Diphyllobothrium latum

(Broad Fish Tape Worm = Cacing Pita Ikan)

Bagus Uda Palgunadi,drh.,M.Kes.
Bagian Parasitologi
Fakultas Kedokteran
Universitas Wijaya Kusuma Surabaya

Diphyllobothrium latum
(Broad Fish Tape Worm = Cacing Pita Ikan)

Penyebab Diphylobothriasis
Distribusi geografis :Amerika,
Kanada,Amerika tengah, Afrika tengah,
Malaysia, Siberia & Jepang
Hospes
DH : manusia, anjing, kucing
IH : 1.Diaptomus & Cyclops
2. Ikan Air Tawar : Salmon, Pike,
Trout & Whitefish

MORFOLOGI:

Telur
- Oval, dinding tipis, ukuran 45X75m
- Operculum satu sisi
- Knob like (tonjolan kecil)sisi lainnya
Dewasa
- Panjang : 3-10 m ( 3000-4000
proglotid)
- 1 Proglotid gravid 1000 telur
- Scolex spatel dng sebuah sulkus

Section of an adult D. latum containing many proglottids. The scolex

was not present in this specimen. Scale is in centimeters. R: Scolex of
D. latum. Credit: Florida State Public Health Laboratory,

eggs

Mature proglottid

plerocercoid

Siklus Hidup :
TELUR

CORACIDIUM
IH1

Menetas dlm AIR

Coracidium melepas cilia

DH

menembus dinding usus IH1

Menuju Habitat (USUS HALUS)

Menjadi DEWASA

PROCERCOID LARVA
IH2
Menuju Otot IKAN
Menjadi PLEROCERCOID

(SPARGANUM)

LARVA

Life cycle

Immature eggs are passed in feces . Under appropriate conditions, the eggs mature
(approximately 18 to 20 days) and yield oncospheres which develop into a coracidia
. After ingestion by a suitable freshwater crustacean (the copepod first intermediate
host) the coracidia develop into procercoid larvae . Following ingestion of the
copepod by a suitable second intermediate host, typically minnows and other small
freshwater fish, the procercoid larvae are released from the crustacean and migrate
into the fish flesh where they develop into a plerocercoid larvae (sparganum) . The
plerocercoid larvae are the infective stage for humans. Because humans do not
generally eat undercooked minnows and similar small freshwater fish, these do not
represent an important source of infection. Nevertheless, these small second
intermediate hosts can be eaten by larger predator species, e.g., trout, perch,
walleyed pike . In this case, the sparganum can migrate to the musculature of the
larger predator fish and humans can acquire the disease by eating these later
intermediate infected host fish raw or undercooked . After ingestion of the infected
fish, the plerocercoid develop into immature adults and then into mature adult
tapeworms which will reside in the small intestine. The adults of D. latum attach to the
intestinal mucosa by means of the two bilateral groves (bothria) of their scolex . The
adults can reach more than 10 m in length, with more than 3,000 proglottids.
Immature eggs are discharged from the proglottids (up to 1,000,000 eggs per day per
worm) and are passed in the feces . Eggs appear in the feces 5 to 6 weeks after
infection. In addition to humans, many other mammals can also serve as definitive
hosts for D. latum.

Patogenesa & gejala klinis

1. Faktor patogenesa :
- Jumlah cacing dlm tubuh
- Kepekaan hospes
- Hilangnya bahan-bahan esensial yg di
absorsi oleh cacing
2. Gejala klinis
- Diare, nyeri perut, rasa tidak enak di
lambung dan anemia

Diagnosa,Pencegahan & Pengobatan

1. Pemeriksaan feces telur atau
proglotid
Pemeriksaan vomitus proglotid
2. Obat cacing :
- Niclosamid (yomesan) 4 tab (2 g) / po
- Paramomisin 1 g setiap 4 jam
- Prazikuantel 10 mg/kg BB/ d.tunggal
- bila ada anemia+ preparat asam folat
3. Pencegahan : memasak ikan secara
sempurna & pengobatan hospes