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INTESTINAL CESTODES: Dipylidium caninum (Dog Tapeworm) dipylos 2 entrances Dipylidium caninum - Dog Tapeworm - causative agents of dipylidiasis

is in humans w/c are accidental hosts. - common intestinal parasite of dogs and cats. Clinical features: - Infection is rarely multiple and symptoms are minimal. - Common symptoms: Intestinal discomfort Epigastric pain Diarrhea Anal pruritus Allergic rxns. - Some patients are asymptomatic. Adults - 10-70 cm in length - pale reddish - 200 proglottids Scolex - small and globular - four deeply cupped suckers - protrusible rostellum w/c is armed w/ 1-7 rows of rose thorn shaped hooks. Mature segment - narrow - two genital pores on each lateral margins. - two sets of male and female reproductive organs. Gravid segment - pumpkin seed-shaped - filled with egg capsules (8-15 Eggs and Hatching Larvae - Procercoid larvae hatches from the egg when ingested by the flea. Species of fleas: ~ Ctenocephalides canis (dog flea) ~ Ctenocephalides felis (cat flea) ~ Pulex irritans (human flea) ~ Trichodectes canis (dog louse) - Inside the flea, the larvae develops into cysticercoid and ingested by definitive hosts. Infective/Dx stage I: Cysticercoid inside the flea (intermediate Dx/Tx Dx: ~Id of gravid proglottids ~Egg capsules ~exam of scolex for species Id. Tx: ~Praziquantel 510mg/kg as a single dose ~ Niclosamide Prevention/Control: ~ Deworming of cats and dogs ~ Prevent flea breeding ~ Insecticide dusting of dogs and cats against fleas. ~ Avoid very close contact with pets. ~ Health Ed. Stays in... Adult worm attaches to intestines. Epidemiology - occasionally infects children d/t close animal contacts. -Rare but reported in the ff areas: European countries USA Argentina Rhodesia China Philippines

- Eggs are contained in an egg capsule - Eggs are spherical - thin-shelled, colorless with hexacanth embryo - 25-40 microns Oviposition: Gravid segments containing egg capsules with eggs either migrate out of the anus or passed out with feces. Hatching: Eggs are released from the capsule in soil or in fur of host and ingested by flea, then hatches inside it.

host) Dx stages: - Gravid proglottids - Eggs and egg capsules are rarely found since they are released only in the external environment. -Scolex are also forced to come out of the host and examined for identification of species.

eggs/capsule) - passed out in feces or crawls out of anus Life Cycle: Adult in intestines self-fertilization for reproduction of eggs gravid segment detaches from strobila and passed out in feces or crawls out of the anus embryonated eggs are released in the soil of fur of host eggs are ingested by fleas and turns into procercoid further matures inside the flea and turns into cysticercoid host ingests fleas cysticercoids liberates and becomes adult and attaches to it in 3-4 weeks Time to become mature in intestine: 3 4 week Dipylidium caninum Dr. Lilian A. de las Llagas CESTODES: Intestinal and Extraintestinal PARA 10N Second Long Exam

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