Cestodes Flashcards
Cestodes, Trematodes and Nematodes AKA
Cestodes - Tapeworm
Trematodes - Flukes
Nematodes - worms
Which helminths have body cavity and Alimentary canal
Nematodes
Which helminth have segmentation
Cestodes
Sexes of Cestodes, Trematodes and Nematodes
Cestodes and Trematodes - Hermaphrodites
Nematodes - Dioceous (males and females separate)
Sexual reproduction happens in which type of host
Definitive host
Asexual reproduction happens in which type of host
Intermediate host
In parasitemic host
Larval stage survives
No development
Only transmission
Man is intermediate host in which parasitemic infections
BEST TOP
Babesia
Echinococcus
Sarcocystis
Taenia solium
Toxoplasma
Plasmodium
Types of host in parasitic infections
Definitive host
Intermediate host
Parasitemic host
Accidental host/dead end host
Types of Biological vectors
Propagative
Cyclopropagative
Cyclodevelopmental
Propagative biological vectors features and example
Replication + , No development
Ex - Yersinia in rat flea
Cyclopropagative Biological vectors feature and Example
Replication + , Development +
Ex. Plasmodium, Babesia
Cyclodevelopmental Biological vectors feature and Examples
No Replication, Development +
Ex - Wucheraria, Leishmania, Trypanosoma
Microscopic methods used for Stool sample processing
Saline mount
I2 mount (Trophozoites are immobilized)
Concentration technique methods
Saturation salt floatation technique
Formol ether Sedimentation technique
Cestodes features and AKA
Segmented
AKA Tapeworm
Cestodes includes which organisms
Taenia solium
Taenia saginata
Hymenolepis nana
Hymenolepis Diminuta
Diphyllobothrium latum
Echinococcus granulosus
No. Of Suckers in Cestodes species
All have 4 suckers except Diphyllobothrium latum - 2 suctorial grooves or bothria (No suckers)
Which Cestodes species don’t have hooks
TaTaTa
T. Saginta
H. Diminuta
Diphyllobothrium lata
No. of Hooks in T. Solium
2 rows of hooks
No. Of hooks in H. Nana
Single row of 20-30 hooks
No. Of hooks in Echinococcus granulosus
2 rows of hooks
Examples of Intestinal Cestodes
Taenia saginata
Taenia solium
H. Nana
D. Latum
Examples of somatic cestodes
Echinococcus
T. Solium
T. Multiceps
Spirometra
Which is the smallest tapeworm
H. Nana
Which is the longest Tapeworm
D Latum
Definitive host in case of Cestodes
Man in all except Echinococcus - dog
All cestodes needs how many hosts and exceptions
All need 2 hosts except
H. Nana - single host (Human)
D. Latum - 3 host
Eggs seen in case of Cestodes
Operculated egg - have lid on top
Hexacanth embryo (6 hooklets)
Operculated eggs are seen in
STD
Spirometra
Trematodes except Schistosoma
D. Latum
H. Nana features
Smallest
Single host
Single row hooklets
M/C Cestodes infection
D. Latum features
Longest
3 host
Leaf shape
No suckers (2 grooves), no hooks
Definitive, 1st and 2nd intermediate host in case of D Latum
Definitive - Human
1st intermediate - Cyclops
2nd intermediate - Fish
Larval stages in D. Latum
CPP
L1 - Coracidium
L2 - Procercoid
L3 - Plerocercoid
Infective form in case of D. Latum
Plerocercoid
Human gets infected with D. Latum by eating
Raw or undercooked infected fish
Clinical features of D Latum infection
Abdominal pain
Nausea
Anemia - Bothriocephalus anemia (B12 deficiency)
Eggs seen in case of D. Latum
Operculated eggs - Lid +
Treatment of D. Latum infection
Praziquantel
Hooks and suckers in T. Saginata and T. Solium
T. Saginata - 4 suckers, no hooks
T. Solium - 4 suckers, 2 rows of hooklets
Length of T. Saginata and T. Solium
T. Saginata - 5 to 10m
T. Solium - 2 to 3m
Scolex in T. Saginata
