PARASITOLOGY - CESTODES Flashcards
Cestodes are also known as?
Tapeworms
General appearance of Cestodes?
Flat, Ribbon-like
Color of Cestodes
White, yellowish
T or F: Cestodes are Dioecious.
False (Cestodes are monoecious)
T or F: Cestodes have a well-developed reproductive organs
True
Part of Cestodes that serves as its means for acquiring nutrients. This is defined as an outer covering which serves as entry of food and nutrients and exit of wastes.
Tegument
Habitat of Adult Cestodes?
Small intestine of their final host
Habitat of Larva Cestodes?
Tissues of their intermediate host
MOT of Cestodes
Ingestion or Oral route
T or F: All Cestodes are heteroxenous, meaning they require more than 1 host.
True
The only sp. of Cestodes that can be both heteroxenous and monoxenous. If this sp. is monoxenous, it requires 1 host only, usually the final host.
Hymenolepis nana
T or F: Eggs of Cestodes are operculated and mature/embryonated.
False. The eggs of Cestodes are NON-OPERCULATED and mature.
The only sp. of Cestodes with an egg that is not non-operculated and mature.
Diphyllobothrium latum
Life cycle of Cestodes?
Egg to Larva to Adult
What are the 3 parts of an Adult Cestodes?
Scolex/Head
Neck
Proglottids/Segments
Attachment organ of Cestodes; This part of Cestodes attach to the linings of the small intestines using 4 cup-like suckers/grooves/acetabulum
Scolex/Head
Shape of Scolex/Head of Cestodes
Globular
Pyriform
Spoon-like
Shape/s of Scolex/Head that may have Rostellum?
Globular
Pyriform
Shape/s of Scolex/Head that will never have Rostellum?
Spoon-like
4-cup like suckers/grooves/acetabulum of cestodes are also called as?
Quadrate
Fleshy extension of scolex or the crown area of scolex is called?
Rostellum
Rostellum may be?
Armed or Unarmed
Rostellum with hooklets/hooks are called?
Armed
Rostellum without hooklets/hooks are called?
Unarmed
Enumerate the spp. with armed rostellum.
Clue: 4 spp.
Taenia solium
Hymenolepis nana
Diphyllobothrium latum
Echinococcus granulosus
Enumerate the spp. with unarmed rostellum.
Clue: 2 spp.
Taenia saginata
Hymenolepis diminuta
Sp. of cestodes with NO rostellum is?
Taenia saginata
Sp. of cestodes with rostellum but NO hooks is?
Hymenolepis diminuta
This part of cestodes consists of germinative tissues; it is known as the REGION OF GROWTH of cestodes
Neck
Part of the cestodes also known as “The Budding Zone”
Neck
Part of the cestodes that may be shed and passed out in stool
Proglottids/Segments
This is the ability of segments to detach from the chain
Apolysis
T or F: Proglottids/segments can be immature, mature, or gravid/ripe.
True
Segments nearest to the neck is known as?
Immature segments
Segment where there is a development of reproductive structure is known as?
Mature segments
Each mature segments contains?
1 testis
2 ovaries
1 genital pore
A cestode sp. with a 3rd ovary is?
Taenia solium
The 3rd ovary of Taenia solium is called?
Accessory ovarian lobe
A cestode sp. with 2 genital pore is?
Diphyllobothrium latum
The 2 genital pore of Diphyllobothrium latum located bilaterally is called?
Bilateral genital pore
Segment of cestodes filled with eggs and has a much-developed reproductive structures
Gravid/Ripe
Chain f proglottids/segments is called?
Strobila
T or F: All cestodes are APOLYTIC which means they are capable of segment shedding.
True
The only cestode that is NOT APOLYTIC since its segments are impossible to recover as they are ANAPOLYTIC.
Diphyllobothrium latum
What are the 2 groups of Cestodes?
Pseudophyllidean
Cyclophyllidean
False tapeworms
Pseudophyllidean
True tapeworms
Cyclophyllidean
Enumerate the spp. under Pseudophyllidean.
