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