1. Diagnosis of PlatyhelminthesBy
Dr. Refaat M.Gabre

3. Diagnosis of Platyhelminthes
Trematodes
Site of infection
Diagnosis
- Fasciola gigantica (large liver fluke)
- Fasciola hepatica (sheep liver fluke)
- Bile duct
Feces (stool) examination.
A sample of aspirated duodenal contents.
- Fasciola buski (large intestinal fluke)
- Heterophyes heetropyhes
- Small intestine
Stool analysis for the characteristic eggs
Schistosoma haematobium
Schistosoma mansoni
Schistosoma japonicum
Urinary bladder
large intestine
small intestine
Urinary bilhariasis
Clinical diagnosis
Laboratory diagnosis
1- Direct method
a- Sedimentation method
b- Hatching method
2- cystoscopy
Intestinal bilhariasis
-Clinical diagnosis (Early: diarrhea or dysentery& Later: liver cirrhosis, splenomegaly& ascites)
2- Sigmoidscopy (mucosa lesions& biobsy of sigmoid)
3- Rectal swap
- Molecular biology (by using PCR)

9. The End