to adultworms in 74 to 87 days in

    the cecum.

    Mature worms

    pass eggs inthe feces.

    Infective larvae develop in 2

    to 4 weeks within the egg.

    The dog ingestsinfective eggs

    found in soil.

    WHIPWORM WHIPWORM INFECTION

    Normal cecum

    and the ileocecaljunction of the

    small andlarge intestine

    Infected cecum

    with numerouswhipworms

    embedded inthe mucosa

    Length of Life Cycle = 3 Months

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    12

    ROUNDWORMSToxocara canis*, Toxocara cati*, and Toxascaris leonina*

    INT

    ERNAL

    PAR

    ASITES

    HEART

    WORMS

    WHIPWORMS

    TAPEWORMS

    HOOK

    WORMS

    ROUNDWORMS

    GIARDIA

    Adult roundworms live

    in the small intestine.

    ROUNDWORMS

    Roundworms maybe transmitted to

    young animalsin uteroor via milk

    (except T. leonina).

    Eggs are passed

    in the feces.

    Toxascaris

    leonina egg

    Toxocaracanisegg

    Toxocaracatiegg

    Infective eggs develop in the environment:

    approximately 1 week for Toxascarissp.and 4 weeks for Toxocara sp.

    The transport hostsingest infective eggs;larvae encyst in tissues.

    The hosts ingest the infective eggs or thetransport host. Larvae of T. canisor T. cati

    may migrate extensively within the hosts

    ROUNDWORMSToxocara canis, Toxocara cati, and Toxascaris leonina

    ROUNDWORM INFECTION

    Small intestineinfected with

    roundworms

    Length of Life Cycle = T. canis, approximately 4 to 5 Weeks; T. cati andT. leonina, =55 Days

    Normal small

    intestine

    * Larvae of both T. canisand T. catimay infect many organ systems in humans

    (visceral larva migrans); Toxascaris leonina is of no zoonotic significance.

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    TAENIA TAPEWORMSTaenia spp.

    16

    TAENIA TAPEWORMSTaenia spp.

    INT

    ERNAL

    PAR

    ASITES

    HEART

    WORMS

    WHIPWORMS

    TAPEWORMS

    HOOK

    WORMS

    ROUNDWORM

    S

    GIARDIA

    Tapeworm segments

    containing infective eggsare passed in the feces.

    Occasionally, eggs arepresent in feces.

    An intermediate host

    ingests the eggs.

    The host becomesinfected by eating the

    intermediate host

    Normal smallintestine

    Small

    intestineinfected

    withtapeworms

    The eggs develop tolarvae in the tissues of

    the intermediate host.

    Adult tapeworms developin the small intestine.

    TAENIA TAPEWORM TAENIA TAPEWORM INFECTION

    Length of Life Cycle = 7 to 8 Weeks

    Eggs are released fromthe segments into the

    environment.

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    18

    GIARDIAGiardia spp.

    INT

    ERNAL

    PAR

    ASITES

    HEART

    WORMS

    WHIPWORMS

    TAPEWORMS

    HOOKWORMS

    ROUNDWORM

    S

    GIARDIA

    Trophozoites attach to themucosa of the small intestine

    and may cause diarrhea.

    Trophozoites usuallyform cysts that areintermittently passed

    in the feces.

    Infective cysts are present in the environment.

    Trophozoitesemerge from the

    ingested cyst.

    GIARDIA

    Length of Life Cycle = 1 Week

    EXTERNAL PARASITES2021 Fleas

    22 American Dog Ticks

    23 Brown Dog Ticks

    24 Deer Ticks

    25 Common Ticks Compared

    26 Ear Mites

    27 DemodexMites

    28 Cheyletiella Mites

    29 SarcoptesMitesThe host ingests

    cysts from theenvironment,usually from

    contaminatedfood or water.

    FLEAS FLEAS

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    20

    FLEASCtenocephalides felis

    EXT

    ERNAL

    PAR

    ASITES

    FLEAS

    TICKS

    MITES

    FLEA

    Adult flea remains on the dog or cat host,feeding and producing eggs.

    Eggs fall off of thehost animal and

    hatch within 2 to 5days to larvae.

    Larvae feed on adult flea

    feces which fall off the hostand organic debris present

    in the environment.

    Larvae developinto pupaeinside a debris-

    coated, silk-likefiber cocoon

    (cross section).

