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25 Cards in this Set

  • Front
  • Back

Hymenolepis nana


Taenia solium


Taenia saginata


Echinococcus granulosus


Diphyllobothrium latum


Dipylidium caninum

H. nana/H.dimunata(Dwarf tapeworm)


T. solium(Pork tapeworm)


T. saginata (beef)


E. granulosus(hydatid tapeworm)


D. latum(fish/broad tapeworm)


D. canium(dog tapeworm)

Cestode body


Cestode head

Strobila: body cestode


Scolex: anterior end(head) to attach to intestine may have sucker/hook

What is the proglottids part of cestode?

Mature part of worm towards the end. Each segment contain both sets reproductive organs.

Where is the rostellum part of the cestode

Taenia saginata


location


association




60 million

T. saginata


Worldwide. More common in developing countries.




Associated with beef, sheep, llama, giraffe

Taenia solium


location


association




4 million

T.solium


Countries near equator, hot.


Mexico, Central America, South America




Associated with pig

T. solium+ T. saginata


infective stage


diagnostic stage

T. solium+ T. saginata


Infective: ingest undercook meat w/ cysticerci


w/ invaginated(turned inside out) protoscoles




T. solium (cysticercosis)


Ingestion of only egg





T. solium
or T. saginata?

T. solium


or T. saginata?

T.saginata

T. solium or T.saginata?
T. solium or T.saginata?

T. solium

Diagnosis of T. solium + T. saginata

Cannot differenciate be T. solium and T. saginata ova.




Oncosphere has 6 hook


To differentiate use proglottid segment or scolex




Cysticercosis: serology, MRI, histology

Which is T. saginata
and T. solium

Which is T. saginata


and T. solium

T. saginata


No hook, proglottide uterine branch 23, passing of proglottid single spontaneous




T. solium


Hook, proglotid uterine branch 8, passing of proglottid in group.




Labelled A: T. solium

Medicine T. solium + T saginata

Adult tapeworm


Praziquantel


Niclosamide




Cysticercosis:


Albendazole, Praziquantel,


Must treat seizure, may require surgery

D. latum


location


association

D. latum


Cold area: Baltic sea, Russia, Switzerland, North America




Fish(pike, perch, trout)


Copepods(crustacean)


also found dog, cat, pig






Broad tapeworm: proglottids wider than long

D. latum
infective
diagnostic


**Has operculum+ small knob


***Largest tapeworm found in man

D. latum


infective


diagnostic




**Has operculum+ small knob




***Largest tapeworm found in man

D. latum


infective:plerocercoid larvae from freshwater fish




diagnostic:unembryonated egg in feces

D. latum
Proglottid in stool.


"rosette shaped ovaries"


Treatment
Symptom


Sparganosis?...what is it

D. latum


Proglottid in stool.




"rosette shaped ovaries"




Treatment


Symptom




Sparganosis?...what is it





Treatment:


Praziquantel


Niclosamide




Symptom:Vit B12 deficiency. tapeworm may use 100% of Vit B12.




Sparganosis: accidental ingestion copepod. Eat only egg no tapeworm development.

H. nana + H dimuta


association




Which is the most common tapeworm worldwide?

H. dimuta


Rate tapeworm


Association: rodent




H. nana


Dwarf tapeworm


Association: human, cosmopolitan(city)


**Most common tapeworm worldwide

H. nana


infective




**Autoinfection occur if egg remain in intestine. Egg release hexcanth embryo. ((immunecompromised))




How long can eggs survive in enviroment?

Infective:embryonated egg in feces or accidental ingestion cysticercoid arthropod








Eggs can only survive less than 10 days external enviroment.

H. nana


diagnostic


treatment




**Rare to find proglottid




H. nana intermediate host not required


H. diminuta: intermediate host required

Diagnostic: embryonated egg in feces

Formylether concentrate




Rare to find proglottid or worms




Treatment: Niclosamide



E. granulosus


location


association

E.granulosus


Location: Utah, Alaska, Canada, Africa, Middle East




association: sheep dog


also fox, coyotes, rodent

E. granulosus


diagnostic


infective




Human accidental host




Sheep: intermediate host


Dog: Definitive host



E. granulosus


Infective:embryonated egg in feces




Diagnostic: serology, MRI/histology




Protoscolexes in cyst fluid

E. granulosus


clinical manifestation

Anaphylactic shock can occur w/ rupture.


Rupture can occur during removal or biopsy.

Dipylidium caninumlocation  location
association
Dipylidium caninumlocation

location


association

D. caninum


Worldwide


Flea tapeworm


Accidental ingestion of dog or cat flea

D. caninum
infective
diagnostic

D. caninum


infective


diagnostic

D. caninum


Infective: cysticercoid




Diagnostic: finding egg or proglottids in stool

D. caninum


intermediate host


definitive host





D. caninum


Intermediate host: dog/cat flea




definitive host: cat, dog, fox, and children

D. caninum


symptoms




treatment

Mostly asymptomatic


Can be associated with anal pruritis(itching)




treatment: praziquantel orally


injection pet