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38 Cards in this Set

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Anatomy of a Cestode

No mouth, no guts, no body cavity




Proglottids continually produced from neck region below the scolex (sucker)




Each proglottid (segment) is a hermaphrodite


- become sexually mature as they pass down the strobila (e.g. Taenia)



How are eggs passed out in cestodes?

Gravid proglottids packed full of eggs separate from strobila and pass out in feces


- eggs then shed as proglottid disintegrates in environment


= Cyclophyllidae family




In Psueophyllidae, eggs not proglottids, are passed in feces

LIfecycle of cestodes

Always indirect




Predator-prey relationship




Two or more hosts


- Definitive hosts: GI tract


- sexual reproduction


- Intermediate host: various tissues


- no reproduction or asexual reproduction

Eggs of Cyclophyllidae cestodes

Hexacanth (6-hooked) embryo surrounded by two embryonic membranes




Thick, dark, radially striated shell




*Eggs are ingested by intermediate hosts!


- travel through intestinal mucosa into blood or lymph (mammals) or body cavity (invertebrates)


- then develops into metacestode

Metacestodes in Intermediate hosts (cyclophillidae)

Hydatid cyst (1 egg produces many protoscolices)


-> Cysticercus (single invaginated scolex, 1 egg= 1 scolex)


-> Coenurus (numerous invaginated scolices)


-> Cysticercoid (single evaginated scolex: invertebrate IH)


-> Strobilocercus (1 egg = 1 strobilocercus)

Cestodes of ruminants as definitive hosts

Moniezia benedeni (cattle)


M. expansa (sheep/goats)


Thysanosoma actinoides (sheep, goats, wild ruminants)




Large tapeworms or small intestine!

Life cycle of Moniezia/Thysanosoma

Proglottids in feces


-> Egg with hexacanth larva


-> Arthropod intermediate host


- Moniezia use free-living oribatid mites


-> develop to cysticercoid (6-16 weeks)


-> Cysticercoid ingested by ruminant




PPP = 5 weeks

Clinical signs of Moniezia

Little effect on direct host


- unthrifty


(bison/muskoxen?)

Clinical signs of Thysanosoma

blockage of bile/pancreatic ducts

Diagnosis of Moniezia and Thysanosoma

Routine fecal flotation




Proglottids in feces

Treatment of Moniezia and Thysanosoma

NOT macrocyclic lactones (ivermectin)




Fenbendazole (Safeguard, Panacur


Albendazole

Important cestode in equines

Anoplocephala perfoliata




A. magna (long)


Paranoplocephala mamillana (small)

Where does Anoplocephala perfoliata live?

In intestine of horses


- located at ileo-cecal junction




= risk factor for colic


Adult worms 3-8cm in length

Prevalence of A. perfoliata

14-81%


Higher prevalence at temperate climates

Lifecycle of Anoplocephala perfoliata

very long! Live long in environment so may need to treat more than once


PPP = 6-10 weeks




Indirect lifecycle




1) Eggs passed in feces (will burst out of proglottid)


- long-lived (months)


2) ingested by forage mite


- intermediate host


3) Forms cysticercoid in mite


- 8-20 weeks


4) infected mite ingested by horse


5) attaches to gut wall


6) adults at ileo-cecal junction

2 types of colic due to A. perfoliata

Ileal impaction colic and Spasmodic colic


- see ulceration, inflammation, diptheritic membrane at ileo-cecal valve


- perforation, intussusception






*Most common in weanling, yearling, young throughbreds



Diagnosis of A. perfoliata

Fecal egg counts


- sugar centrifugation best


- variable sensitivity (11-61%)


- relate poorly to infection intensities, more sensitive for A. magna




Fecal PCR - multiplex




Serology relates well to infection intensity


ELISA test using scolex excretory-secretory antigens

Treatment of A. perfoliata

Pyrantel pamoate (2x recommended doe)




Praziquantel




**remember the long lifecycle inside the mite (8-20weeks) so may need to treat again as they are out in the environment**

Taeniid lifecycle

1) Eggs - immediately infection


- eggs survival: high if cool and humid (>1 year)


- low if hot and dry (<1 week)


2) Infects cattle etc


- unsure of direct or intermediate host???


3) Infects dogs


- NA dogs and cat = 30%


- clinical signs rare, mostly anal pruritus


4) Proglottid shedding


- irregular but months to years

Adult vs larval stages of Taenia?