Large quadrate
Rostellum and hooks are absent
Suckers may be pigmented
Scolex in T. Solium
Small and globular
Rostellum and hooks are present
Suckers not pigmented
No. Of proglottids in case of T. Saginata and T. Solium
T. Saginata - 1000 to 2000
T. Solium - Below 1000
Uterus in T. Saginata
Lateral branches - 15 to 30 on each side, thin and dichotomous
Uterus in T. Solium
Lateral branches, 5 to 10 on each side, Thick and dendritic
Vagina is present in T. Saginata or Solium
Present in T. Saginata
Definitive and intermediate host in T. Saginata
Definitive - human
Intermediate - Cattle
Definitive and intermediate host in T. solium
Definitive - human
Intermediate - Pigs
Larva seen in T. Saginata
Cysticercous bovis - present in cow not in man
Larva in T. Solium
Cysticercous Cellulosae - present in both pig and human
Which one’s egg is infective to human - T. Saginata or solium
T. Solium
Infection caused by T Saginata
Intestinal infection
Infection caused by T solium
Intestinal infection + Cysticercosis
Cysticercosis is caused due to
Eggs of taenia solium
In Cysticercosis eggs penetrate which organs and most commonly affected organs
Eggs - penetrate GIT - organs
CNS > muscle > Eye
Most common site affected and M/C presentation in Neurocysticercosis
M/C site - Brain Parenchyma
M/C presentation - Seizures
Others sites affected in Neurocysticercosis and Clinical features
Intraventricular - Hydrocephalus
Subarachnoid space - Meningitis
Lab diagnosis finding in case Of T Saginata
Stool examination - eggs - Hexacanth embryo (6 hooklets)
Concentration methods like formal ether Sedimentation technique
Cysticercosis diagnosis
Biopsy
X ray - s/c tissue/muscle
CT - Calcified cyst
ELISA
Treatment of T. Solium and Saginata infections
Praziquantel
Hosts in T. Multiceps
Definitive - Dog
Intermediate - Sheep
Dead end - Man
Taenia saginata asiatica features
Same as T. Saginata except intermediate host - pig (not cow)
Echinococcus granulosus AKA
Dog tapeworm
Suckers and rows in Echinococcus granulosus
4 suckers
2 rows of hooklets
Hosts in Echinococcus granulosus
Definitive - Dog, wolf
Intermediate - Sheep, horse
Accidental - man
Echinococcus granulosus causes
Hydatid cyst - multiple pearly white cysts
Hydatid cyst fluid features
pH - 6.7
Salts
Antigenic - anaphylaxis (FNAC C/I)
Layers of Hydatid cyst
Pericyst - Host derived (inflam. Cells)
Ectocyst - Paint Brush Appearance
Endocyst - broad capsule
Hooklets of hydatid cyst is +ve for which stain
ZN stain
M/C and 2nd M/C site of Hydatid cyst
M/C - Liver (Right side) - Hepatosplenomegaly, Portal HTN
2nd M/C site - Lungs (Cough, chest pain)
Others
Sign seen on imaging in case of Hydatid cyst
Water lily sign
Cyst fluid examination in Hydatid cyst
Presence of hooklets (acid fast) - ZN stain +ve
New diagnosis method used in case of Hydatid cyst
Arc5 immunoelectrophoresis
Treatment of Hydatid cyst
PAIR
Puncture
Aspirate
Injection - 95% Ethanol (scolicidal agent)
Reaspirate
Echinococcus Multilocularis AKA and clinical Presentation and sites involved
AKA Alveolar hydatid cyst - multiple locules
M/C site - Liver
2nd M/C - Lungs
Hosts in Echinococcus Multilocularis
Definitive - Dog,wolf
Intermediate - Rodents
Accidental - Human
Hymenolepis Nana AKA
Dwarf tapeworm
Most common cestodes infection
H. Nana
Host in H. Nana
Single host - humans only
Hooks and suckers in H Nana
4 suckers
Single row of hooklets
Clinical features of H. Nana infection
Abdominal pain
Nausea, vomiting
Treatment of H Nana
Praziquantel
H. Diminuta AKA
Rat Tapeworm
Hosts in case of H. Diminuta
2 host - Human and rat