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6 CestodesPart2
6 CestodesPart2
*
*IH: Ctenocephalides canis
Ctenocephalides felis
*Infective Stage: Cysticercoid Larva
*MOT: Ingestion
*
Scolex
* Conical
*4 suckers
*Retractable Armed Rostellum
*
*Proglottids
*
*
*Eggs in egg packets
*
*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
*
*AKA Railletina madagascariensis
*Madagascar Worm
*A Common Tapeworm of Rats
Final Host: Rats
Accidental Host: Man
Habitat: Small Intestine
*
*Intermediate Host: Tribolium confusum
*
*SCOLEX:
*Subglobular
*Armed Rostellum
*
*PROGLOTTID
*
*Clinical Manifestations
*Usually Asymtpomatic
*Children are usually affected
*Proglottids are usually passed out
*Diagnosis: Stool Exam (Proglottids or Ova)
*Treatment: Praziquantel;
*
*Epidemiology
*Common Cestode of Rodents in the Philippines
*Infections usually occur due to ingestion of
infested grains
*Children less than 3years old are affected
*
*Echinococcus granulosus
*Echinococcus multilocularis
*Echinococcus vogelli
*
*Hydatid Worm
Smallest Tapeworm of Dogs (3-6 mm)
Final Host: Canines (Dogs)
Habitat: Small Intestine
*
*Intermediate Host: Sheep , Goat, Swine, Cattle
Horses, Camel, Humans*)
*Humans accidental IH;
*Infective Stage : Hydatid Cyst
*MOT: Ingestion
*
!
*
SCOLEX
*Pyriform Scolex
*Armed Rostellum
*4 Suckers
*
*PROGLOTTIDS
*
*EGGS: Similar to Taenia
*
*HYDATID CYST
*
*HYDATID CYST
*
*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
*
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
*
*Diagnosis:
*X-ray
*Ultrasound, CT-Scan
*Surgery
*Serology:
*BFT, Casoni Intradermal Test, ELISA
*Treatment
*Surgical Resection
*Albendazole
*PZQ
*PAIR