Adult = Taenia


Larva = cysticercus (single invaginated scolex)


larva could also be coenurus (numerous invaginated scolices)

Taenia diagnosis in DH

Flotation


- eggs 25-40u, dark brown, hexacanth larvae, thick striated shell wall


- false negatives




Proglottids in feces


- flotations may be negative if proglottids intact




For dried segments - rehydrate!


- single lateral pore/segment


- examine eggs

Taenia Risk factors

Predatory-prey cycle




1) hunting and freedom to roam




2) proximity to a farm with livestock

Control of Taenia

Prevent infection (food web!)




Anthelminthics in definitive hosts


- Praziquantel (Droncit)


- Fenbendazole

3 important Taeniids in production animals:

T. saginata (cows)


- zoonosis




T. ovis (goats)


- production loss




T. solium (pigs)


- zoonotic




**DO NOT tend to cause problems in definitive hosts**

T. ovis lifecycle

1) Eggs - immediately infective


- pasture survival: 3-5 months


2) ingested by goats


3) Cysticercus


- single invaginated scolex


- lesions in muscles by 2 weeks


4) Dogs ingest goat meat


5) Proglottid shedding


- irregular but months to hears




PPP = 6-9 weeks

Taenia saginata lifecycle

"beef" tapeworm - People are only definitive host




1) Eggs shed from human waste


- eggs persist 6-10+ months


2) Cows ingest eggs from environment


- intermediate host


3) become cysticercus bovis


- 1 egg = 1 cyst


- can persist 2+ years


4) humans ingest beef infected by it


- live in intestine


- human is definitive host


- lifespan of 30-40 years




PPP = 2-3 months




**Reportable disease in canada!


- herd quarantine, carcass condemnation etc

Diagnosis of Taenia saginata

Slicing of heart, masseter, pterygoid muscles, tongue, esophagus, diaphragm




Heart most frequently affected and highest cyst density

Control of Taenia saginata

Control human infection and waste




Also control wandering proglottids


- they crawl out of the anus.....

Lifecycle of Taenia solium

"pork tapeworm"


Humans are definitive host




1) Humans ingest T solium eggs by fecal contamination


- humans acting as intermediate host


2) Human cysticercosis




OR




1) Pigs ingest T solium eggs or proglottids


- pigs intermediate host


2) Porcine cysticercosis


3) humans ingest infected pork (poorly cooked)


= Taeniasis

What is cysticercosis

Infection by Taenia solium


- most common parasitic infection of CNS in people globally




Signs:


- epilepsy


- headaches


- neurological disease




= people acting as aberrant intermediate host

Risk factors for contracting cysticercosis (neurological signs)

Association with people with taeniaisis (people shedding eggs)


- not pigs!!




Huge problem in developing nations


- sporadic occurrence in NA

Diagnosis of T. solium

People:


1) Taeniasis


- fecals, history of tapeworm segments in feces


2) Cysticercosis- seizures/epilepsy


- CDC Immunoblot (antibody)


- MRI/CT (imaging)




Pigs


- Lingual palpation


- ELISA


- or similar to cows above, cut into meat



Prevention of T. solium

Tx Taeniasis


- targeted, not mass treatment, is preferred (exacerbate occult neurocysticercosis)




Health education


- very effective in Latin America, educate local leaders




Pig control


- prevent access to human feces


- vaccination?


- pig treatment is effective

Why do we think we can eradicate T solium?

- Parasite requires human to complete its lifecycle


- Tapeworms in humans are only source of infection for pigs


- Authorities can control transmission from pigs to humans


- No reservoir of infection in wildlife

Taenia serialis

Canid-lagomorph (bunnies)


- sylvatic cycle (wild-life)


- coenurus stage in bunnies?

T. krabbei/T. hydatigena

Canid-cervid




Cysticercus in meat


- in omentum, peritoneal cavity etc

How are Taenia related to immunosuppression? Which 3 Taenia does this happen with?

Carnivores typically definitive hosts but occasionally play role of intermediate hosts


- may be linked to immunosuppression




T. serialis


- cases of fatal cerebral coenurosis in cats = severe neurological disease




T. pisiformis


- hepatic cysticercosis in dogs




T. crassiceps


- subcutaneous cysticercosis in dogs

Taenia summary

- 2 host cycle


- large worms, scolex with hooks and suckers


- rectangular proglottids


- gravid proglottids shed in feces (or crawl out)


- eggs generally fairly environmentally robust, immediately infective


- larval stages: cysticercus (one), strobilocercus (elongating), coenurus (multiple), hydatid (cystic and alveolar)


- canids/felids/ursids common definitive hosts


- people = definitive and intermediate hosts, sometimes both for same worm (T. solium)


- economic costs