Diphyllobothrium latum
Spirometra
Enumerate the spp. under Cyclophyllidean.
Taenia solium
Taenia saginata
Dipylidium caninum
Hymenolepis nana
Echinococcus granulosus
Group of cestode with a spoon-shaped, spatula, almond shaped scolex, a scolex with bothria (sucking grooves), and a scolex with no hooklets
Pseudophyllidean
Group of cestode with a globular or pyriform shape scolex, a scolex with quadrate (four cuplike suckers), and some scolex with rostellum (with or without hooklets)
Cyclophyllidean
Group of cestode with an anapolytic strobila
Pseudophyllidean
Group of cestode with an apolytic strobila
Cyclophyllidean
Group of cestode with a segment that have UTERINE pore and GENITAL pore which are both CENTRALLY located
Pseudophyllidean
Group of cestode with segment that have ONLY GENITAL pore which is LATERALLY located
Cyclophyllidean
Group of cestode that have a gravid proglottid where ALL REPRODUCTIVE STRUCTURES are seen
Pseudophyllidean
Group of cestode that have a gravid proglottid where ONLY UTERUS can be seen in different shapes/pattern
Cyclophyllidean
Group of cestodes with an OVAL, OPERCULATED, IMMATURE ova
Pseudophyllidean
Group of cestodes with a HEXACANTH EMBRYO/ONCOSPHERE ova; SPHERICAL, NON-OPERCULATED, EMBRYONATED ova with hooklets
Cyclophyllidean
What are the larval stages of Pseudophyllidean cestodes?
1st: Coracidium
2nd: Procercoid
3rd: Plerocercoid/Sparganum
What are the larval stages of Cyclophyllidean cestodes?
1st: Cysticercus
2nd: Cysticercoid
3rd: Hydatid
Group of cestodes with 2 intermediate hosts?
Pseudophyllidean
Group of cestodes with none to 1 intermediate host?
Cyclophyllidean
What are the 2 intermediate hosts of Pseudophyllidean?
1st: Crustaceans (Copepods, Cyclops)
2nd: Fresh water fishes
Cestode sp. under Cyclophyllidean that has 1 definitive/final host if it has no intermediate host?
Hymenolepis nana
T or F: All cestodes, may it be pseudophyllidean or cyclophyllidean, require only 1 final host.
True
From what order is Diphyllobothrium latum?
Order Pseudophyllidean
What are the 4 common name of Diphyllobothrium latum?
Broad Fish Tapeworm
Broad Tapeworm
Fish Tapeworm
Russian Broad Tapeworm
What is the new name of Diphyllobothrium latum?
Dibothriocephalus latus
What is the habitat of Diphyllobothrium latum?
Small intestine
What is the diagnostic stage of Diphyllobothrium latum?
Egg or Scolex
What is the infective stage of Diphyllobothrium latum?
Plerocercoid larva or Sparganum
What is the 1st intermediate host of Diphyllobothrium latum?
Copepods (Cyclops, Diaptomus)
What is the 2nd intermediate host of Diphyllobothrium latum?
Fresh water fish (small fishes) such as salmonoid fish
What is/are the MOT of Diphyllobothrium latum?
If Diphyllobothriasis, INGESTION OF 2ND INTERMEDIATE HOST infected with PLEROCERCOID
If Sparaganosis, INGESTION OF 1ST INTERMEDIATE HOST infected with PROCERCOID LARVA
What is the pathology of Diphyllobothrium latum?
Tapeworm Anemia or Bothriocephalus Anemia
A pathology of Diphyllobothrium latum that causes adult D. latum to take up large amount of Vit B12 resulting in MACROCYTIC, MEGALOBLASTIC anemia. This disease also demonstrates presence of megaloblastic cells in circulation and sometimes demonstrate PERNICIOUS ANEMIA.
Tapeworm Anemia or Bothriocephalus Anemia
Diphyllobothrium latum adult morphology in terms of length?
3-10 meters
Diphyllobothrium latum adult morphology in terms of scolex?
