Order Pseudophyllidea and Order Cyclophyllidea Flashcards
Diphyllobothrium latum
other name
Dibothriocephalus latus
Diphyllobothrium latum
COMMON NAME
Broad or Fish Tapeworm
Diphyllobothrium latum
FH
Man
Diphyllobothrium latum
reservoir
hosts
dogs
Diphyllobothrium latum
HABITAT
Small Intestine (Ileum)
Diphyllobothrium latum
order
Pseudophyllidea
Diphyllobothrium latum
1ST IH
Copepods
Diphyllobothrium latum
2ND IH
Freshwater fish (salmon, trout, pike, ruff, etc.)
Diphyllobothrium latum
INFECTIVE STAGE
Plerocercoid larva
Diphyllobothrium latum
MOT
Ingestion of raw, undercooked or
pickled freshwater fish
Diphyllobothrium latum
common in:
fish-eating countries such as Europe
Diphyllobothrium latum
largest known parasite in man
Diphyllobothrium latum
Diphyllobothrium latum: Life Cycle
Humans get the infection by ingesting fish containing
_________.
plerocercoid larva
Diphyllobothrium latum: Life Cycle
Larvae are released and become adults in the _________
small intestine
Diphyllobothrium latum: Life Cycle
Adult worms will mature, having proglottids, also containing eggs, released in the ____.
stool
Diphyllobothrium latum: Life Cycle
the eggs are immature when released, and
embryonate in ____
water
Diphyllobothrium latum: Life Cycle
Time of embryonation in fresh water
8-12 days
Diphyllobothrium latum: Life Cycle
____ are released, and will be ingested by
copepods.
Coracidia
Diphyllobothrium latum: Life Cycle
The Coracidia will become a __________
In the Copepod
procercoid larva
Diphyllobothrium latum: Life Cycle
Procercoid larva develops into ____________.
In the Freshwater Fish:
plerocercoid larva
Diphyllobothrium latum: Life Cycle
Copepods are ingested by the ______
In the Copepod
freshwater fish
Diphyllobothrium latum: Life Cycle
Large fishes may serve as a _________. = ingested larva would not develop and remain as plerocercoid larva in the predator fish.
In the Freshwater Fish:
paratenic host
Diphyllobothrium latum: Life Cycle
From there, the predator fish would be ingested by _________ to get the infection.
In the Freshwater Fish:
humans
Diphyllobothrium latum: Morphology
Shape
Scolex
almond-shaped
Diphyllobothrium latum: Morphology
sucking
grooves/organ
Scolex
- 2
- long, prominent
Diphyllobothrium latum: Morphology
size
Proglottids
10-20 millimeters
wide
(Wider than long)
Diphyllobothrium latum: Morphologyv
uterus
Proglottids
“rosette”
Diphyllobothrium latum: Morphology
presence of
Proglottids
bilobed ovaries
Diphyllobothrium latum: Egg
Operculated, immature when released.
Diphyllobothrium latum: Egg
Due to the presence of operculum, it may be
mistaken for ___________ egg
Paragonimus westermani
Diphyllobothrium latum: Egg
The eggs of D. latum are
________ and ________ than P. westermani
smaller and more symmetrical
Diphyllobothrium latum: Disease/Infection
Effects of Diphyllobothriasis
- Asymptomatic in most cases
- Obstruction, diarrhea or anemia have been reported
- Non specific abdominal symptoms
Diphyllobothrium latum: Disease/Infection
The manifestation of the symptom would depend on the ________
Asymptomatic in most cases
worm burden or intensity of infection
Diphyllobothrium latum: Disease/Infection
Anemia would be due to ________
B12
malabsorption
Diphyllobothrium latum: Disease/Infection
The infected person would have adeficiency on vitamin B12 which
can lead to ________
Bothriocephalus
anemia
Diphyllobothrium latum: Disease/Infection
Bothriocephalus anemia may be
mistaken for ____________
pernicious anemia
Diphyllobothrium latum: Epidemiology
Occurs in the __________ where raw, pickled or inadequately cooked fish are eaten
Northern Temperate Areas
Diphyllobothrium latum: Disease/Infection
Note that the RBC of pernicious
anemia are __________
enlarged
(megaloblastic anemia)
Diphyllobothrium latum: Epidemiology
Endemic Foci include:
Scandinavia, Finland, Japan,
Europe, Chile and North America
Diphyllobothrium latum: Diagnosis
- Demonstration of Eggs
- Demonstration of Proglottids
- Travel History and Diet
Diphyllobothrium latum: Diagnosis
Demonstration of Eggs:
- FECT
- Kato-Katz
- DFS
Diphyllobothrium latum: Diagnosis
Proglottids can be recovered where?
stool
Diphyllobothrium latum: Diagnosis
Fond of eating _________, has visited countries, may suggest Diphyllobothriasis
Travel History and Diet
raw/undercooked freshwater fish
Diphyllobothrium latum: Prevention and control
● Cook fish well
● Store fish properly
● Environmental sanitation
● Health Education
Diphyllobothrium latum: Prevention and control
Temp that kills the plerocercoid larva
-18C
Diphyllobothrium latum: Treatment
Praziquantel
Taenia spp.:
● Taenia solium
● Taenia saginata
● Taenia saginata asiatica
Taenia spp: Taenia solium
Common Name
Pork Tapeworm
Taenia spp: Taenia solium
Final Host
Man
Taenia spp: Taenia solium
Habitat
Small Intestine
Taenia spp: Taenia solium
Intermediate Host
Pigs, Humans
Taenia spp: Taenia solium
Humans may become an
intermediate host especially if the patient developed ________
Cysticercosis
Taenia spp: Taenia solium
Infective Stage
- Cysticercus cellulosae (Armed)
- Embryonated egg (in Cysticercosis)
Taenia spp: Taenia solium
MOT
- Consumption of contaminated undercooked pork
- Ingestion of Egg
Taenia spp: Taenia solium
contaminated
undercooked pork is also called?
