CESTODES Flashcards
Enumerate the 2 divisions of Cestodes
Pseudophyllidean
Cyclophyllidean
Cestodes are described to have a
Ribbon-like, segmented flattened structure
Also known as oncosphere
Hexacanth embryo
Features of Adult TW:
1. Organ of attachment
2. Region for growth
3. Chain of developing proglottids
4. Type of reproductive system which exhibits hermaphrotism
(ACRASPETODE/ CRASPETODE)
5. Proglottids overlap
6. Proglottids do not overlap
(APOLYTIC / ANAPOLYTIC)
7. Segments are detached with mature eggs
8. Proglottids are shed when they are exhausted
- Scolex
- Neck
- Strobila
- Protandry
- Craspetode
- Acraspetode
- Apolytic
- Anapolytic
A 14-year-old, severely mentally disabled boy, who was
institutionalized in a state facility, was evaluated for episodes of chronic diarrhea, anal pruritis, restless nights, and occasional vomiting. Significant laboratory findings were a 10% eosinophilia, an IgE level of 225 IU/mL, and microscopic examination of a stool concentrate that revealed
two thin-shelled, oval-shaped eggs measuring 45 by 35 um
in size and containing three pairs of hooklets and polar
filaments.
a. What is the most likely identification of the parasite in
question?
b. What is the preferred treatment for infection caused by this organism?
a. Hymenolepis nana
b. Praziquantel
A persistent cough, localized pain, and liver and lung
involvement are associated with an infection with
which of the following cestodes?
A. Diphyllobothrium latum
B. Echinococcus granulosus
C. Both A and B
D. Neither A nor B
B
What order of the cestode has an Almond-shaped scolex, with 2 sucking groves
Pseudophyllidean
What order of the Cestodes have a scolex with globular, club- shaped with 4 muscular suckers
Cyclophyllidean
Enumerate the following for Pseudophyllidean:
a. Genital pore
b. Uterine pore
c. Ova
d. Oncosphere
e. Larva
f. Example of
a. center
b. center
c. operculated; immature
d. Coracidium; ciliated
e. Solid
f. Diphyllobothrium latum
e. Solid
Enumerate the following for Cyclophyllidean:
a. Genital pore
b. Uterine pore
c. Ova
d. Oncosphere
e. Larva
f. Example of
a. Margins
b. Absent
c. Non operculated; mature
d. Hexacanth embryo
e. Cystic
f. T. solium, T. saginata, H. nana, H. diminuta, D. caninum, M. multiceps, E. granulosus, E. multiocularis
Enumerate the 2 main classes of larvae in Cestodes
Solid
Vesicular/Bladder/Cystic
Classes of Larvae: Solid
a. It has no scolex, with oncospiral hooks (6 hooks). Known to be the 2nd larval stage
b. With solid body, developing scolex & strobila. Known to be the 3rd larval stage
a. Proceroid
b. Plerocercoid
What is the common name of Diphyllobothrium latum?
Fish tapeworm / Broad fish tapeworm
Diphyllobothrium latum:
1. What is the infective stage?
2. Enumerate the 1st IH and 2nd IH
3. Describe its ova
4. This swims freely in water
5. Larvae has 3 pairs of hooklets
6. Larvae has no scolex
- Plerocercoid larvae
- 1st (Copepods), 2nd (Fresh water fish: Salmon, Trout, White fish)
- Yellow to brown; operculum at 1 end /Terminal knob
- Coracidium
- Procercoid
- Plerocercoid
Diphyllobothrium latum:
1. The larvae that is described as glistening opaque white
2. Disease that is described as Macrocytic normochromic anemia
3. Sparganosis is caused by
4. Laboratory diagnosis for D. latum is done through?
5. Give 1 antibiotic for the treatment used for D. latum
6. Give the % of ethyl alcohol, used to kill the plerocercoid larva
7. Prevention of D. latum is done through freezing at what temp?
- Pleroceroid larvae
- Bothriocephalus anemia
- Spirometra
- Examination of eggs & proglottids in feces
- Niclosamide, Praziquantel, Quinacrine HCl
- 40%
- -18C (24 hours) or -10C (48 hrs)
What parasite causes Diphyllobothriasis?
- The primary pathology associated with a D. latum
infection is which of the following?
A. Eosinophilic pneumonitis
B. Vitamin D deficiency
C. Vitamin B12 deficiency
D. Fat malabsorption
Diphyllobothrium latum
- C
The egg of D. latum is unique among the cestodes in
that it contains which of the following?
A. An operculum and terminal knob
B. Radial striations and oncosphere
C. An operculum and lateral spine
D. A ciliated rhabditiform larva
A
Which of the following associations is correct for D.
latum?
A. Snail-coracidium
B. Copepod-procercoid
C. Fish-cysticercus
D. Beetle-pleurocercoid
B
This condition results from ingesting the procercoid larvae of D. latum as well as that of
other related Diphyllobothrium species
Sparganosis
It has a common name of Pork tapeworm
Taenia solium
It has a common name of Beef tapeworm
Taenia saginata
Enumerate the Infective stage of:
a. Taenia solium
b. Taenia saginata
a. cysticercus cellulosae
b. cysticercus bovis
Known to be the largest human tapeworm
Diphyllobothrium latum
Diphyllobothium anemia interferes with what factor?
Intrinsic and Vitamin B12 absorption
To examine the proglottides in the feces of T. solium and T. saginata, what dye is injected and what gauge is used?
India Ink / Safranin
Gauge 26
Identify if its T. solium or T. saginata
- Scolex
a. globular in
shape. 4 cup-shaped
suckers with a rostellum
armed with hooklets
arranged in 2 rows
b. pyriform in shape
with 4 muscular
suckers. It has no rostellum nor
hook - Mature proglottids
a. Roughly squared. Unilateral or irregular genital pore
b. Irregularly alternate lateral genital pore
c. Contains an accessory ovarian lobe
d. Does not contain an accessory ovarian lobe - Segments
a. 1000-2000
b. 800-1000 - Testes
a. 150-200
b. 300-400 - Uterine branches
a. 15-30
b. 7-12
- a (T. solium) b. (T. saginata)
- a (T. solium) b. (T. saginata) c (T. solium) d. (T. saginata)
- a (T. saginata) b (T. solium)
- a (T. solium) b. (T. saginata)
- a (T. saginata) b (T. solium)
What disease is defined as the accidental ingestion of aerosol eggs & proglottids in Taenia solium
Neurocysticercosis
Known to be the Aborigines of Taiwan
Taiwan taenia
Taiwan taenia
a. Describe the adult scolex
b. How many branches are present in the gravid segments
a. unarmed
b. 11-32 branches
Which of the following are key distinguishing factors
in differentiating an infection between T. saginata
and T. solium?
A. Egg morphology and number of uterine branches
in proglottid
B. Presence of hooklets on scolex and egg
morphology
C. Presence of hooklets and number of uterine
branches in proglottid
D. Egg morphology and presence of suckers on
scolex
C