Ascaris lumbricoides provides an example of a human parasite: the adult is an intestinal roundworm, while its infective stage is an embryonated egg acquired from a contaminated environment. The account below gives the established modern life cycle; its full migratory detail should not be assumed to have been demonstrated by December 1864.
The adult is elongated, cylindrical and unsegmented, with a tapering body, a tough cuticle and a mouth bordered by three prominent lips. Sexes are separate. The female is generally larger; the male has a characteristically curved posterior end. Their form distinguishes them from segmented tapeworms and from an earthworm, despite superficial resemblance at a distance. Adults occupy the lumen of the small intestine, obtaining nourishment in the host's intestinal environment.
Females pass large numbers of eggs into the intestinal contents, and the eggs leave in faeces. Fertilized eggs have a thick shell, commonly with an outer mammillated coat; the coat may be absent in a decorticated egg. Unfertilized eggs have a different appearance and do not develop into the infective stage. Warmth, moisture, shade and time permit larval development inside suitable fertilized eggs. Freshly passed eggs are therefore not equivalent to fully developed infective eggs.[ref]
DPDx: Ascariasis. Causal Agents; Life Cycle; fertilized, unfertilized and decorticated egg descriptions
After an infective egg is swallowed, a larva hatches, crosses the intestinal mucosa and reaches the liver and then the lungs through the circulation. It enters the pulmonary air spaces, ascends the bronchial tree to the throat, and is swallowed. Back in the small intestine, it develops into an adult and completes the cycle. No intermediate insect, fish or mammal is required for this human roundworm cycle.[ref]
Ascariasis in MedlinePlus. Causes: intestinal hatching, pulmonary migration, swallowing and adult development
Development in the outside environment helps explain why ordinary immediate contact with newly passed faeces is not the same exposure as swallowing mature eggs from contaminated soil.The migrating larva and the adult affect different tissues. Many light intestinal infections are asymptomatic, whereas heavy burdens can impair nutrition or obstruct the intestine; wandering adults can enter biliary passages. Larval migration can produce respiratory inflammation. These effects arise from particular stages and burdens, not from venom injected by a biting organ. Eggs in a suitable stool preparation and the morphology of an expelled adult provide different kinds of identifying evidence; an early migratory infection need not yet supply eggs in stool.[ref]
About Ascariasis by the Centers for Disease Control and Prevention. Overview; Symptoms; Causes: intestinal adults, environmental transmission and pulmonary manifestations
The natural history explains prevention: separating human waste from food and water and limiting contaminated-soil ingestion interrupt transfer of eggs. It also explains why a household observation of a worm does not establish spontaneous generation inside the intestine. The absence of an intermediate host is compatible with a complex larval migration within the definitive host.
Entozoa is a historical grouping of internal animal parasites, especially parasitic worms; it is not a single natural modern clade. The core human examples belong principally to the flatworms, including Cestoda and Trematoda, and to the roundworms, or Nematoda. The distinction is structural and developmental, not merely between inhabitants of the intestine and inhabitants of other organs.
The nineteenth-century higher arrangement was unsettled. Schemes placed these animals within Vermes, or within annuloid assemblages that included other supposedly related simple invertebrates. For a specifically pre-exam example, the 1865 geological-museum classification put Entozoa in Annuloida, within Annulosa. These historical groups must not be equated with the modern Annelida: an Ascaris lumbricoides is not an earthworm. A more useful subdivision for this answer is the four orders treated in Thomas Spencer Cobbold's 1864 Entozoa, an Introduction to the Study of Helminthology by Thomas Spencer Cobbold: Trematoda, Nematoda, Acanthocephala and Cestoda.[ref]
Catalogue of the Collection of Fossils in the Museum of Practical Geology (1865). p. lxxvi, classification table: Annulosa, Annuloida, Entozoa
[ref]Entozoa, an Introduction to the Study of Helminthology by Thomas Spencer Cobbold. contents and order headings: Trematoda p. 14, Nematoda, Acanthocephala p. 97, Cestoda p. 104
The leading distinctions are as follows:
- Cestoda, the tapeworms, have a flattened adult body with an attachment scolex and, in the familiar human forms, a chain of reproductive proglottids. They lack an alimentary canal and absorb nutrients across the tegument. The proglottids are repeated reproductive units, not annelid segments. Typical development passes through an egg and one or more larval stages, commonly in an intermediate host, before the adult reaches a definitive host. A bladder-like cysticercus and its adult tapeworm are stages of one life cycle.
