Lecture: Cestodes Flashcards
Common name for Cestodes
Tapeworms
Two Orders of Cestodes
Order Pseudophilidea
Order Cyclophilidea
Order of Cestodes that harbors 1 intermediate host
Order Cyclophilidea
Order of Cestodes that harbors 2 intermediate host
Order Pseudophilidea
Order of Cestodes that has solid stage larvae
Order Pseudophilidea
Orders of Cestodes that has cystic stage larvae
Order Cyclophilidea
Order of Cestodes with sucking grooves or bothria/sulci
Order Pseudophilidea
Order of Cestodes with 4 suckers
Order Cyclophilidea
All adult Cestodes are found in large intestine. True or False?
False. Found in Small Intestine
All Cestodes are monoecious or hemaphroditic. True or False?
True. Monoecious or hemaphroditic means 2 sexual organs are present in an adult.
Order of Cestodes that contains coracidium in there ova
Order Pseudophilidea
Order of Cestodes that contains oncosphere in there ova
Order Cyclophilidea
Order of Cestodes that release eggs via uterine pores
Order Pseudophilidea
Order of Cestodes that release eggs via apolysis or detachment of gravid segments
Order Cyclophilidea
Other term for ventral groove or sucking grooves
Bothria
Sulci
Holdfast organ (attachment) for Cestodes
Scolex
Region of growth for Cestodes
Neck
Three Types of segments in Cestodes
Immature
Mature
Gravid
Order of Cestodes that has spatulate or spindle-shaped scolex
Order Pseudophilidea
Order of Cestodes that has globular or quadrate scolex
Order Cyclophilidea
Term for chain of segments or proglottids
Strobila
Other term for segments in Cestodes
Proglottids
Elevated portion in the scolex of cestodes in Order Cyclophilidea
Rostellum
Hair-like structures in rostellum
Hooklet/Hooks
Term when the proglottids in strobila overlaps one another
Craspedote
Term when the proglottids in strobila doesn’t overlap
Acraspedote
Normal detachment or disintegration of gravid segments
Apolysis
Types of Larvae
Solid
Cystic
Types of Larvae in Solid Type
Plerocercus
Plerocercoid
Types of Larvae in Cystic Type
Cysticercus
Cysticercoid
Described as hooked ball in which the hooklets are three pairs (hexacanth)
Oncosphere
Is the coracidium ciliated or not?
Ciliated
Known as the immature larva in Solid Type
Plerocercus/Procercoid/Procercus
Known as the mature larva in Solid Type
Plerocercoid/Sparganum
In which intermediate host does plerocercus stay?
1st Intermediate Host
In which intermediate host does plerocercoid stay?
2nd Intermediate Host
Only Cestode that has solid type larva
Diphyllobothrium latum or Dibothriocephalus latus
Cestodes that has cysticercus larvae
Taenia saginata
Taenia solium
Cestodes that has cysticercoid larvae
Hymenolepis nana
Hymenolepsi diminuta
Dipyllidium caninum
Opening structure in the ova of Order Pseudophilidea
Operculum
Common name for Diphyllobothrium latum
Fish or Broad Tapeworm
Longest tapeworm of human
Diphyllobothrium latum
Order of Cestodes that has rosette-featured uterus
Order Pseudophilidea
Diagnostic Stage of D. latum
Unembryonated eggs in feces
Infective Stage of D. latum
Plerocercus in crustaceans/small fish
Plerocercoid in larger fish
Mode of Transmission in D. latum
Ingestion
Why does D. latum cause anemia (bothriocephalus anemia)?
D. latum scolex attached in intestinal wall competes in the supply of Vit. B12
Diagnosis for D. latum
Stool Examination
Coproantigen Detection
Treatment for D. latum
Praziquantel
Quinacrine Hydrochloride
Niclosamide
Common tapeworm infection in dogs and cats are caused by?
Spirometra sp. (Spirometra mansoni)
When eye tissue is infected with sparganum, it causes…
Ocular sparganosis
When lymph channels has presence of spargana, it causes…
Elephantiasis
What may form when spargana inhabits subcutaneous tissues?
Acniform pustules
Accidental host of S. mansoni
Man
Diagnosis of S. mansoni
Finding of white larva in lesion
Treatment for S. mansoni
Surgery
Praziquantel
Does S. mansoni reach maturity in man?
