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PARA LEC: Cestodes
Diphyllobothrium latum
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Why is D. latum called "Broadfish Tapeworm"?
Intermediate host is broadfish
D. latum has false belongingness to the family of phyllidea which are usually:
Leaf-like
Diphyllobothriasis is the most common cause of what disease?
Vitamin B-12 Deficiency
What does Vitamin B-12 Deficiency cause?
Megaloblastic anemia
It is the ciliated larval stage of D. latum
Coracidium
Describe the shell of D. latum
Smooth yellow to brown
What is the unique characteristic of D. latum eggs?
Operculated with abopercular knob
Shape of D. latum scolex
Almond-shaped
How many suckers does D. latum have?
Two
The two long and prominent sucking grooves are known as
Bothria
Size of D. latum proglottids
Wider than they are long
Appearance of the centrally located uterine structure
Rosette formation
Diagnostic stage of D. latum
Embryonated eggs and gravid proglottids
Infective stage of D. latum
Plerocercoid larva
MOT of D. latum
Ingestion
Definitive hosts of D. latum
Fish-eating animals and human
What are the fish-eating animals?
Birds, dogs, and seals
1st intermediate host of D. latum
Copepods
2nd intermediate host of D. latum
Fish
Species of copepods
Cyclops and Diaptomus
What fishes can be the 2nd intermediate host?
Perch, salmon, trout, and pike
Site of infection of D. latum
Small intestines
What condition does Vitamin B12 deficiency mimic?
Pernicious anemia
Define Sparganosis
Formation of a sparganum
Infected subcutaneous tissue often described as white, wrinkled and ribbon-shaped
Sparganum
D. latum infection results in:
Hyperchromic, megaloblastic anemia with thrombocytopenia and leukopenia
The vitamin B12 content of D. latum is approximately _ that of T. saginata
50 times
Recommended treatment for vitamin B12 deficiency
Administer Vitamin B-12
What does "hyperchromic" mean?
Increased hemoglobin
Refers to absence of free HCl
Achlorhydria
Drug of choice for D. latum
Praziquantel
Alternative therapy
Niclosamide