- Trematoda, the flukes, have flattened unsegmented bodies, attachment suckers and a mouth leading to a usually branched, blind-ending digestive system. Most are hermaphrodites, but Schistosoma has separate sexes. Typical human-infecting flukes use a molluscan intermediate host, undergo multiplication in larval stages there, and produce dispersing cercariae. The route from that stage into the human varies by species; there is no universal requirement to swallow an adult worm.
- Nematoda have cylindrical unsegmented bodies, a resistant cuticle, a fluid-filled pseudocoelom, longitudinal muscles and a complete alimentary canal with mouth and anus. The sexes are usually separate. Development includes moults; some life cycles are direct, while others need a vector or another host. Human infection may follow swallowing infective eggs, penetration by larvae, ingestion of tissue larvae or transmission by a vector, depending on the species.
- Acanthocephala, the thorny-headed worms, possess a retractile hooked proboscis and lack an alimentary canal. Their development normally involves an arthropod intermediate host. They belong in a general survey of historical Entozoa, but are not among the usual common human intestinal worms.
For a British medical answer of this period, the ordinary intestinal list should begin with the following species; the modern life-cycle details clarify their identities rather than claiming that every step was already established in 1867:
- Ascaris lumbricoides, the large intestinal roundworm. Adults inhabit the small intestine; infective eggs are acquired from the environment, and larvae migrate through the liver and lungs before returning to mature in the intestine.[ref]DPDx: Ascariasis. Causal Agents; Life Cycle
- Enterobius vermicularis, historically commonly named Oxyuris vermicularis, the small pinworm or threadworm. Adults chiefly occupy the caecal region; females deposit eggs on the perianal skin, explaining spread through contaminated hands and objects and the usefulness of perianal sampling rather than reliance on ordinary stool samples.[ref]
- Trichuris trichiura, historically Trichocephalus dispar, the whipworm. The thin anterior end is embedded in the caecal or colonic mucosa; eggs passed in faeces must develop outside the host before becoming infective.[ref]DPDx: Trichuriasis. Causal Agent; Life Cycle
- Taenia solium, the pork tapeworm, with an armed scolex, and Taenia saginata, the beef tapeworm, historically often Taenia mediocanellata, with an unarmed scolex. Intestinal adults follow ingestion of tissue cysticerci in infected meat. Their eggs alone cannot reliably distinguish the two species by ordinary microscopy.[ref]
- The broad fish tapeworm, historically Bothriocephalus latus, later Diphyllobothrium latum, now Dibothriocephalus latus. It is especially relevant in freshwater-fish-eating populations and has a life cycle involving a copepod and fish before the human definitive stage. Its attachment organs are longitudinal grooves, rather than the four rounded suckers typical of Taenia.[ref]DPDx: Diphyllobothriasis. Causal Agents; Life Cycle
Important tissue examples extend the answer beyond intestinal adults. The historical Trichina spiralis is Trichinella spiralis: ingested infected meat carries larvae, adults develop in the small intestine, and new larvae migrate to skeletal muscle. This is a distinct developmental pattern from the egg-acquired intestinal Ascaris lumbricoides infection.[ref]
DPDx: Trichinellosis. Causal Agents; Life Cycle
Human hydatids are the larval hydatid cysts of Echinococcus, classically the Echinococcus granulosus complex; the small adult tapeworm is in a canid, while humans accidentally occupy the intermediate host role, commonly with liver or lung cysts.[ref]A crucial distinction is that human Taenia solium cysticercosis follows ingestion of eggs; eating pork containing cysticerci produces intestinal taeniasis. The historical name Cysticercus cellulosae designates a larval form, rather than an additional independent species to add to the list.[ref]
DPDx: Cysticercosis. Causal Agent; Life Cycle
Geographical qualification matters: Ancylostoma duodenale, Dracunculus medinensis and Schistosoma haematobium are important in their endemic settings; Fasciola hepatica is a familiar liver fluke but is not an ordinary common human worm in Britain. An enumeration should not turn this into a claim that all named species are equally common in every population.[ref]
DPDx: Intestinal Hookworm. Causal Agents; Geographic Distribution
[ref]DPDx: Dracunculiasis. Causal Agent; Geographic Distribution
[ref]DPDx: Schistosomiasis Infection. Causal Agents; Geographic Distribution
[ref]DPDx: Fascioliasis. Causal Agents; Geographic Distribution
Conversely, calling only the familiar intestinal adults Entozoa would omit the instructive tissue stages and their transmission.The decisive experimental insight is continuity of development. Comparing eggs, tissue larvae and adults, and tracing transfer between appropriate hosts, demonstrates a life cycle rather than spontaneous generation within a patient. In diagnostic material, an adult attachment organ, a proglottid, an egg and a tissue cyst answer different identification questions. Identification therefore depends on the stage and the material actually supplied.