Tuesday, January 24, 2017

Cestodes





Taenia solium



Echinococcus granulosus


Cestodes
Taenia solium (sun and SOLd sign)
Hooks only on T. solium heads seen on stool O&P (only seen on T. solium, hooks on tent)
Pigs serve as intermediate hosts
Rx: Praziquantel, Albendazole (with neurocystericosis)
Eggs transmitted by water contaminated with feces (cheese-wheels fallen in the poop water)
Neurocystericosis causes seizures, CT of head has swiss cheese (seizure) appearance (carousel cheese-head)

Taenia saginata
Cattle serve as intermediate hosts
Rx: Praziquantel, Albendazole (with neurocystericosis)
Eggs transmitted by water contaminated with feces (cheese-wheels fallen in the poop water)
Neurocystericosis causes seizures, CT of head has swiss cheese (seizure) appearance (carousel cheese-head)

Echinococcus granulosus (cocker-spaniel)
Hydatid cyst in liver
Transmitted by dog feces
Dogs definitive host, sheep intermediate host (sheep dog)
Cyst rupture causes anaphylaxis and acute abdomen
Eggshell calcifications in cyst on liver CT
Eosinophilia (Phil the sling-shot kid)
Rx: Praziquantel (Prizes, Pretzel), Albendazole

Diphylobothrium latum: fish tapeworm (guy running for bahthroom)
--Rx: Niclosamide (nickle to use portapotty)
--Cobalamin = B12 deficiency (Cobalt blue firework)
--Longest tapeworm (toilet paper around leg)
--Proglottid segments seen on stool O&P (segments of toilet paper in mud)




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