“Measly Pork”
Taenia spp: Taenia solium
contaminated
undercooked pork contains ____________
cysticercus
cellulosae larva
Taenia spp: Taenia solium
Ingestion of Egg will lead to
cysticercosis
Taenia spp: Taenia solium
Patients who develop this would
have the larva deposited in different parts of their body.)
cysticercosis
Taenia solium: Morphology
Scolex
Adult
Globular
(4 cup shaped suckers)
Taenia solium: Morphology
Rostellum
Adult
Armed
(Has 2 rows of approx.
25-30 hooklets)
Taenia solium: Morphology
Neck
Adult
Short
Taenia solium: Morphology
length
Adult
2-3 meters or up to 8 meters
Taenia solium: Morphology
shape
Proglottids
Square-like or squarish
Taenia solium: Morphology
ovary
Mature Proglottid
Trilobe
(2 prominent lobes; 1
small central lobe)
Taenia solium: Morphology
Uterus is connected to the _______
Mature Proglottid
genital pore
Taenia solium: Morphology
Gravid Proglottid
Proglottids
Presence of 5-13 lateral “finger-like”
uterine branches
Taenia solium: Eggs
__________ from the other Taenia spp. eggs
Indistinguishable
Taenia solium: Eggs
Appearance
Spherical brown and striated
Taenia solium: Eggs
Parts:
- Oncosphere with 6 hooklets
- hexacanth embryo
Taenia solium: Life Cycle
Humans get the infection by the ingestion of the measly pork, containing the _________.
cysticercus larva
Taenia solium: Life Cycle
The cysticercus larva is released and will mature in the _________ to become adult worms.
small intestine
Taenia solium: Life Cycle
The proglottids and the eggs (released by adult worms) will be found in the ________.
stool sample
Taenia solium: Life Cycle
In order for the life cycle to continue, the pigs will ingest the _______ and _________
proglottids and the eggs
Taenia solium: Life Cycle
What kind of larva is released from the egg
hexacanth larva
Taenia solium: Life Cycle
The _________ will penetrate the intestinal wall and
find its way to the muscle.
oncosphere
Taenia solium: Life Cycle
The oncosphere will become _______ in the pig’s muscle.
cysticercus
Taenia solium: Life Cycle
If humans accidentally ingest the embryonated egg, they will
become an __________ in the life cycle.
intermediate host
Taenia solium: Life Cycle
The ingested egg will then release the oncosphere containing hexacanth embryo, which will be deposited in what different vital organs?
Brain, muscle, eyes
Taenia solium: Life Cycle
the pathology associated cysticercosis is because of the ______
larva
Taenia solium: Pathology and Manifestations
Usually asymptomatic
Taeniasis solium
Taenia solium: Pathology and Manifestations
May experience vague abdominal discomfort, hunger pangs, chronic indigestion
Taeniasis solium
Taenia solium: Pathology and Manifestations
More severe
Cysticercosis
Taenia solium: Pathology and Manifestations
Accidental ingestion of T. solium ____
Cysticercosis
eggs
Taenia solium: Pathology and Manifestations
Infection via autoinfection is possible.
Cysticercosis
Taenia solium: Pathology and Manifestations
Deposition of _________ in different
parts of the body
Cysticercosis
oncosphere (larva)
Taenia solium: Pathology and Manifestations
Larva can be deposited in _______ muscles
Cysticercosis
skeletal
Taenia solium: Pathology and Manifestations
If travels to the brain, it may lead to ________: most common parasitic disease of CNS, can lead to death.
Cysticercosis
Neurocysticercosis
Taenia solium: Epidemiology
relates to the prevalence of the disease:
- Eating habits
- Religious beliefs (muslims vs non-muslims)
- Cases of cysticercosis
Taenia spp.: Taenia saginata
Common Name
Beef Tapeworm
Taenia spp.: Taenia saginata
Final Host
Human
Taenia spp.: Taenia saginata
Habitat
Small Intestine
Taenia spp.: Taenia saginata
Intermediate Host
Cattle
Taenia spp.: Taenia saginata
Mode of
Transmission
consumption of contaminated
undercooked beef
cysticercosis
No occurrence of
Taenia saginata: Adult Morphology
color
Whitish opaque
Taenia spp.: Taenia saginata
Infective Stage
Cysticercus bovis
Taenia saginata: Adult Morphology
scolex shape
cuboidal
Taenia saginata: Adult Morphology
type of tapeworm
true tapeworm
Taenia saginata: Adult Morphology
rostellum
none
Taenia saginata: Adult Morphology
Length
4-10 meters in length; up to 25 meters
Taenia saginata: Adult Morphology
ovary
Mature Proglottids
Bilobed
Taenia saginata: Adult Morphology
Produce more _____ compared to T. solium
Proglottids
Taenia saginata: Adult Morphology
Reproductive organs are connected to the
________
Mature Proglottids
genital pore
Taenia saginata: Adult Morphology
Longer than _____
Gravid proglottids
wide
Taenia saginata: Adult Morphology
Uterine segments appearance
Tree-like
(15-20 uterine
branches)