CESTODES (Tapeworms)
CESTODES (Tapeworms)
CESTODES (Tapeworms)
A. General Characteristics
1. Cestodes are under platyhelminths or flatworms
2. Morphology (segmented, ribbon-like)
a. Scolex: is the anterior portion of the body containing suckers and sometimes booklets responsible for
attachment to the host. The "crown" of the scolex is called the rostellum.
-Non recovery is unsuccessful treatment
3. Cestodes have three life cycle stages: egg, larval stage(s), and the adult worm.
4. Cestodes have several intermediate hosts.
5. Diagnosis: Microscopic examination of stool samples for eggs or proglottids
6. Transmission of infective eggs occurs with contaminated food and water.
7. Contamination can come from the feces of cows, pigs, fish, and humans.
8. Adult tapeworms are hermaphroditic.
Compiled by: Angeli Abegail Naranja, MIH
Laid via uterine pore No uterine pore, egg is released by the rupture of
*Similar with Paragonimus westermani gravid segments
Diphyllobothrium latum
● Broad or fish tapeworm; largest tapeworm to man
● Scolex is spatulate/spoon-shaped/almond shaped with sucking organ called bothrium
● Uterus is rosette formation
● Eggs are operculated
● Larval stages: coracidium →procercoid→ plerocercoid
● 1st IH: Copepods; 2nd IH: Freshwater fish
● Diagnostic stage: Embryonated egg
● Pathology: Vitamin B12 Deficiency Anemia (Macrocytic anemia MCV >100fl)
○ Megaloblastic anemia: Hypersegmented neutrophils, Pancytopenia, Macrocytes
Compiled by: Angeli Abegail Naranja, MIH
Scolex 4 sucking cups, no rostellum With rostellum armed with 2 rows of large
hooklets (double crown)
Eggs Spherical, striated, inside is an embryo Spherical, striated, inside is an embryo with 6
with 6 hooklets (Hexacanth) hooklets (Hexacanth)
Scolex With rostellum armed with a ring of 20-30 With unarmed rostellum
spines
Hymenolepis nana
Compiled by: Angeli Abegail Naranja, MIH
Hymenolepis diminuta
Compiled by: Angeli Abegail Naranja, MIH
Dipylidium caninum
● Dog tapeworm
● Proglottids have double set of reproductive organs and genital porn on each side of the lateral margin
● Mature and gravid proglottids are typically shaped like melon seeds/pumpkin seeds/ rice grain
● Infective stage: cysticercoid larva
● Common tapeworm of the dog and cat (DH)
● Man is an accidental host (ingestion of fleas containing larva)
● IH: Ctenocephalides canis-dog flea; Ctenocephalides felis-cat flea; Pulex irritans-human flea
Compiled by: Angeli Abegail Naranja, MIH
Echinococcus granulosus
● Former: Taenia granulosus
● Hydatid worm
● Shortest tapeworm
● DH: Dog; IH: ruminants, AH and Dead end host: Man
● Habitat small intestine
● Diagnostic stage: Embryonated egg
● Infective stage:Hydatid cyst
● Ova cannot be differentiated from Taenia spp.
● Clinical Significance: Hydatid cyst
● larval stage in the hydatid cyst has been found to carry
P blood group antigen
● Diagnosis
○ Exploratory cyst puncture
○ Roentgenogram (x-ray)
○ Serological tests
■ Bentoniteflocculation test
■ Casoni intradermal test
■ Anti-P1 antibodies