Spatulate/spoon/almond with 2 bothrium
Diphyllobothrium latum adult morphology in terms of uterus?
Rosette-like appearance
Diphyllobothrium latum adult morphology in terms of strobila?
Up to 4,000 proglottids and has both uterine pore and genital pore
Diphyllobothrium latum ova morphology?
UNembyonated, OPERCULATED, on one end with TERMINAL KNOB on the abopercular end + underdeveloped coracidium
Diphyllobothrium latum ova is mistaken with?
Paragonimus ova
Laboratory diagnosis for Diphyllobothrium latum?
Stool examination (Direct Fecal Smear and Kato technique)
Examination of Gastric Juice (measures free HCl)
Laboratory dx for Diphyllobothrium latum by stool examination using DFS or Kato technique specifically looks for?
Diphyllobothrium latum eggs or scolex (not scolex since D. latum is anapolytic)
Laboratory dx for Diphyllobothrium latum that DIFFERENTIATES DIPHYLLOBOTHRIASIS FROM PERNICIOUS ANEMIA?
Examination of Gastric Juice [Diphyllobothriasis is HCl (+) while Pernicious anemia is HCl (-)]
From what order is Taenia saginata?
Order Cyclophyllidean
What are the 2 common names of Taenia saginata?
Beef Tapeworm
Unarmed Tapeworm
What is the longest cestodes (can grow up to 25 meters in length)?
Taenia saginata
What is the habitat of Taenia saginata?
Small intestine
What are the 3 intermediate hosts of Taenia saginata?
Cattle
Cow
Camel
What is the definitive host of Taenia saginata?
Man
What is the larval stage of Taenia saginata found in the tissues?
Cysticercus bovis
What is the diagnostic stage of Taenia saginata?
Ova, Proglottids
What is the infective stage of Taenia saginata?
Cysticercus bovis
What is the MOT of Taenia saginata?
Ingestion of measly beef with infective larva (raw/improperly cooked)
What is the pathology of Taenia saginata?
Taeniasis saginata
A disease caused by infection with Taenia saginata that MAY LEAD TO INTESTINAL OBSTRUCTION due to tangled proglottids.
Taeniasis saginata
Taenia saginata adult morphology in terms of scolex (shape, rostellum, hooklets)?
Shape: Globular, Quadrate
Rostellum: None
Hooklets: None
Taenia saginata adult morphology in terms of gravid proglottid?
With 8-12 LATERAL branches
Appears Dichotomous/tree-like
Adult Taenia saginata length?
5-10 meters (up to 25 meters)
Taenia saginata ova morphology: unembryonated or embryonated?
Embryonated
Taenia saginata ova morphology: shape?
Spherical
Taenia saginata ova morphology: radially striated with how many pairs of hooklets?
3 pairs
Taenia saginata ova morphology: motile or nonmotile?
Motile
T or F: Egg of Taenia spp. are distinguishable.
False. It is indistinguishable.
How do we report egg of Taenia spp.?
Report as Taenia spp. ova only (not specific if T. saginata or T. solium since they are indistinguishable)
From what order is Taenia solium?
Order Cyclophyllidean
What are the 2 common name of Taenia solium?
Pork Tapeworm
Armed Tapeworm
What is the habitat of Taenia solium?
Small intestine
What are the 2 intermediate host of Taenia solium?
Pigs
Man
What is the definitive host of Taenia solium?
Man
What is the larval stage of Taenia solium found in tissues?
Cysticercus cellulosae
What is the diagnostic stage of Taenia solium?
Ova, Proglottids
What is the infective stage of Taenia solium?
Cysticercus cellulosae and embryonated egg
What is the MOT of Taenia solium?
Ingestion of measly pork and/or embryonated egg (raw/improperly cooked pork)
What are the pathology of Taenia solium?
Taeniasis solium
Cysticercosis
Neurocysticercosis
Pathology of Taenia solium due to ADULT causing abdominal discomfort, hunger, and malabsorption?
Taeniasis solium
Pathology of Taenia solium due to LARVA?
Cysticercosis
The most serious manifestation of cysticercosis?