No, since man is not its definitive host.
The egg of T. solium can be easily differentiated from T. saginata. True or False?
False. It cannot be easily distinguished.
Name of larva in T. solium
Cysticercus cellulosae
Term for meat infected with T. solium
Measly pork
What kind of host is man when infected with T. solium?
Definitive Host
Intermediate Host
Cysticercosis occurs when
Larva is in different organs
Man ingests egg from contaminated food
Taeniasis occurs when
Adult worm is in S.I.
Man ingest larva from contaminated food
Diagnostic Stage for T. solium
Embryonated eggs
Gravid proglottids
Infective Stage for T. solium
Embryonated eggs
Cysticercus cellulosae
Diagnosis for T. solium
Stool Examination
Anal Swab
Slide Compression
Serological Test (cysticercosis)
Treatment for T. solium
Praziquantel
Niclosamide
Quinacrine
Diagnosis for Cysticercus cellulosae
Computed axial tomography (CAT) Scan
Nuclear MRI
Treatment for Cysticercus cellulosae
Praziquantel
Albendazole
Steroids
Surgery
Common name for T. solium
Pork tapeworm
Common name for T. saginata
Beef tapeworm
Name of larva for T. saginata
Cysticercus bovis
Diagnostic Stage for T. saginata
Embryonated eggs
Gravid proglottids
Infective Stage for T. saginata
Cysticercus bovis
Large volume of T. saginata can cause intestinal disturbance such as
Acute intestinal obstruction
Diagnosis for T. saginata
Stool Examination
Slide Compression
Treatment for T. saginata
Praziquantel
Is it possible for cysticercus bovis to cause infection in human?
No, it does not occur.
Difference of T. solium and T. saginata regarding scolex
T. solium - Globular
T. saginata - Quadrate
Does T. saginata have rostellum?
No, rostellum is absent from T. saginata
Difference of T. solium and T. saginata regarding proglottids
T. solium - 800-1000
T. saginata - 1000-2000
Difference of T. solium and T. saginata regarding uterine branches
T. solium - 5-14 branches
T. saginata - 15-20 branches
Difference of T. solium and T. saginata regarding length
T. solium - 5-7 meters
T. saginata - 5-10 meters
Difference of T. solium and T. saginata regarding testicular follicle
T. solium - 150-200
T. saginata - 330-400
Cestodes under Order Cyclophilidea that requires vertebrate intermediate host
T. solium
T. saginata
Cestodes under Order Cyclophilidea that requires invertebrate intermediate host
D. caninum
H. diminuta
R. garrisoni
Cestode under Order Cyclophilidea that may or may not require intermediate host
H. nana
Cestodes under Order Cyclophilidea that infects man in their larval stage
E. granulosus
E multilocularis
T. solium
S. mansoni
Egg shape in Order Pseudophilidea
Ovoidal
Egg shape in Order Cyclophilidea
Spherical
Scolex shape of D. latum
Spatulate or almond-shaped
Scolex shape of D. caninum
Rhomboidal
Scolex shape of H. nana
Rhomboidal
Scolex shape of H. diminuta
Club-shaped
Scolex shape of E. granulosus
Pyriform
Scolex shape of R. garrisoni
Sub-globular
Common name of D. caninum
Double-pored or Dog Tapeworm
Eggs of D. caninum are expelled in egg capsules called
Mother packet
Diagnostic Stage of D. caninum
Mature ova
Infective Stage of D. caninum
Cysticercoid in IH (flea)
Dog flea suitable for D. caninum
Ctenophalides canis
Cat flea suitable for D. caninum
Ctenophalides felis
Human flea suitable for D. caninum
Pulex irritans
Dog lice suitable for D. caninum
Trichodectes canis
Diagnosis for D. caninum
DFS
Treatment for D. caninum
Praziquantel
Niclosamide
Quinacrine
How is man infected by D. caninum?
