PR CST GENERALITIES, D. LATUM, TAENIA SPP. Flashcards
Have a tape/ribbon like appearance
Cestodes
Adult worms appear as
flat and ribbon like
T/F All cestodes are hermaphrodites
T
T/F All cestodes are unsegmented
F; segmented
T/F Cestodes do not have a gastrointestinal tract and a circulatory system.
T
Cestodes obtain nutrients via absorption and diffusion through their ____________
tegument
Adult worms inhabit the
small intestine
body covering of cestodes
Tegument
Eggs (except for D. latum) are (characteristic)
non-operculated, embryonated
carbohydrate rich, useful for protection
Glycocalyx
- attachment organ, holdfast organ
- Used by parasites to attach to small intestine
Scolex
Cup-like suckers and adds to virulence
Acetabulate (Acetabulum)
slit-like groove or depression
Bothriate (Bothrium)
Bothriate (shape)
Spoon, spatulate, almond-shaped
T/F Bothrium has a rostellum, no hooks, no suckers
F, no rostellum
only parasite with bothria
D. latum
protruding structure where hooks are attached
Rostellum
Difference of armed and unarmed rostellum
Armed - has hooks / hooklets
Unarmed - no hooks
T/F Not all tapeworms have rostellum
T
region of growth, where proglottids arise
Neck
tapeworm segments
Proglottids
Segment of proglottid
- Most proximal (closest to neck)
- Still developing, no reproductive structures
Immature
Segment of proglottid
- Presence of well-developed reproductive structures
- Uterus, ovaries, testes, vitellaria, vas deferens (which connect to the genital pore)
Mature
Segment of proglottid
- Most distal from neck
- Filled with eggs
Gravid / Ripe
chain of proglottids
Strobila
process of formation of
proglottids
Strobilization/strobulation
Two Orders of Tapeworms
Order Pseudophyllidea
Order Cyclophyllidea
Order Pseudophyllidea is also called as
False Tapeworm
Order Cyclophyllidea is also called as
True Tapeworm
Determine what order
Scolex
- Spoon, almond, spatulate
- 2 slit like grooves (bothria)
- No rostellum and no hooks
Order Pseudophyllidea
Determine what order
Scolex
- Quadrate (square-like)
- May possess rostellum
- 4 cup like suckers
Order Cyclophyllidea
Difference of orders in strobila
Order Pseudophyllidea - anapolytic
Order Cyclophyllidea - apolytic
Difference of orders in vitellaria
Order Pseudophyllidea - diffused, not compact
Order Cyclophyllidea - compact and separate
Order Pseudophyllidea
Gravid Proglottid
- all reproductive organs still present
- rosette uterus
Order Cyclophyllidea
Gravid Proglottid
- degenerate reproductive organs
- only uterus and lateral branches seen
Difference of Orders
Uterine Pore
Order Pseudophyllidea - Present
Order Cyclophyllidea - Absent, eggs go out through genital pore
Difference of Orders
Ova
Order Pseudophyllidea - Oval, operculated, unembryonated
Order Cyclophyllidea - Spherical, non-operculated, embryonated
Order Pseudophyllidea
Larval Stages
- Coracidium
- Procercoid
- Plerocercoid
Order Cyclophyllidea
Larval Stages
- Cysticercus
- Cysticercoid
- Hydatid cyst
Order Pseudophyllidea
IH
1st IH : Copepods
2nd IH : Freshwater fish
Order Cyclophyllidea
IH
1 IH: lower forms of animals, arthropods, man
parasite that does not require an intermediate host
Hymenolepis nana
one of largest and longest tapeworms
Diphyllobothrium latum
Diphyllobothrium latum
Common name
Broad or Fish Tapeworm
Diphyllobothrium latum
FH
Man
Diphyllobothrium latum
Reservoir Host
Dogs, cats, other fish-eating mammals
Diphyllobothrium latum
Paratenic Host
Carnivorous Fish (can eat small fish with the larva)
Diphyllobothrium latum
Habitat
small intestine (ileum)
Diphyllobothrium latum
1st IH
Copepods (Cyclops and Diaptomus)
Diphyllobothrium latum
2nd IH
Freshwater fish (salmon, trout, pike, ruff, perch, etc.)
