export_gi cestodes parasites iii Flashcards
Q
A
“Three basic structures of adult tapeworms”
Scolex - the rounded head of the worm (hooks/suckers)
“Neck” - the area from which new body segments are generated
Body (strobila) - long, segmented structure; individual segments are called proglottids
Which cestodes are adults in the human small intestine?
Taenia saginata
Taenia solium
Diphyllobothrium latum
Which cestodes are larvae in various tissues of the human?
Echinococcus granulosus
Taenia solium
Taenia saginata disease
Beef tapeworm
Taenia saginata transmission
Ingestion of undercooked beef with cysticerci
Taenia saginata infection
Humans generally infected with one worm
Can reach 10-30 ft, and live up to 25 years
Symptoms of Taenia saginata
Generally asymptomatic
Mild abdominal pain, feeling of fullness
Characteristics of Taenia saginata
Four suckers, no hooks
Taenia saginata diagnosis
Identification of proglottids or eggs in stool
Taenia solium disease
Pork tapeworm
Taenia solium transmission
Ingestion of undercooked pork containing cysts
Taenia solium extra-intestinal infection
Larvae hatch in intestines, then spread via circulation
Cysticercus creates a lesion that induces local inflammation - neurocysticercosis
Taenia solium diagnosis
Detection of proglottids or eggs in stool (intestinal)
CT scan, MRI, serology (extra-intestinal infection)
Characteristics of Taenia solium
Four suckers, hooks present
Diphyllobothrium latum disease
Fish tapeworm
Diphyllobothrium latum transmission
Ingestion of raw or undercooked fish containing infectious larvae
Diphyllobothrium latum symptoms
Asymptomatic and mild
Transient nausea, abdominal pain, diarrhea
Can result in intestinal obstruction
Can lead to macrocytic anemia
Diphyllobothrium latum diagnosis
Eggs in stool
Echinococcus granulosus disease
Dog tapeworm
Echinococcus granulosus transmission
Humans are an accidental host
Exposure to dog feces
Hydatid cyst
Formed by Echinococcus granulosus
Larvae secrete a hyaline membrane in the tissue they infect
Cysts can rupture, releasing a large amount of Ag, which can induce an anaphylactic response
Echinococcus granulosus diagnosis
Presence of cyst, consistent history
Trematodes disease
Flukes
Fasciolopsis buski disease
Intestinal flukes
Fasciolopsis buski life cycle
Ingesting water or plants with encysted cercariae attached, travel to small intestine, excysting occurs, attaching to columnar epithelium and mature to egg-laying adults (hemaphroditic)
Symptoms of light infection of Fasciolopsis buski
Focal inflammation, intermittent diarrhea
Symptoms of heavy infection of Fasciolopsis buski
Continuous diarrhea, intestinal hemorrhage, ulceration, abscess formation
Diagnose Fasciolopsis buski
Eggs in stool
Fasciolopsis buski transmission
Snails are the vector, fecal-oral route
Fasciola hepatica disease
Liver flukes
Clonorchis sinensis disease
Liver flukes
Liver flukes (F. hepatica) transmission
Ingestion of affected aquatic plants
Liver flukes (C. sinensis) transmission
Ingestion of underprepared fresh water fish
Liver flukes symptoms
Migration through liver results in hepatomegaly, tenderness, fever, eosinophilia, jaundice
Diagnose liver flukes
Eggs in stool