Neurocysticercosis
The most common CNS parasitic disease?
Neurocysticercosis
A sp. passed out in stool (segments) due to irritation with ALCOHOL INGESTION leading to apolysis and causing the segments to be activated making it infectious?
Taenia solium
Taenia solium adult morphology in terms of scolex (shape, rostellum, hooklets)?
Shape: Globular, Quadrate
Rostellum: Armed
Hooklets: 2 rows of large and small hooks
Taenia solium adult morphology in terms of gravid proglottid?
With 15-30 LATERAL branches
Appears Dendritic/Finger-like
What is the length of adult Taenia solium?
2-8 meters
Taenia solium ova morphology: embyonated or unembryonated?
Embryonated
Taenia solium ova morphology: shape?
Spherical
Taenia solium ova morphology: radially striated with how many pairs of hooklets?
6 pairs
Taenia solium ova morphology: motile or nonmotile?
Motile
What is the 3rd sp. of Taenia?
Taenia asiatica
What is the other name of Taenia asiatica?
Taenia saginata asiatica
What is the common name of Taenia asiatica?
Asian Taenia spp.
Taenia asiatica is previously termed as?
Taiwan taenia spp.
To what sp. does Taenia asiatica closely resembles?
Taenia saginata
What are the 5 intermediate host of Taenia asiatica?
Pigs
Cattle
Goats
Wild boar
Monkeys
What is the larval stage of Taenia asiatica?
Cysticercus viscerotropica
From what order is Hymenolepis nana?
Order Cyclophyllidean
What is the common name of Hymenolepis nana?
Dwarf Tapeworm
True Human Tapeworm?
Hymenolepis nana
The only cestode that can complete its life cycle in 1 host
Hymenolepis nana
The MOST COMMON CESTODE OF MAN
Hymenolepis nana
Smallest tapeworm?
Hymenolepis nana
Deadliest tapeworm?
Hymenolepis nana
What is the habitat of Hymenolepis nana?
Small intestine
T or F: Hymenolepis nana can have a direct/simple life cycle or indirect/complex life cycle or both.
True
T or F: In direct/simple life cycle of Hymenolepis nana, only 1 host is required which is usually the final host.
True
What is the final/definitive host of Hymenolepis nana in direct/simple life cycle?
Man
T or F: In indirect/complex life cycle of Hymenolepis nana, 2 or more hosts are required.
True
In indirect/complex life cycle of Hymenolepis nana, what are the 5 intermediate hosts?
Rice/flour beetles (Tribolium & Tenebrio spp.)
Dog flea (Ctenocephalides canis)
Human flea (Pulex irritans)
Rat flea (Xenopsylla cheopsis)
German cockroach (Blatella germanica)
What is the definitive host of Hymenolepis nana?
Man
What is the larval stage of Hymenolepis nana found in the tissues?
Cystercoid larva
What is the diagnostic stage of Hymenolepis nana?
Ova, Proglottids
What is the infective stage of Hymenolepis nana in Direct/Simple life cycle?
Embryonated egg
What is the infective stage of Hymenolepis nana Indirect/Complex life cycle?
Cystercoid larva
What is the MOT of Hymenolepis nana?
Ingestion of Cystercoid larva or embryonated egg
Hymenolepis nana adult morphology in terms of scolex (shape, rostellum, hooklets)?
Shape: Subglobular, Quadrate
Rostellum: Armed, Retractable
Hooklets: Single row of 20-30 Y-SHAPED
Hymenolepis nana adult morphology in terms of gravid proglottid?
Sac-like (saccular) uterus filled with eggs
CRASPEDOTE FORM (overlapping)
What is the length of adult Hymenolepis nana?
1-4 cm
Hymenolepis nana ova morphology: how many pairs of hooklets?
3 pairs (hexacanth embryo)
Hymenolepis nana ova morphology: POLAR THICKENING, present or absent? If present, how many pairs?
Present (2 pairs)
Hymenolepis nana ova morphology: POLAR FILAMENTS, present or absent? If present, how many?