    For each flea on the host, there are hundreds of eggs, larvae, and newly emerged adults,

    concentrated in the environment (carpet, bedding, soil, decaying vegetation, etc.).

    Adult fleasemerge from

    the cocoon insearch of a

    blood meal

    FLEASCtenocephalides felis

    FLEA ALLERGY DERMATITIS

    Stage 1Normal skin

    Stage 2When a flea bites, it injects a

    small amount of saliva into the skin,causing an inflammatory reaction

    Stage 4Bacterial infection is a common sequela to

    skin trauma caused by scratching.

    Stage 3In animals that are allergic to the flea saliva,

    the reaction is more pronounced, causing

    intense itching. Scratching maycause increased inflammation and hair loss.

    Length of Life Cycle = 2 Weeks to Many Months

    BROWN DOG TICKSAMERICAN DOG TICKS

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    BROWN DOG TICKSRhipicephalus sanguineus

    22

    AMERICAN DOG TICKSDermacentor variabilis

    EXT

    ERNAL

    PAR

    ASITES

    FLEAS

    TICKS

    MITES

    AMERICAN DOG TICK

    Engorged female ticks

    fall off the host and layseveral thousand eggs.

    Engorged femalefeeding

    Eggs hatch to larvae.

    Both larvae

    and nymphsfeed on small

    mammals.

    Adult ticks attach to andfeed on dogs and wildlife

    such as raccoons.

    Length of Life Cycle = 1 to 2 Years

    Larvae feed, anddevelop to nymphs.

    Nymphs feed and

    develop to adults.

    Engorged female ticks

    fall off the host and layseveral thousand eggs.

    Engorged female

    feeding

    Eggs hatch to larvae.Larvae and nymphs

    feed on dogs andother small mammals.

    BROWN DOG TICK

    Adult ticks attach toand feed on dogs.

    Larvae feed and

    develop to nymphs.

    Nymphs feed anddevelop to adults.

    Length of Life Cycle = 3 Months to 1 Year

    DEER TICKS COMMON TICKS COMPARED

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    24

    DEER TICKSIxodes scapularis (Syn. dammini)

    EXT

    ERNAL

    PAR

    ASITES

    FLEAS

    TICKS

    MITES

    DEER TICK AMERICAN DOG TICK*

    Engorged female ticks

    fall off the host and layseveral thousand eggs.

    Engorged female

    feeding

    Larvae feed on mice, the reservoir for

    Lyme disease organisms.

    Adult ticks attach to

    and feed on dogs,white-tailed deer,and other animals.

    Length of Life Cycle = 1 to 2 Years

    Eggs hatch to larvae.

    Larvae feed and

    develop to nymphs.

    Nymphs feed on mice,

    wildlife, dogs, cats, andhumans, and develop to

    adults.

    BROWN DOG TICK*

    DEER TICK*

    larva

    nymphadult

    engorged adult

    larvanymph

    adult

    engorged adult

    larvanymph

    adult

    engorged adult

    COMMON TICKS COMPARED

    * These ticks are found infrequently on

    cats and humans, but they do occur.

    DEMODEX MITESEAR MITES

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    DEMODEXMITESDemodex canis

    DEMODEXMITE

    Adult DemodexmiteAll developmental stages

    occur on the same host.

    Normal canine skin.

    Dogs normally have lownumbers of mites.

    The entire life cycle of the

    Demodexmite occurs on the host.Mites are acquired by puppiesthrough intimate contact with their

    infested mother.

    Demodexmites live and

    reproduce in the hair folliclesand sebaceous glands.

    Increased numbers of mites areseen in animals with a genetic

    predisposition or disorders ofthe immune system.

    Length of Life Cycle = 20 to 35 Days

    26

    EAR MITESOtodectes cynotis

    EXT

    ERNAL

    PAR

    ASITES

    FLEAS

    TICKS

    MITES

    EAR MITE

    Adult Otodectes cynotismite

    Normal feline earanatomy

    Ear mites may be found onbody sites other than the ear

    canal. Animals becomeinfested by passive contact

    with infested animals.

    Cat displays effects ofear mite infestation in

    the ear canalinflammation, redness,

    and swelling of canalstructures.

    Length of Life Cycle = 3 to 4 Weeks

    SARCOPTES MITESCHEYLETIELLA MITES

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    SARCOPTESMITESSarcoptes scabiei

    SARCOPTESMITE*

    Adult Sarcoptes miteAll developmental stages

    occur on the same host.

