Parasites: Helminths - Trematodes and Cestodes Flashcards
Cestodes
- Taenia Genus
- Taenia Saginata
- Taenia solium
cattle are intermediate hosts of
Taenia saginata
pigs are intermediate hosts of
Taenia solium
Taenia solium has characteristic
hooks on its scolex (head)
neurocysticercosis
is an infection of the CNS that can develop following ingestion of Taenia solium eggs
Taenia solium eggs
can be transmitted via feces-contaminated water
neurocysticercosis (a CNS infection caused by Taenia solium cestodes) can lead to
seizures
neurocysticercosis (a CNS infection caused by Taenia solium cestodes) shows characteristic
swiss cheese-like brain lesions on CT scan
ingestion of Taenia solium eggs (often from consumption of water contaminated by animal feces) can lead to
neurocysticercosis if parasites disseminate from the small intestine to the CNS
____________ is effective against taeniasis
parziquentel
treatment of neurocysticercosis (a CNS infection caused by Taenia solium cestodes) requires
the addition of albendazole
Diphyllobothrium latum
(also known as fish tapeworm (a cestode))
Diphyllobothrium latum can be transmitted via
ingestion of undercooked fish
Diphyllobothrium latum can cause
B12 deficiency, which may lead to megaloblastic anemia
Diphyllobothrium latum infection is associated with
cobalamin (B12) deficiency
Diphyllobothrium latum can lead to
megaloblastic anemia (due to consumption of B12)
Diphyllobothrium latum can exceed
10 meters in length, making it the longest tapeworm
proglottid segments of Diphyllobothrium latum can be seen on
stool exam
_________ is effective against Diphyllobothrium latum
- parziquantel
2. niclosamide
Echinococcus granulosus
a cestode
________ are definitive hosts for Echinococcus granulosus
dogs
________ are intermediate hosts for Echinococcus granulosus
sheep
Echinococcus granulosus eggs are transmitted via
dog feces
echinococcal liver cysts show
eggshell calcifications on abdominal CT
Echinococcus granulosus infection can lead to
hydatid cyst formation in the liver
rupture of hydatid cysts caused by Echinococcus granulosus can lead to
an anaphylactic reaction
_________ is seen in Echinococcus granulosus infection
eosinophilia
free-living Schistosoma spp. cercariae are found in
aquatic environments, putting swimmers at risk of infection
_______ are intermediate hosts of Schistosoma spp.
snails
Schistosoma spp. trematodes mature in the
liver
Schistosoma spp. trematodes migrate against
portal blood flow
Schistosoma mansoni
a trematode
Schistosoma japonicum
a trematode
eggs of Schistosoma mansoni have a
lateral spine
eggs of Schistosoma japonicum have a
small spine, making them appear round
Schistosoma spp. can cause
swimmer’s itch (an allergic reaction to Schistosoma trematodes that manifests as a rash, typically on the lower legs)
schistosomiasis can cause
cirrhosis and periportal fibrosis, which may lead to portal hypertension
hepatitis caused by schistosomiasis can present with
jaundice
Schistosoma haematobium
a trematode
eggs of Schistosoma haematobium have a
large terminal spine
schistosomiasis of the urinary tract can present with
hematuria
schistosomiasis is a risk factor for
squamous cell bladder cancer
_______ is effective against Schistosoma spp.
parziquantel
_______ are intermediate hosts of Clonorchis sinensis
snails
Clonorchis sinensis
a trematode
Clonorchis sinensis infects the
biliary tree (including the gallbladder and bile ducts)
Clonorchis sinensis can cause
sclerosing cholangitis (inflammation and destruction of bile ducts that can lead to hepatic failure)
Clonorchis sinensis infection is a risk factor for
cholangiocarcinoma (malignancy of the biliary epithelium)
Clonorchis sinensis infection can cause
pigmented gallstones
eggs of Clonorchis sinensis are
operculated
________ is effective against Clonorchis sinensis
praziquantel
Paragonimus westermani
a trematode
Paragonimus westermani trematodes infect
the lungs, causing chronic cough and hemoptysis
_______ are intermediate hosts of Paragonimus westermani
snails
Paragonimus westermani is transmitted via
consumption of raw or undercooked seafood
eggs of Paragonimus westermani are
operculated
_____ is effective against Paragonimus westermani
praziquantel