Present, 4-8 polar filaments
Hymenolepis nana ova morphology: EMBRYOPHORE, present or absent? If present, what color?
Present, Colorless
From what order is Hymenolepis diminuta?
Order Cyclophyllidean
What is the common name of Hymenolepis diminuta?
Rat Tapeworm
What is the habitat of Hymenolepis diminuta?
Small intestine
What is the intermediate host of Hymenolepis diminuta?
Arthropods (Grain beetle, flea, cockroach, mealworms, earwigs, myriapods, lepidopterans)
What are the definitive host of Hymenolepis diminuta?
Rat
Man (Accidental host)
What is the larval stage of Hymenolepis diminuta found in tissues?
Cystercoid larva
What is the MOT of Hymenolepis diminuta?
Ingestion of Cystercoid larva
T or F: Infection with Hymenolepis diminuta is ASYMPTOMATIC at light infection and is usually presented with diarrhea, nausea, abdominal pains, and anorexia.
True
Hymenolepis diminuta adult morphology in terms of scolex (shape, rostellum, hooklets)?
Shape: Globular, Quadrate
Rostellum: Unarmed
Hooklets: –
Hymenolepis diminuta adult morphology in terms of gravid proglottid?
Sac-like (saccular) uterus filled with eggs
CRASPEDOTE FORM (overlapping)
What is the length of adult Hymenolepis diminuta?
20-60 cm
Hymenolepis diminuta ova morphology: how many pairs of hooklets?
3 pairs (hexacanth embryo)
Hymenolepis diminuta ova morphology: POLAR THICKENING, present or absent? If present how many?
Present, can be 1 polar
Hymenolepis diminuta ova morphology: POLAR FILAMENTS, present or absent? If present, how many?
Absent, intralaminal/intraluminal layer only giving FRIED EGG APPEARANCE OR SUNNY SIDE UP APPEARANCE
A sp. with an ova that gives a fried egg appearance or sunny side up appearance?
Hymenolepis diminuta
Hymenolepis diminuta ova morphology: EMBRYOPHORE, present or absent? If present, what color?
Present, Colorless
What are the laboratory diagnosis for T. saginata, T. solium. H. nana, and H. diminuta?
Stool exam (DFS, Concentration techniques) and Double Slide Compression Method
In the laboratory diagnosis of T. saginata, T. solium. H. nana, and H. diminuta using DFS and Concentration techniques, what do we look for?
Eggs, Proglottids, Scolex
In the laboratory diagnosis of T. saginata, T. solium. H. nana, and H. diminuta using Double Slide Compression Method, what is the sample used?
Gravid proglottids passed out in stool
In the laboratory diagnosis of T. saginata, T. solium. H. nana, and H. diminuta using Double Slide Compression Method, what is being demonstrated?
Lateral branches (uterus) in the proglottids
The stain being injected through genital pore to visualize the lateral branches (uterus) in the proglottids of Taenia spp. in Double Slide Compression Method?
India Ink
A laboratory method for diagnosis of Taenia spp. only (in cestodes) and E. vermicularis (in nematodes).
Perianal swab
From what order is Dipylidium caninum?
Order Cyclophyllidean
What are the 5 common name of Dipylidium caninum?
Dog Tapeworm
Double-pored Tapeworm
Flea Tapeworm
Cucumber Tapeworm
Pumpkin seed Tapeworm
What is the final host of Dog Tapeworm?
Dog
Dipylidium caninum is also known as Double-pored Tapeworm because of?
2 genital pore bilaterally located
What are the shapes of Dipylidium caninum segments when passed out in stool?
Cucumber (seed) and Pumpkin seed
What is the habitat of Dipylidium caninum?
Small intestine
What are the 4 intermediate host of Dipylidium caninum?
Dog louse - Trichodectes canis
Dog flea - Ctenocephalides canis
Cat flea - Ctenocephalides felis
Human flea - Pulex irritans
What are the definitive host of Dipylidium caninum?
Dog
MAN (Accidental final host)
What is the larval stage of Dipylidium caninum?
