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General issues of Vaccine
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General issues of Tropical med.
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General issues of Travel med.
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Trematode (fluke, distoma)
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Ascaris lumbricoides
- ovo ingested via mouth
- hatch in duodenum
- penetrate intestinal wall thru portal vein to liver
- migrate into biliary duct
- invade liver
- migrate to lung thru venous circulation
- Löffler's syndrome
- again migrate to intestine thru trachea and esophagus
- egg under microscopy has thick hard wall because it needs to hatch 6-8weeks in soil
- infertile egg has bumpy shaped wall