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*Double Pored Tapeworm; Dog Tapeworm; Flea

Tapeworm; Cucumber Tapeworm


*Final Host: Dogs, Cats
*Accidental Host: Man
*Habitat: Small Intestine

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*IH: Ctenocephalides canis
Ctenocephalides felis
*Infective Stage: Cysticercoid Larva
*MOT: Ingestion

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Scolex
* Conical
*4 suckers
*Retractable Armed Rostellum

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*Proglottids

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*Eggs in egg packets

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*Disease Manifestation
*Usually asymptomatic
*Abdominal pain, anal pruritus may occur
*Diagnosis: Look for the Egg packets or
Proglottid in Stool or Perianal Area
*Epidemiology: Common among small children
*Treatment: Praziquantel

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*AKA Railletina madagascariensis

*Madagascar Worm
*A Common Tapeworm of Rats
Final Host: Rats
Accidental Host: Man
Habitat: Small Intestine

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*Intermediate Host: Tribolium confusum

*Infective Stage: Cysticercoid Larva


*MOT: Ingestion

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*SCOLEX:
*Subglobular
*Armed Rostellum

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*PROGLOTTID

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*Clinical Manifestations
*Usually Asymtpomatic
*Children are usually affected
*Proglottids are usually passed out
*Diagnosis: Stool Exam (Proglottids or Ova)
*Treatment: Praziquantel;

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*Epidemiology
*Common Cestode of Rodents in the Philippines
*Infections usually occur due to ingestion of
infested grains
*Children less than 3years old are affected

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*Echinococcus granulosus
*Echinococcus multilocularis
*Echinococcus vogelli

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*Hydatid Worm
Smallest Tapeworm of Dogs (3-6 mm)
Final Host: Canines (Dogs)
Habitat: Small Intestine

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*Intermediate Host: Sheep , Goat, Swine, Cattle
Horses, Camel, Humans*)
*Humans accidental IH;
*Infective Stage : Hydatid Cyst
*MOT: Ingestion

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!

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SCOLEX
*Pyriform Scolex
*Armed Rostellum
*4 Suckers

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*PROGLOTTIDS

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*EGGS: Similar to Taenia

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*HYDATID CYST

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*HYDATID CYST

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*Clinical Manifestation:
Cystic Echinococcosis; Hydatid Cyst; Cysticercosis of
Visceral Organs
Organs Affected: Liver and Lungs
*Signs and Symptoms
*Simple Cysts usually do not cause symptoms
*Ruptured Cysts can lead to symptoms of
*Intermittent Jaundice and Eosinophilia
*Brain Involvement
*Renal Involvemnt

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Other Echinococcus species
*E. multilocularis
*FH: Foxes
*IH: Rodents (voles, lemmings, shrews, mice)
*Causes Alveolar Echinococcosis
*E. vogeli
*FH: Bush Dogs and Dogs
*IH: Rodents
*E. granulosus infections
*More common in sheep grazing countriessuch as
Australia, New Zealand, Middle East, South
America
*E. multilocularis infection
*Subarctic Areas such as Alaska, Canada
*E. vogeli infection
*Central and South America

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*Diagnosis:
*X-ray
*Ultrasound, CT-Scan
*Surgery
*Serology:
*BFT, Casoni Intradermal Test, ELISA
*Treatment
*Surgical Resection
*Albendazole
*PZQ
*PAIR

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