Cystercoid
What is the infective stage of Dipylidium caninum?
Cystercoid
What are the diagnostic stage of Dipylidium caninum?
Ova, Scolex, Proglottid
What is the MOT of Dipylidium caninum?
Ingestion of infected flea
Discuss the pathology of Dipylidium caninum infection.
ASYMPTOMATIC at light infection and is usually presented with appetite loss, diarrhea, abdominal discomfort, and indigestion
Dipylidium caninum adult morphology in terms of scolex (shape, rostellum, hooklets)?
Shape: Globular, Quadrate
Rostellum: Armed, CLUB-SHAPED
Hooklets: 1-7 rows, ROSETHORN-SHAPED HOOKS
Dipylidium caninum adult morphology in terms of gravid proglottid?
With BILATERAL GENITAL PORE
MELON/PUMPKIN-SHAPED, RICE GRAIN
What is the length of adult Dipylidium caninum?
10-70 meters
Dipylidium caninum ova morphology?
Egg resembles that of Taenia ova and MULTIPLE OVA ARE ENCLOSED IN AN EGG CAPSULE OR PACKETS (5-25 ova)
What sp. has the largest egg of all cestodes?
Dipylidium caninum
What is the laboratory method used to diagnose Dipylidium caninum infection?
Stool examination (look for ova, scolex, proglottids)
From what order is Echinococcus granulosus?
Order Cyclophyllidean
What is the common name of Echinococcus granulosus?
Hydatid Worm
What is the old name of Echinococcus granulosus?
Taenia granulosus
What is the habitat of ADULT Echinococcus granulosus?
Small intestine
What is the habitat of LARVA Echinococcus granulosus?
Connective tissues
What are the 6 intermediate host of Echinococcus granulosus?
Sheep
Ox
Goat
Horse
Camel
Man (harbors the larval stage of Echinococcus granulosus)
What is the definitive host of Echinococcus granulosus?
Dog (Canines)
What is the larval stage of Echinococcus granulosus?
Hydatid cyst
What is the infective stage of Echinococcus granulosus to final host (dog)?
Hydatid cyst
What is the infective stage of Echinococcus granulosus to intermediate host (including man)?
Embryonated ova
What is the MOT of Echinococcus granulosus?
Ingestion of egg
What is the pathology of Echinococcus granulosus where a hydatid cyst in CT is present?
Hydatidosis or Hydatid disease or Cystic Echinococcosis
A slow-growing, fluid-filled, tumor-like and space occupying lesions which may cause anaphylactic show and even death if ruptured.
Hydatid cyst
Echinococcus granulosus adult morphology in terms of scolex (shape, rostellum, hooklets)?
Shape: PYRIFORM
Rostellum: Prominently armed
Hooklets: 30-36 prominent hooks
Echinococcus granulosus adult morphology in terms of strobila?
Only has 3 segments (1 mature, 1 immature, 1 gravid) making Echinococcus granulosus the SHORTEST TAPEWORM
Echinococcus granulosus adult morphology in terms of gravid proglottid?
With midline, loosely-twisted uterus
WIDEST AND LONGEST PROGLOTTID
What is the adult length of Echinococcus granulosus?
3-8 meters
Echinococcus granulosus ova morphology?
Similar with Taenia egg but NEVER RECOVERED IN STOOL AS MAN HARBORS ASEXUAL STAGE
What are the 4 laboratory methods for the diagnosis of Echinococcus granulosus infection?
Roentgenogram (X-ray)
Ultrasonography (Ultrasound)
Immunologic test (Bentonite Floccation Test and Cansoni Intradermal Test)
Exploratory Cyst Puncture (Puncture, Aspirate, Inject protoscolicidal agent, Reaspirate)
What are the 2 immunologic test for the diagnosis of Echinococcus granulosus infection?
Bentonite Floccation test
Casoni Intradermal test
What is done in Exploratory Cyst Puncture for the diagnosis of Echinococcus granulosus infection?
Puncture
Aspirate
Inject protoscolicidal agent
Reaspirate