    Normal canine skin

    Sarcopteslesions often start

    on the elbows and earmargins. The disease is

    highly contagious to otherdogs, cats, or humans.

    Sarcoptesmites tunnelin the skin causing

    intense itching.

    Length of Life Cycle = 17 to 21 Days

    28

    CHEYLETIELLA MITESCheyletiella yasguri, Cheyletiella blakei, and Cheyletiella parasitovorax

    EXT

    ERNAL

    PAR

    ASITES

    FLEAS

    TICKS

    MITES

    CHEYLETIELLA MITES*

    Adult Cheyletiella mite

    Normal canine skin

    Cheyletiella mite infestation

    produces hair loss, dullcoat, and dandruff.

    Cheyletiella mites live onthe surface of the skin

    where they feed andreproduce. The mites arecontagious to other

    animals and can survivein the environment.

    Length of Life Cycle = 3 to 5 Weeks

    * Cheyletiella may cause papular eruptions in

    humans. They do not reproduce on humans.

    * Sarcoptesmay produce severe transient pruritis in

    humans but disease is usually self-limiting.

    CANINE INTERNAL ORGANS FELINE INTERNAL ORGANS

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    30

    CANINE INTERNAL ORGANS

    CAN

    INEINTERNA

    LORGANS

    FELINE INTERNAL ORGANS

    Trachea

    Esophagus

    Lungs Heart Liver Stomach Pancreas

    Kidneys

    Small Intestine

    Large Intestine

    Trachea

    Esophagus

    Lungs

    Heart Liver Stomach Pancreas

    Kidneys

    SmallIntestine

    Large Intestine

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    UNDER THE MICRO-34 Dirofilaria immitis

    35 Alaria canisAleurostrongylus abstrusus

    36 Ancylostoma spp.

    37 Eucoleus (Capillaria) aerophilaEucoleus (Capillaria) boehmi

    Dipylidium caninum

    38 Giardia spp.

    39 Isospora canisIsospora ohioensisIsospora felisIsospora rivoltaNeospora caninum

    Paragonimus kellicotti

    40 Physaloptera spp.Sarcocystisspp.Spirometra mansonoides

    41 Strongoloides stercoralisTaenia spp.

    42 Toxascaris leoninaToxocara canisToxocara cati

    43 Toxoplasma gondiiTrichuris vulpis

    44 Pearsonema (Capillaria) feliscatiPearsonema (Cappilaria) plica

    45 Pseudoparasites

    The egg of Toxocara canisis placed beside each parasite for scale.

    Parasites Found in Blood

    Parasites Found in Feces

    Parasites Found in Urine

    Pseudoparasites

    PARASITES FOUND IN FECESPARASITES FOUND IN BLOOD

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    PARASITES FOUND IN FECES

    Aleurostrongylus abstrusus

    First-stage larva of Aleurostrongylus abstrusus

    Alaria canis

    Egg of Alaria canis

    Close-up of tail ofA. abstrusus

    34

    PARASITES FOUND IN BLOOD

    UNDERTHEMICR

    OSCOPE

    Dirofilaria immitis

    Adult male heartworm with corkscrew-like tail is in center; adult female is on outside.

    Single microfilaria of D. immitis(Difil Filter Test)

    Microfilaria of D. immitis(Difil Filter Test)Anterior ends of microfilaria of Dipetalonema

    reconditum(left) and D. immitis(Modified KnottTest)

    The egg of Toxocara canisis placed beside each parasite for scale.

    PARASITES FOUND IN FECESPARASITES FOUND IN FECES

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    A. caninum

    T. vulpis

    U. stenocephala

    Eucoleus (Capillaria) spp.

    PARASITES FOUND IN FECES

    Eucoleus (Capillaria) aerophila

    Egg of Eucoleus (Capillaria) aerophila(respiratory tract)

    Eucoleus (Capillaria) boehmi

    Egg of Eucoleus (Capillaria) boehmi(nasopharynx)

    Surface of egg

    of Eucoleus(Capillaria)boehmi

    Dipylidium caninum

    Dipylidium caninumegg packet

    containing numerous eggs

    36

    PARASITES FOUND IN FECES

    UND

    ERTHEMICR

    OSCOPE

    Ancylostoma spp.

