8 – non Taenia Cestodes and Trematodes Flashcards
Dipylidium caninum
- DH: dogs, cats (people)
- IH: arthropod intermediate hosts
- *flee tapeworm
Dipylidium caninum mature segments
- 2 lateral genital pores
- 2 sets of genitalia per segment
Dipylidium caninum proglottids
- Look like cucumber seeds (‘football’)
- Might be able to see genital pores with your eyes
Dipylidium caninum egg packets
- Each contains up to 30 eggs
- Each egg contains a hexacanth larvae
o May be able to see the hooks - *HEAVY: do NOT float well
Dipylidium caninum life cycle
- Adults in SI
- Drop out egg packets or gravid segments
- Eaten by flea larvae
o Cysticercoid (single protoscolex, no cyst) - Adult dog and cat fleas with cysticercoid (IH, not a vector!)
- INGESTED by DOG (ex. biting at flea)
- **PPP 2-3 weeks
Dipylidium diagnosis
- Based on detection of egg packets
- Segments in feces=most likely
- *don’t use fecal floats
Dipylidium control
- Cestocides labeled for dogs and cats
o Praziquantel (resistance, not a big deal yet) - Treat ALL pets in household
- Flea control imperative
Dipylidium epidemiology/ecology
- Present where you have fleas
- More common on coasts and further south
- Global distribution
- *indirect lifecycle
- Zoonotic but not directly from pets (need to EAT flea)
Mesocestoides spp.
- DH: dogs, cats, wild canids (PEOPLE) in NA
- *zoonotic but NOT DIRECTLY from pets (eat IH host)
- No rostellum
- Ventral genital pore
- 2 IH
Mesocestoides spp. gravid segment
- Ventral genital pore
- Parauterine organ (‘soccer ball’)
- Segments, NOT eggs in feces
Mesocestoides spp. Tetrathyridium
- In 2nd IH
- Can divide asexually=amplification in IH
- 4 suckers on inverted scolex
- See on ultrasound or abdominal c
Mesocestoides spp. life cycle
- Adults in intestine
- *poop out gravid segments
- 1st IH: arthropod?
o If ingested by dog, dogs=2nd IH (larvae in peritoneal cavity) - 2nd IH: reptile, mammal, birds and get tetrahydridia larvae
o If ingested, then goes to SI
Psuedophyliid Cestodes
- 2 IH
- Ventral genital pores
- Fish or broad tapeworms (DH dogs, piscivores, people)
Dibothriocephalus spp. examples: fresh water
- D. latum (walleye)
- D. dendriticum (whitefish)
Dibothriocephalus spp. examples: marine
- D. ursi (Pacific salmon)
- D. nihonkaiense (Pacific salmon)
Dibothriocephalus sp. scolex
- Bothrium (no hooks)
o Clamps onto mucosa and holds it there
Dibothriocephalus sp. Gravid segments
- Ventral genital pore
- Central coiled uterus
- *eggs will be shed in feces=can use fecal float
Dibothriocephalus sp. Adults
- Long ribbon with central line of ventral genital pores
Dibothriocephalus sp. Eggs
- Operculum on one tip
- Pimple on other tip
Dibothriocephalus spp. Plerocercoids
- What is ingested by DH=infective
- Ex. fish fillet (salmon and white fish)
Dibothriocephalus sp. Life cycle
- Adults live for years inside intestines
- Eggs into water, coracidium pop out
- *goes into IH 1 (crustacean)
- Goes into IH 2 (fish)
o Develop into plerocercoids
o Eaten by dog or a larger fish (ex. salmon) - Dog more likely to eat the bigger fish (salmon)
- **PPP: 2-4 weeks
Dibothriocephalus sp. Diagnosis
- Eggs
- Segments in feces
Dibothriocephalus sp. Control
- Little clinical significance
- Off label: high dose praziquantel
- Prevent access to raw fish (freeze or cook)
- Prevent dogs from fecally contaminating water
Dibothriocephalus sp. Epidemiology/ecology
- Not detected in national survey in Canada
- Distribution detmined by wildlife reservoirs
- Indirect life cycles (DH: dogs (humans), IH1: crustaceans, IH2: fish or a paratenic host)
- *zoonotic from eating fish (rarely VitB12 deficiency=pernicious anemia (children)
Intestinal flukes: examples
- Alaria spp. : dogs
- Alaria marcianae: cats (not in Canada)
- Nanophyetus salmincola: dogs (and cats)
Liver flukes; examples
- Metorchus conjunctus: dogs
Intestinal and liver flukes
- All potentially zoonotic, but not directly from pets
- (none detected in national survey, but they used floatation method)
Alaria spp.
- DH: dogs (cats, wild, canids, people)
- 3% shelter dogs in Regina
- Frogs involved in lifecycle
- No real issues
Alaria sp. Adults
- Anterior alae
o ‘little tadpole’ with ‘legs’ - Oral sucker
Alaria sp. Eggs
- Operculum
- Older: can appear partially collapsed
- Float well: unusual for trematode eggs
o *sugar float
Alaria sp. Life cycle
- In GIT
- Poop out eggs
- Miracidium into IH (snails)
o Asexual reproduction - Cercaria can infect frogs (get metacercariae)
o Infect DH (dogs or humans)
o Eaten by PT (small mammal) with metacercariae - Hepatotraceal migration (no coughing)
- Cats: some trans-mammary infection to kittens
Nanophyetus salmincola
- DH: dogs (cats, people, mesocarnivores)
- Treat with praziquantel, rickettsia with doxycycline
Nanophyetus salmincola transmits
- Neorickettsia helminthoeca
o Causes salmon poisoning in dogs in BC, NW USA - **only on Westcoast
Nanophyetus adult
- Tiny (need a microscope to see)
- Ventral sucker
- Oral sucker
- Eggs
Nanophyetus life cycle
- Eggs, miracidium, snail
- Cerdariae into salmonid fish secondary IH (metacercariae)
- Adults develop inside intestine
- *cook or freeze animal
Metorchis conjuntus
- DH: dogs (rural, remote, northern)
- Zoonotic but not directly from dogs
- *usually asymptomatic (maybe serosis in liver, ascites, pancreatitis)
Metorchis conjuntus adults
- Ventral and oral sucker
- End up in bile duct (or pancreatic duct)
Metorchis conjuntus egg
- Operculum
- Lip with opeculum (‘crown’)
- Smaller than Aleria
Metorchis conjuntus life cycle
- Adults, eggs, miracidium, snail first IH
- Cercariae into sucker fish (2nd IH with metacercariae)
Metorchis conjuntus ‘rare case’
- Liver abscess secondary to infection by Metorchis
- Treated with praziquantel
- Injected ethanol into liver abscesses
Diagnosis of trematodes
- Detection of eggs in feces
o Ideally sedimentation (NOT FLOATATION)
Treatment of trematodes
- Often subclinical (*break life cycle)
- Off label praziquantel
- Prevent access to raw fish/frogs (freeze or cook)
- Prevent dogs from fecally contaminating water