Cestodes Flashcards

1
Q

Cestode morphology

A

Flat, solid-bodied and segmented, with a scolex, neck, and strobila; they lack a digestive tract

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2
Q

What type of life cycle do cestodes have?

A

Indirect life cycles with at least 1 intermediate host

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3
Q

Describe the sexuality of cestodes

A

Hermaphrodites - sexual +/- asexual reproduction (depends on the larval stage)

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4
Q

How do Cyclophyllideans differ from Pseudophyllideans?

A
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5
Q

What is a metacestode?

A

The larval stage of cestodes

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6
Q

Describe the differences between the various metacestode stages of cyclophyllideans

A
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7
Q

Within a hydatid cyst, what can you find many of?

A

Endogenous cysts

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8
Q

Describe Dipylidium caninum (cucumber seed tapeworm)

A
  • DH: canids, felids, humans - ZOONOTIC
  • Habitat: SI
  • Morph:
    • Adults - up to 50 cm long, armed scolex, 4 suckers, bilateral genital pores
    • Egg packets contain multiple eggs, each 45 um—> hexacanth embryo
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9
Q

Describe the Dipylidium life cycle

A
  • Gravid proglottids break off in SI, are passed in feces or actively crawl out
  • Proglottids rupture, release egg packets
  • Eggs ingested by IH
    • Larval fleas
    • Chewing louse of dogs
  • Eggs develop into infective cysticercoid
  • IH ingested by DH (dog, cat, human)
  • Scolex attaches to SI, grows
  • Self- or cross-fertilization occurs
  • PPP = 2-3 weeks
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10
Q

Describe the disease caused by Dipylidium caninum

A
  • Usually non-pathogenic
  • typically “scooting across the floor”
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11
Q

Describe Taeniid tapeworms

A
  • Large worms
  • are armed - rostellum with double row of small + large hooks
  • have proglottids longer than they are wide
  • have single genital pore per proglottids (irregularly alternating)
  • have characteristic taeniid-type egg
    • embyrophore is brown and radially striated
    • Hexacanth embryo with 6 hooklets
  • live in SI as adults
  • are more pathogenic as metacestode than as adults
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12
Q

Describe the general Taeniid life cycle

A
  • Adult tapeworms attached to SI
  • Gravid proglottids pass in feces or migrate out
    • rupture releases eggs
  • IH ingests egg —> oncosphere hatches, penetrates SI mucosa —>enters circulation
  • Metacestode develops in various organs/tissues
  • DH ingests IH
  • Scolex released, attaches to SI and grows
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13
Q

Describe Taeniid taeniaeformis

A
  • DH: cats, other felids
  • IH: Rats, mice, other small rodents —> liver
  • Morph:
    • Adults - 60 cm long, armed, 4 suckers
    • Strobilocercus
  • Disease: Heavy infection — obstruction reported
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14
Q

What are these?

A

T. Taenoiaformis eggs

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15
Q

What is this parasite?

A

T. Taeniaformis strobilicercus in liver

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16
Q

Describe Taeniid pisiformis (rabbit tapeworm)

A
  • DH: Dogs
  • IH: rabbits, hares, occasionally rodents - peritoneal cavities
  • Morph:
    • Adults: 200 cm long, armed, 4 suckers
    • Cysticercus = pea sized
  • Disease: Heavy infection - constipation, ill thrift, pot-belly
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17
Q

Describe Taenia ovis (mutton tapeworm)

A
  • DH: Dogs
  • IH: Sheep, goatsskeletal and cardiac muscle
  • Morph:
    • Adults 100-200 cm, armed, 4 suckers
    • Taenid eggs
    • Cysticercus
  • Disease: Heavy infection - constipation, pot belly, diarrhea
18
Q

Taenia hydatigena (ruminant tapeworm)

A
  • DH: Dogs
  • IH: sheep, goats, sometimes pigs - peritoneal cavity
  • Morph:
    • Adults 75-100 cm long, armed, 4 suckers
    • Taenid eggs
    • Cysticercus
  • Disease: Heavy infection - constipation, diarrhea, pot-belly
19
Q

Describe Taenia multiceps (sheep coenurus worm, gip)

A
  • DH: dogs, foxes, coyotes
  • ​IH: sheep, goats - brain, spinal cord
  • Morph:
    • Adults 40-100 cm long, armed, 4 suckers
    • Coenurus
  • Disease: heavy infection - constipation, diarrhea, pot belly
20
Q

Taenia serialis (rabbit coenurus tapeworm)

A
  • DH: Dogs, foxes, coyotes
  • IH: Rabbits - SC and IM connective tissues
  • Morph:
    • Coenurus - Scolices lined up in rows (‘serialis)
  • Disease: same as other Taenids
21
Q

Echinococcus granulosus

A
  • Distribution: Northcentral, midwestern and southwestern US
  • DH: Dogs, carnivores
  • IH: cattle, sheep, sometimes horses, pigs, humans
    • ​liver, lung, brain
  • Morph:
    • Adults 4-7 mm long (very tiny), armed, 4 suckers, 3-4 proglottids
    • Unilocular hydatid cyst
22
Q

What are you looking at?