Diphyllobothrium latum
IS & DS
IS : Plerocercoid larva
DS : Egg
Diphyllobothrium latum
MOT
ingest raw, undercooked, or pickled freshwater fish with plerocercoid
Diphyllobothrium latum
Adult Worm (Uterus & Color)
- presence of rosette uterus
- whitish / milkish
Diphyllobothrium latum
Scolex
- spoon shaped/ almond shaped
- Bothriate (2)
- no rostellum and hooklets
Diphyllobothrium latum
Egg
- operculated and unembryonated
- has knob-like thickening
Diphyllobothrium latum
Proglottids
wider than long
Diphyllobothrium latum
Disease Manifestation (Larva)
Sparganosis
Diphyllobothrium latum
Disease Manifestation (Adult Worms)
- Bothriocephaus anemia
- intestinal obstruction
- diarrhea
- abdominal pain
Bothriocephalus anemia is mistaken as ______
pernicious anemia
large RBCs (macrocytes) on blood smears
Bothriocephalus anemia
Diphyllobothrium latum
Diagnosis
- Demonstration of Eggs (FECT, Kato-Katz DFS)
- Demonstration of Proglottids
Diphyllobothrium latum
DOC
Praziquantel, Niclosamide
Diphyllobothrium latum
type of parasite that produces around a million eggs
Prolific parasite
Taenia spp.
FH
Humans
Taenia spp.
Habitat
small intestine
Taenia solium
Common name
Pork tapeworm
Taenia solium
IH
Pigs, Humans (during Cysticercosis)
Taenia solium
IS
Cysticercus cellulosae
Eggs - during Cysticercosis
Cysticercus cellulosae is also known as
Bladder Worm
Taenia solium
MOT
Ingestion of measly pork or egg
Taenia solium
Adult worm (Scolex)
Globular with 4 cuplike suckers
Armed rostellum
Double row of 25-30 hooklets
Taenia solium
Mature Proglottid (Shape)
Wider than tall
Taenia solium
Mature Proglottid (Ovary)
Trilobed ovary
Taenia solium
Gravid Proglottid (Uterine branches)
5-13 lateral uterine branches (finger-like)
Taenia solium
Pathology
Larva : Cysticercosis
Adult : Taeniasis
Taenia saginata
Common name
Beef Tapeworm
Taenia saginata
IH
Cattle
Taenia saginata
IS
Cysticercus bovis (unarmed)
Taenia saginata
MOT
Ingestion of raw or undercooked beef
Taenia saginata
Adult worm
Whitish, opaque, cuboidal, no rostellum
Longer
Taenia saginata
Scolex
Pyriform/Quadrate, no rostellum, no hooks
Taenia saginata
Mature proglottid
broader than long; square shaped
Taenia saginata
Gravid Proglottid
narrower and longer
Taenia saginata
Gravid Proglottid (Uterine branches)
15-20 tree-like uterine branches
Taenia saginata
Pathology
Larva : none
Adult : Taeniasis
Taenia spp.
Eggs
- indistinguishable
- spherical brown and radially striated
- Oncosphere with 6 hooklets
Larva deposited to different to vital organs (skeletal muscle, brain)
Cysticercosis
Taenia solium
Diagnosis
Stool exam, fine-needle aspiration cytology, X-ray, Immunoblot Assay, ELISa, EITB, PCR, MRI, CT Scan
Taenia saginata
Diagnosis
Stool examination
Taenia spp.
Diagnosis used to determine number of proglottids
Double Slide Compression Technique
Taenia spp.
Treatment
Adult : Praziquantel and niclosamide
Cysticercosis : surgical removal/excisional biopsy + oral albendazole and corticosteroids