tapeworms Flashcards
Diphyllobothrium latum or Dibothriocephalus latus
COMMON NAME
Broad or Fish Tapeworm
Diphyllobothrium latum or Dibothriocephalus latus
FH
Man (Dogs-resorvoir)
Diphyllobothrium latum or Dibothriocephalus latus
HABITAT
Small Intestine (Ileum)
Diphyllobothrium latum or Dibothriocephalus latus
1ST IH
Copepods
Diphyllobothrium latum or Dibothriocephalus latus
2ND IH
Freshwater fish (salmon, trout, pike, ruff, etc.)
Larger predator fish (paratenic)
Diphyllobothrium latum or Dibothriocephalus latus
INFECTIVE STAGE
Plerocercoid larva
Diphyllobothrium latum or Dibothriocephalus latus
Scolex
- Almond-shaped
- 2 long prominent sucking grooves/organ
Diphyllobothrium latum or Dibothriocephalus latus
MOT
Ingestion of raw, undercooked or pickled freshwater fish
Diphyllobothrium latum or Dibothriocephalus latus
Proglottids
Wider than long (10-20 mm wide)
Diphyllobothrium latum or Dibothriocephalus latus
Mature proglottid
- “rosette” uterus
- presence of bilobed ovaries
Diphyllobothrium latum or Dibothriocephalus latus
Egg
- Operculated
- The eggs of D. latum are smaller and more symmetrical than P. westermani
Diphyllobothrium latum or Dibothriocephalus latus
Embryonation
8-12 days
Diphyllobothrium latum or Dibothriocephalus latus
Epidemiology
Northern Temperate Areas
Scandinavia, Finland, Japan, Europe, Chile and North America
Diphyllobothrium latum or Dibothriocephalus latus
Treatment
Praziquantel
Taenia solium
COMMON NAME
Pork Tapeworm
Taenia solium
FH
Man
Taenia solium
HABITAT
Small Intestine
Taenia solium
1ST IH
Pigs, Humans (developed Cysticercosis)
Taenia solium
INFECTIVE STAGE
- Cysticercus cellulosae (armed)
- Embryonated egg (if Cysticercosis)
Taenia solium
Scolex
- Globular (4 cup shaped suckers)
- Armed Rostellum (Has 2 rows of approx. 25-30 hooklets)
- Short Neck
- 2-3 meters or up to 8 meters
Taenia solium
MOT
- Consumption of contaminated undercooked pork (Measly Pork)
- Ingestion of Egg (lead to cysticercosis)
Taenia solium
Proglottids
Square-like or squarish
Taenia solium
Mature proglottid
- Trilobe ovary (2 prominent lobes; 1 small central lobe)
- Uterus is connected to the genital pore.
Taenia solium
Gravid Proglottid
- “finger-like” uterine branches (5-13)
- Longer than wide
Taenia solium
Egg
- Indistinguishable from the other Taenia spp. Eggs
- Spherical brown and striated
- Oncosphere with 6 hooklets (contains hexacanth embryo)
- reported as Taenia egg, look for proglottids to identify species
Taenia solium
Embryonation
Embryonated
Taenia solium
Epidemiology
Worldwide distribution
Taenia solium
Treatment
Praziquantel or Niclosamide
Surgery for Cysticercosis
- Praziquantel and Albendazole
Criteria for cure
- Recovery of Scolex
- Negative stool examination 3 months after treatment
Taenia saginata
COMMON NAME
Beef Tapeworm
Taenia saginata
FH
Man
Taenia saginata
HABITAT
Small Intestine
Taenia saginata
1ST IH
Cattle
Taenia saginata
INFECTIVE STAGE
Cysticercus bovis
Taenia saginata
Scolex
- Cuboidal
- no rostellum
- Whitish opaque
- 4-10 meters or up to 25 meters
Taenia saginata
MOT
consumption of contaminated undercooked beef
Taenia saginata
Proglottids
More Proglottids compared to T. solium
Taenia saginata
Mature proglottid
- Bilobed ovary
- Reproductive organs are connected to the genital pore
Taenia saginata
Gravid Proglottid
- Tree-like uterine segments (15-20)
- Longer than wide
Taenia saginata
Egg
- Indistinguishable from the other Taenia spp. Eggs
- Spherical brown and striated
- Oncosphere with 6 hooklets (contains hexacanth embryo)
reported as Taenia egg, look for proglottids to identify species
Taenia saginata
Embryonation
Embryonated
Taenia saginata
Epidemiology
- Worldwide distribution
- more commonly reported here in the country
Taenia saginata
Treatment
Praziquantel or Niclosamide
Surgery for Cysticercosis
- Praziquantel and Albendazole
Criteria for cure
- Recovery of Scolex
- Negative stool examination 3 months after treatment
Hymenolepis nana
Common name
Dwarf tapeworm
Hymenolepis nana
Final Host
Rat
Hymenolepis nana
Accidental Host
Man
Hymenolepis nana
IH
- Rice beetle/Tenebrio spp.
- Fleas
- flour beetles
- rats/house mice (H.nana var. fraternal)
Note:
IH is not required (direct life cycle)
Hymenolepis nana
Infective Stage
Cysticercoid larva (indirect)
Eggs (direct)
Hymenolepis nana
Scolex
- rhomboidal/subglobular
- Short armed rostellum (retractable)
- 1 row of hooks (20-30)