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Strongyloides stercoralis - Introduction, Classification, History, Habitat, Morphology

Last Modified: March 11, 2023

Introduction to Strongyloides stercoralis

Strongyloides stercoralis, commonly known as the dwarf threadworm, is the causative agent of strongyloidiasis. The parasitic nematode is infectious to humans and has a unique feature – both parasitic and free-living generations.

Some of the characteristic features of Strongyloides stercoralis include:

  • the parasite can develop into a free-living generation in the soil i.e. outside the human host

  • while travelling in the host intestine the larval stage of the parasite might develop into filarial larvae

  • since males are absent, the females reproduce parthenogenically

  • eggs containing mature larvae are released by the female

History of Strongyloides stercoralis

Historically, in 1876, Normand was the first to demonstrate Strongyloides stercoralis in the stool samples collected from French soldiers suffering from diarrhoea. In 1928, Nishigori discovered autoinfection by Strongyloides stercoralis present in the host bowel by the rhabditiform larvae.

Habitat of Strongyloides stercoralis

The female Strongyloides stercoralis parasite habitats the mucosa of the small intestine – especially the duodenum and upper jejunum. They lie in the tunnels of the enterocytes of the intestinal mucosa.

Morphology of Strongyloides stercoralis

The morphological stages of Strongyloides stercoralis include – parasitic adult worms (male, female), eggs, free-living worms (male, female), and larvae (rhabditiform larvae, filariform larvae).

Adult worm

The adult worms of the parasite include the parasitic male and the parasitic female

Parasitic male

  • parasitic males of Strongyloides stercoralis have not been found to be infectious to humans

  • however, the male parasite has survived in experimentally infected dogs

  • shorter and broader than females

Image: parasitic female Strongyloides stercoralis - (A) Anus, (GP) genital primordium, (I) intestine, (M) mouth, (Oe) oesophagus, (V) vulva (Source: ResearchGate)

Parasitic female

  • parasitic females of Strongyloides stercoralis are small

  • measures 2.5 mm in length and 0.4 mm to 0.5 mm in breadth

  • translucent

  • four small lips in the buccal cavity

  • the anterior end has a long, cylindrical oesophagus

  • the posterior two-third part of the body contains the intestine

  • the anal opening is present in the mid-ventral area, a little far away from the caudal tip

  • genital organs include a pair of uteri, oviduct, and ovaries

  • at the junction of the middle and posterior ends of the body, the vulval opening is present

  • ovo-viviparus

  • each parasite can lay 30-40 partially embryonated eggs per day

  • the eggs are released in the mucosal epithelium of the intestine

  • lifespan is nearly a year

Image: free-living Strongyloides stercoralis male (Source: ajtmh)

Image: free-living female Strongyloides stercoralis morphology (Source: ajtmh)

Free-living male and female

The free-living form of the male and female Strongyloides stercoralis measure 0.7 mm by 1 mm in size. They live in their natural habitat – the soil and multiply sexually.

Image: Strongyloides stercoralis embryonated eggs (Source: ajtmh)

Eggs

  • eggs of Strongyloides stercoralis are similar to that of hookworm but are smaller in size

  • measures 55 μm to 60 μm in length and 30 μm to 35 μm in breadth

  • oval, transparent, and thin-shelled

  • each contains larvae which are ready to hatch

  • immediately after eggs are laying, the rhabditiform larvae hatch and migrate back to the intestinal lumen

  • passed out along with the host faeces

  • due to quick hatching, only larvae are found in faeces but not in the faeces

Larva

The larva of Strongyloides stercoralis consists of two stages - rhabditiform larvae, and filariform larvae.

Image: Strongyloides stercoralis rhabditiform larvae (Source: Western College of Veterinary Disease)

Rhabditiform larvae

  • rhabditiform larvae of Strongyloides stercoralis are the first-stage larvae of Strongyloides stercoralis

  • immediately hatch out of eggs after being laid by the gravid female

  • found in the faeces

  • motile and unsheathed

  • measures 200 μm to 300 μm in length and 16 μm in breadth

  • has a short mouth and double-bulb oesophagus

  • has an inconspicuous genital primordium

Image: Strongyloides stercoralis filariform larvae (Source: ajtmh)

Filariform larvae

  • filariform larvae of Strongyloides stercoralis are in the infective stage of humans

  • delicate body with a short mouth and long cylindrical oesophagus

  • measure 630 μm in length and 10 μm in breadth

  • cause infection by penetrating the host skin

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