    The egg of Ancylostoma caninum The egg of Uncinaria stenocephala

    Fecal flotation preparationcontaining eggs of A. caninum,

    T. vulpis, U. stenocephala, andEucoleus (Capillaria) spp.

    The egg of Ancylostoma braziliense The egg of Ancylostoma tubaeforme

    Eggs of A. caninum and T. vulpis

    The egg of A. caninum; oocysts ofIsospora canis

    The egg of Toxocara canisis placed beside each parasite for scale.The egg of Toxocara canisis placed beside each parasite for scale.

    PARASITES FOUND IN FECESPARASITES FOUND IN FECES

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    PARASITES FOUND IN FECES

    Neospora caninum

    Paragonimus kellicoti

    Egg of the lung fluke Paragonimus kellicoti

    Isospora canis

    Oocysts of Isospora canis (left),I. ohioensis (top), and egg of T.

    canis

    Isospora felis

    Oocysts of Isospora felis Oocysts of Isospora felis(larger) andIsospora rivolta (smaller)

    Oocysts ofNeospora caninum(arrows)

    Oocysts of

    Isospora felis(smaller),and egg ofToxocara cati

    38

    PARASITES FOUND IN FECES

    UND

    ERTHEMICR

    OSCOPE

    Giardia spp.

    Cyst of Giardia spp. (Sheathers sucrose

    flotation)

    Cysts of Giardia spp. (zinc sulfate flotation, iodine stain)

    Stained trophozoite ofGiardia spp. (fecal

    smear)

    Close-up of cysts of Giardia spp. (zinc sulfate flotation, iodine stain)

    Isospora felis, Isospora rivolta

    The egg of Toxocara canisis placed beside each parasite for scale.The egg of Toxocara canisis placed beside each parasite for scale.

    PARASITES FOUND IN FECESPARASITES FOUND IN FECES

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    PARASITES FOUND IN FECES

    Strongyloides stercoralis

    First-stage larvae of Strongyloides stercoralis

    Anterior end ofStrongyloidesstercoralis

    Taenia spp.

    Egg of Taenia spp. Eggs of Echinococcusspp. are

    similar, and thus are not easily differentiated fromthose of Taenia spp.

    Ruptured egg of Taenia spp.Note the exposed

    hexacanth embryo.

    40

    PARASITES FOUND IN FECES

    UND

    ERTHEMICR

    OSCOPE

    Physaloptera spp.

    Egg of Physaloptera spp.

    Sarcocystis spp.

    Sporocytes of Sarcocystis spp.

    Spirometra mansonoides

    Egg of the tapeworm Spirometra mansonoides

    The egg of Toxocara canisis placed beside each parasite for scale.The egg of Toxocara canisis placed beside each parasite for scale.

    PARASITES FOUND IN FECESPARASITES FOUND IN FECES

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    PARASITES FOUND IN FECES

    Toxoplasma gondii

    Oocysts of Toxoplasma gondii

    42

    PARASITES FOUND IN FECES

    UND

    ERTHEMICR

    OSCOPE

    Toxascaris leonina

    Egg of Toxascaris leonina

    Toxocara canis

    Eggs of Toxocara canis

    Toxocara cati

    Egg of Toxocara cati

    Surface of egg ofToxocara cati

    Eggs ofToxocara canis,Toxascaris leonina,and Ancylostoma

    caninum

    Trichuris vulpis

    Egg of Trichuris vulpis

    The egg of Toxocara canisis placed beside each parasite for scale.The egg of Toxocara canisis placed beside each parasite for scale.

    PSEUDOPARASITESPARASITES FOUND IN URINE

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    S U O S S

    Soil fungusCommon fecalpseudoparasite

    Hair, air bubble, and flea eggfecal pseudoparasites

    Egg of rodent tapeworm

    appears in feces as result of pre-dation

    Mite eggfecal pseudoparasite

    Sporocysts of MonocystisorRhyncocystis (earthwormparasites)appears in feces asresult of ingestion

    Pine pollenfecal pseudopara-site

    Tree pollenfecal pseudopara-site

    Plant hairfecal pseudoparasite

    Grain mite and air bubble

    fecal pseudoparasites

    Yeastfecal pseudoparasite

    44

    S S OUN N U N

    UND

    ERTHEMICR

    OSCOPE

    Pearsonema (Capillaria) feliscati

    Egg of Pearsonema (Capillaria) feliscati

    Egg of Pearsonema (Capillaria) plica

    The egg of Toxocara canisis placed beside each parasite for scale.

    Surface of eggof Pearsonema

    (Capillaria)feliscati