Characteri Taenia solium Taenia Taenia saginata Hymenolepis Hymenolepis

Dipylidium Dyphillobthrium Echinococcus

stics asiatica nana diminuta caninum caninum granulosus
Common Pork tape worm Beef tape worm Dwarf Rate tapeworm
dog/cat broad/fish Hydatid tape worm
name tapeworm taperowrm; tapeworm
pumpkin seed
tapeworm
Associated taeniasis/pork Beef tapeworm Hymenolepiasis Hymenoplepiasi Dipylidiasis Diphyllobothriasis Hydatidosis
disease tape worm infection s
infection
Host IH: Man &pigs
IH: liver of IH: cow, cattles
IH and DH: man IH: insect
IH: fleas
`IH: sheep, goats,
DH: MAn pigs, goats DH: Man DH : human and DH: dog, cat swine

cattle, wild rodents humans DH: dogs and

boars and other canidae
monkey
Adult - 2-4(7) m - unarmed - cuboidal scolex, - scolex - rudimentary - pale reddish
- 3-10 m (length)

(length)
scolex
1-2 mm diameter, subglobular
unamred - 10-70 cm length
- 4000 proglottids

- 800-1000 4 acetabula - 4 cup shaped rostellum

- Scolex is small - Scolex is
proglottids
sucker
- Proglottids and globular
spatulate,
- Rostellum with - Retractable are broader - 4 deeply 2-3mm length,
double crown rostellum
than long
cupped sucker
1mm diameter

of 25-30 large - 20-30 y - 0.75 x 3.5 - Protrusible - 2 bothria or

and small shaped rostellum
sucking grooves
hooks hooklets
- 1-7 rows of (dorsal and
- 175-220 rosethorn ventral)
proglottids
shaped hooklets

- 0.15-0.3 mm - Gravid
length ; 0.8- proglottid is
1mm wodth pumpkin seed
shape

Cystecercu - oval , - invaginated - cystecircus

s translucent , scolex bovis

with 4 sucker armed with - ovoidal, milky

and circlet of hooklets white

hooks
- 10 mm
- 5mm in 10 diameter

weeks -

fld
Egg - 30-45 um
- Circular
-spherical thin - 66x44 um

- Spherical or - 60-80 um shaped, hexacanth - Operculated

subspherical diamtere
embryo
egg
in shape
- Fan like - 6 hooked
- Striated hooklets oncosphere
embryophore
surrounding
hexacanth
oncosphere

- 3 pairs of
hooklets
Reproducti - Hermaphroditi Female
- Hermaphroditic
Female
- unilateral - 2 pairs of male - 1,000,000 ova

ve System c
- 11-32 Female
- one ovary
henital pores
and femal
- Rosette shaped
- Female
branches - two large lobes Male
- Sac like - Bilateral genital ovaries

- Accessory arising of ovaries

- 3 ovoid testis uterus filled pore

ovarian from main - Medium club with egg

- “ Double-pored
lobe
uterus
shaped uterus, - 3ovoid testis
tapeworm”

- Novagina - With 15-20 lateral - One ovary - Packets of 8-15

sphincter
vaginal branches
eggs
- 30,000-50, sphincter - 97,000-124,000
000 ova
ova

- Uterus is - Has vaginal

distended sphincter

with ova

- 7-15 lateral Male:

branches
- 300-400
- Genital follicular testis
pores are
irregularly
alternate

- Male

- Smalleer
no. of
follicular
testes
(100-200)

fld
Clinical - intestinal - proglottids or - Clinical - nervous - triad of findings:
Manifestati infection
segments in manifestations disturbances
intermittent
on - Mild non stool
include headache, 
 - hyperchromatic jaundice, fever
specific - Concentartion dizziness, and and eosinphilia

abdominal technique
anorexia, pruritus megaloblastic - Increased ICP
pain
- Perianal swab of nose and anus, anemia same in and Jacksonian
- Bile and diarrhea, vitamin b12 epilepsy

pancreatic abdominal pain, deficiency - Kidney

duct and pallor. 
 dysfunction

obstruction - Pyogenic
is unlikely
abscess
- Cysticercosis - Heavy formation

infections may
result in enteritis
due to necrosis
and desquamation
of the intestinal 

epithelial cells. 


fld
Diagnosis - intestinal
- eggs in - - operculated - radiographic
- Proglottid , patien;s stool
eggs and findings

scolex and - Proglottid not proglottid

- Positive
egg
recovered - Kato technique
serologiv test

- Cysticercosis
- Gastric juice
- CSF with free `HCl
abnormaliti
es, CAT
scan, MRI
(NCC)

- Opthalmos
copy
(Opthalmic
)

- Tissue
biopsy
(muscular
and
cutaneous)

- Serologic
test

- ELISA,
EITB,
Wester
n
BLOT,
DOT
ELISA

fld
Treatment Intestinal Praziquantel
Praziquantel
- Surgery

Praziquantal - 10 mg/kg - 25 mg/kg - Inoperable cyst:

(DOC)
single dose - Albendazole
- 5-10mg/kg - 400 mg
divided single 2xday 4
for both adult 2eeks, two
and childreb
weeks of no
therapy

Cysticercosis - PAIR

Praziquantel
-
- 50-75 mg/kg
divided three
doses for 30
days

Albendazole

- 400 mg 2x day
8-30 days

Steroids

- prednisolone,
80mg

- Dexamethaon
e, IM 10 mg

fld