Accidental ingestion of infected intermediate host (flea)
Common name of H. nana
Dwarf tapeworm
Unique characteristic of H. nana egg
Bipolar thickening with polar filaments
3 Types of Life Cycle of H. nana
Direct
Indirect
Autoinfection
Diagnostic Stage of H. nana in Direct Cycle
Mature ova in feces
Infective Stage of H. nana in Direct Cycle
Cysticercoid in IH (arthropods)
Diagnostic Stage of H. nana in Indirect Cycle
Mature ova in feces
Infective Stage of H. nana in Indirect Cycle
Ingested mature ova in contaminated food and water
How does autoinfection happen in H. nana infection?
External - same with indirect (fecal-oral)
Internal - ova matures in L.I. and escapes to bloodstream
Diagnosis for H. nana
DFS
Treatment for H. nana
Praziquantel
Niclosamide
Paramomycin
Murine strain of H. nana
H. nana var fraterna
Intermediate Hosts utilized by H. nana var fraterna in Indirect Cycle
Ctenophalides canis (Dog flea)
Pulex irritans (Human flea)
Xenopsylla cheopis (Oriental rat flea)
Tenebrio molitor (Mealworm)
Tenebrio confusum (Confused flour beetle)
What cycle of H. nana is similar to H. diminuta?
Indirect Cycle
Difference of H. nana from H. diminuta with regards to length
H. nana - 2 to 4 cm
H. diminuta - 10 to 60 cm
Difference of H. nana from H. diminuta with regards to number of segments
H. nana - 96-840 segments
H. diminuta - 800-1300 segments
Does H. diminuta have spines in its rostellum?
No, H. diminuta only has rostellum, but without spines
Common name of H. diminuta
Rat tapeworm
Unique characteristic of H. diminuta egg
Fried egg appearance
Bipolar thickening without polar filaments
Diagnostic Stage of H. diminuta
Mature ova in feces
Infective Stage of H. diminuta
Cysticercoid in IH (flea/beetle)
Diagnosis for H. diminuta
DFS
Treatment for H. diminuta
Niclosamide
Praziquantel
How is man infected with H. diminuta?
Accidental ingestion of infected intermediate host (flea/beetle)
Smallest yet deadliest tapeworm
E. granulosus
Common name of E. granulosus
Hydatid worm
Egg of E. granulosus is not striated. True or False?
False. E. granulosus ova is striated
Diagnostic Stage of E. granulosus
Hydatid cysts in different organs
Infective Stage of E. granulosus
Mature ova in feces
Does hydatid worms mature in human?
No, since humans are just intermediate host
A slow-growing, tumor-like, space-occupying structure enclosed by a laminated germinitative membrame
Unilocular hydatid cyst
Structures on walls of hydatid cysts where tapeworm scolices arise
Brood capsules
Why is hydatid worm the deadliest?
Hydatid fluid of hydatid cyst are toxic which can cause anaphylactic shock and death if spilled on body cavities
Diagnosis for E. granulosus
Aspiration of cyst contents
Radiological examination
Scanning procedure
Ultrasound techniques
Serological test (CFT, ELISA, Casoni intradermal test, IHA, CIEP)
Hydatid fluid microsocopy (LPCB)
Histopathologic Dianosis (FNAB, PAS stain)
Treatment for E. granulosus
Surgery
Mebendazole
Albendazole
PAIR (Percutaneous Aspiration Injection Reaspiration)
What is the mechanical vector of E. granulosus?
Coprophagic flies
Is E. granulosus strictly zoonosis or zoonosis only?
Strictly zoonosis
Difference between primary and secondary echinococcosis
Primary echinococcosis occurs after per oral infection of ova which gives rise to hydatid cysts in different parts of the body
Secondary echinococcosis occurs when primary hydatid cysts rupture by trauma and releases other protoscolices
pH and Specific gravity of Hydatid fluid
pH 6.7
Specific gravity - 1 to 1.010
Outer laminated layer of hydatid cyst
Ectocyst
Inner laminated layer of hydatid cyst
Endocyst
What kind of host is man in E. granulosus?
Accidental host
Common name of E. multilocularis
Fox tapeworm
Habitat or organ infected by E. multilocularis in man
Liver
Unique characteristic of R. garrisoni egg
Spindle-shaped or rice grain-shaped
Diagnostic Stage of R. garrisoni
Mature ova in feces
Infective Stage of R. garrisoni
Cysticercoid in IH (flour beetle)
Diagnosis for R. garrisoni
DFS
Treatment for R. garrisoni
Niclosamide
Praziquantel