A

Echinococcus granulosus (adult)

23
Q

WHAT ARE THOSE

A

Echinococcus granulosus hydatid cysts in liver and lung

24
Q

What are these?

A

Enterococcus granulosus protoscolex

Inverted (left)

Everted (right)

25
Q

Describe Entercoccus multilocularis

A
  • Distribution: northern US
  • DH: dogs, cats, foxes
  • IH: dogs, rodents, humans — liver, lung
  • Morph:
    • Adults: 1-5 mm, 2-6 proglottids
    • Multilocular hydatid cysts, size depends on locaiton
      • Budding daughter cysts infiltrate tissue like malignant tumor
  • Disease:
    • DH: usually harmless, can harbor thousands of adults
    • IH: domestic animals typically asymptomatic, humans - organ dysfunction
26
Q

WHAT ARE THOSE

A

(Enterococcus multilocularis) multilocular hydatid cyst

27
Q

What are these lesions associated with?

A

Enterococcus multilocularis

28
Q

Why should you treat both Taenia and Echinococcus from wild canids with caution?

A

Because these species have indistinguishable eggs and Echinococcus eggs have zoonotic potential

29
Q

Describe Spirometra mansonoides (zipper tapeworm)

A
  • DIstribution: Southern US, down into S. America
  • DH: Cats, dogs, raccoons
  • Habitat: SI
  • IH: copepod (1st), frog/snake/rodent/fish (2nd)
  • Morph:
    • Adults up to 1.5 m long, bothria​, medial uterine pore
    • Eggs light brown, operculated
30
Q

Describe the life cycle of Pseudophyllidean tapeworms

A
  • Adults in SI produce operculated eggs —> shed into feces
  • Upon contact with water —> coracidium develops and emerges
  • Copepod 1st IH ​ingests coracidium -> develops into procercoid in body cavity
  • Vertebrate 2nd IH (frog, rat, snake) ingests copepod
    • procercoid migrates to muscle, CT —> develops into plerocercoid/sparganum —> encysts
  • DH ingests 2nd IH —> plerocercoid attaches to SI and grows
  • PPP: 10-30 days
31
Q

Describe the disease caused by Pseudophyllideans

A
  • Adult stages usually non-pathogenic
    • may cause V/D, weight loss
  • Larval tapeworms: Sparganosis
    • ​​Dogs, cats, humans (zoonosis)
    • Infected via ingestion of 1st or 2nd IH, or use of 2nd IH as poultice on wound
    • Signs depend on final location of migrating sparganum (e.g. lungs, CNS)
    • Proliferative form rarely reported
32
Q

What parasite caused these lesions?

A

Spirometra mansonoides (Sparganosis); this was a pneumothorax

33
Q

Describe Diphyllobothrium spp. (Broad fish tapeworm)

A
  • Distribution: worldwide
  • DH: humans (primary), cats, dogs, bears, fish-eating mammals
  • IH: copepod (1st), fish (2nd)
  • Habitat: SI
  • Morph: Long adults with medial uterine pore and bothria w/ operculated egg
  • Disease:
    • Vomiting, diarrhea, wt loss
    • Zooanthroponosis: abd discomfort, weakness, nausea; pernicious anemia (B12 deficiency)
34
Q

How does the Diphyllobothrium lifecycle differ from that of Spirometra?

A
  • The second IH = freshwater fish
  • in dogs: PPP = 3-4 weeks
35
Q

How do you diagnose Taenia and Dipylidium?

A
  • Proglottids: in the feces, bedding, and perianal area, longer than the are wide
  • +/- eggs in fecal float
36
Q

How do you diagnose Echinococcus?

A
  • Proglottids are too small to notice
  • Eggs seen in fecal float, can also use coproantigen ELISA
37
Q

How do you diagnose Pseudophyllideans?

A
  • Proglottids in the vomitus or feces; wider than they are long
  • Eggs found in fecal float, can also do fecal sedimentation
38
Q

What is the only method of differentiating Taenid and Echinococcus eggs?

A

PCR

39
Q

How do you diagnose cestodes grossly?

A
  • You can break open proglottids and examine for eggs
  • you can ID adult worms using their scolices
  • if you necropsy the IH, you can ID the metacestodes
40
Q

What are the treatments for Pseudophyllideans?

A

Praziquantel (extra-label)

41
Q

What is the treatment for Cyclophyllideans?

A
  • Praziquantel - only product approved for Echinococcus spp.
  • Epsiprantel
  • Fenbendazole - Taenia spp. Only
42
Q

How do you prevent cestode infestation?

A
  • Prevent predation and scavenging
  • do not feed raw/undercooked meat or fish
  • Flea control
  • For pets with at-risk lifestyle, regular fecal monitoring and anthelmintic tx is recommended
  • Pets in Echinococcus-endemic areas should receive monthly praziquantel