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22 Cards in this Set

  • Front
  • Back

Types of tapeworm worm

Beef tapeworm – taenia saginata


Pork tapeworm – taenia solium


Cysticercosis - taenia solium eggs


Fish tapeworm diphyllobothrium Latum


Hydatid tapeworm - echinococcus granulosus, echinococcus multilocularis

What is taeniasis

Intestinal infection caused by adult tapeworms – from ingesting contaminated meat that has not been cooked properly

What is cysticercosis

Taenia solium eggs are ingested by humans through food that has been contaminated with faeces of someone with taeniasis - causes major health issues

Symptoms of taeniasis

Intestinal tapeworm – gastric symptoms when fully developed – after eight weeks


Neurocysticercosis – asymptomatic to headaches, seizures, hydrocephalus

Diagnosis of taeniasis

Proglottid segments in faeces


Saginata dash 15 to 20 branches


Solium – 13 or less


Eggs – distinguish species


Faecal antigen test - Distinguish different species (Saginata/Solium)


PCR - differentiate saginata and solium

Treatment of taeniasis

Praziquantel (5 to 10 mg per kilogram, stat) Or Niclosamide stat


In active invasive neurocysticercosis – treatment With two week course of Praziquantel and albendazole And steroids and antiepileptics. Destruction of cysts can lead to inflammatory response


Inactive neurocysticercosis – does not need treatment

Prevention and control of taeniasis

Identify and treat cases


Drug supply/free supply


Health education – hygiene and food safety


Improve sanitation


Improve pig farming


Vaccinate pigs – this is commercially available - TSOL18 vaccine


Improvement inspection and processing


Cook meat the really


Reliable epidemiological data

Fish tapeworm

Diphyllobothrium latum


Waterflea ingest eggs and then is eaten by a fish


Fish consumed raw/undercooked by humans


Develops into huge tapeworm – up to 10 m long


Eggs and proglottids are released in faeces in water

Symptoms of fish tapeworm

GI symptoms


Vitamin B12 deficiency

Diagnosis and treatment of fish tapeworm

Identified by eggs/proglottids install


Praziquantel

Echinococcus Granulosus

Dog tapeworm


Hydatid disease


Dogs eat contaminated carcasses of livestock and Are infected with the worm


People ingest eggs by food/water contaminated with dog faeces

Clinical features of echinococcus granulosus

70% of cysts develop in the liver, 20% lung, Rest bone/Brain/spleen


Asymptomatic – unless Cysts grow large And cause mass effect


Distended abdomen in otherwise well patient


Secondary bacterial infections


Rupture and hypersensitivity reaction


Liver cysts travel into peritoneal cavity

Investigation of a echinococcus granulosus

Imaging – ultrasound/CT/MRI


Serological antigen test

Treatment of echinococcus granulosus

Medical – Albendazole and praziquantel for 3 to 24 months


Surgical cystectomy


Pair (puncture, aspiration, injection, re-aspiration) With albendazole and praziquantel for one month prior to the procedure and two months after the procedure


Contra indications cysts in the biliary tree, cysts opening into the Abdo cavity/bronchi/urinary tract, inactive or calcified lesions, uncooperative patient

Prevention and control of dog tapeworm/Echinococcus granulosus

Regular dog worming


Vaccination of sheep


Calling older infected sheep


Regulation of vaccination status of livestock


Slaughterhouse hygiene practices


Public education of root of infection

Front (Term)

Taenia solium scolex

Front (Term)

Taenia Saginata scolex

Front (Term)

Taenia Saginata proglottid

Front (Term)

Taenia solium proglottid

Front (Term)

Taenia eggs

Front (Term)

Taenia Saginata worm - up to 4m long

Front (Term)

Neurocystercercosis