Helminths > Cestoda > Taenia

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Morphology

1. Adult

scolex neck Immature segments Mature segments strobilus Gravid segments

2. Egg of tapeworm Egg shell Embryophore onchosphere

a complete egg

An incomplete egg

Egg of tapeworm

Egg shell

A complete egg

An incomplete egg

3. Larva: Cysticercus • Milk white, semitransparent, oval • 8~10 mm long, like a bean in size • Bladder-like, having a cyst wall, is filled with fluid. • Inside the bladder, there is a scolex

Life cycle

Life Cycle 60-70 d

Adult Human

Gravid S. feces

egg Pig O.

Man Adult C.

man

taeniasis O.

Life span: 25 years

2-3 m

C. cycticercosis

Important points 1 Human is the host and host. 2 Adults live in ,while cycticerci live in . 3 Infective stage: 3 Modes of infection : 4 Pig is the host of this worm.

Symptoms

1.Adult Taeniasis The adults cause irritation to intestinal wall with their hooklets and suckers. Abdominal discomfort, loss of appetite and weight, finding of gravid segments. 2. Larva Cysticercosis

Clinic types of cysticercosis • Subcutaneous or muscular type nodi in subcutis (oval, movable, no tenderness). Weakness, loss of energy, slight pain, false enlarged muscle, etc. • Cerebral type nausea, vomiting, headache, epilepsy, hemeplegia, mental disorder, etc.

• Ocular type: usually found in the deep part of eyes (vitreous body, subretinal space,etc), visual disturbance, itching, pain, etc. When dead, the larva cause inflammation of eyes and then make loss of sight.

3 modes of infection with cysticercosis • Eggs inside the body of the same patient • Eggs outside the body of the same patient • Eggs from another patient with teaniasis

Diagnosis

Difference between T. solium and T. saginata 1 Morphology : 2 Life cycle : Intermediate host: cattle,sheep and camel,etc Infective stage: egg

3. Symptoms Taeniasis saginata: similar to taeniasis solium. No cysticercosis siginata in man, the gravid segment can get out of the anus actively. itching of anus, finding of gravid S. in feces or near the anus outside human body. 4. Diagnosis

Epidemiology

1. Distribution • Both the tapeworms distributed worldwide, mainly in Europe, Mid America and India. • T. solium : mainly in north, east-north, west-north China, Yunnan, and Guangxi province. • T. saginata : mainly in Xinjiang, Inner Mongonia, Tibet 、 Yunnan and Guizhou province,etc.

2. Factors for endemic •Environmental contamination by feces •Improper method for raising pigs and grazing cattle •Ingestion or cooking of meat in unreasonable way •Poor conditions of sanitation •Bad personal habits

Treatment and prevention 1. Treat patients Taeniasis: Chinese herb medicine( Pumpkin seed and Areca nut), Praziquantel. Cysticercosis: Treatment methods are chosen depending on the clinic types. Surgical methods and chemicals (praziquantel)

2. Promote management of washing room, resource of water, prevent contamination of pasture by feces. 3. Strictly inspect pork and beef on sale 4. Strengthen healthy education

Scolex of T. solium Sucker Hooklet

back

Mature segment of T. solium testes uterus ovary

back

Gravid segment Uterus: 7~13 branches on each side

back

Embryophore of tape worm egg

back

Cysticerci of T. solium in pork

Cysticercus of T. solium

Structure of Cysticercus

Cyst wall Fluid Scolex

Back

Life cycle Life cycle Patient

Back

Subcutaneous type

False enlarged muscles back

Ocular cysticercosis

Ocular cysticercosis

back

Morphological difference T. solium

T. saginata

Lenth

2~4 m

4~8 m

Strobilus

700~1000 S.

1000-2000 S.

Scolex M. S.

spherical,having 4 suckers

squirical having 4

and hooklets

suckers, no hooklets

Ovary: 3 lobes

Ovary: 2 lobes

T. solium G. S.

T. saginata

Uterus: 7~13 branches Uterus: 15~30

Cysticercus having hooklets in

having no

the scolex,

hooklets

cause cysticercosis

not live in man

back

Scolex of two tapeworm :

sucker hooklet

T. solium

T. saginata back

testes uterus ovary

Mature S. of T. solium

Mature S. of T. saginata back

G. S. of T. solium

G. S. of T. saginata back

Life cycle of T. saginata

back

Ingestion of raw meat

back

back

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