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Introduction
The subclass Cestoda or tapeworm of
phylum Platyhelminthes are characterized
by the ribbon like and dorso-ventral
flattened body
Living worms are white or yellowish
There is no specialized alimentary or
digestive system, food is absorbed
through worms integument
two lobus
Classification
Class Cestoidea
Subclass Cestoda
Ordo Cyclophillidea
Family Taeniidae
Family Hymenolepididae
Family Dilepididae
Family Davaineidae
Family Anoplocephalidae
Ordo Pseudophyllidea
Famili Diphyllobothriidae
Scolex varies in morphology from
species to species
It is quadrate in shape with 4 muscular
cup-like suckers
In many species it has an anterior
Egg of Taenia sp
Life Cycle
Cestodes that parasitized human have
complex life cycle which involved both a
definitive and an intermediate host
Some species utilize human as the
definitive hosts, develop to adulthood in
the intestine such as Taenia saginata
For some species, human are acceptable
as definitive and intermediate hosts such
as Taenia solium
Order Cyclophyllidea
Family Taeniidae
1. Taenia saginata
2. Taenia solium
3.
4.
5.
6.
7.
8.
Hymenolepis nana
Hymenolepis diminuta
Dipylidium caninum
Echinococcus granulosus
Echinococcus multilocularis
Multiceps multiceps
Taenia saginata
Common name: The beef tapeworm
Diseases: Taeniosis saginata, beef
tapeworm infection
Geographical distribution: It is
cosmopolitan in distribution. The
prevalence is high in countries or areas
which people consume raw or
inadequately heated beef
Morphology:
The mature worm measures 4-12 meters
long and contain 1000-2000 proglottids
Under favorable conditions, they expand
to 25 m in length
The scolex is quadrate shape from top
view, measures 1.5-2 mm in maximum
diameter, bears four muscular
hemispherical suckers
Scolex
T. saginata
Life Cycle
The adult worm is in the jejunum of small
intestine of man
The gravid proglottids are separated from
strobila in single segment and evacuated
out with feces of migrate freely out from
anus
The gravid proglottids may disintegrate
within the bowel and release eggs passed
with feces
Diagnosis
Recovery of eggs in stool is a generic
diagnosis
The specific diagnosis based on the
identification of the evacuated gravid
proglottids
They were pressed under two glass slides
and examined the main lateral branches of
uterus which vary from 15-20 branches
with 18 in average
Treatment
Niclosamide administered at 2 g is
effective
Praziquantel is well tolerated and highly
effective when given 10-20 mg per kg
body weight as a single dose
Bithionol 40-60 mg/kg one or two doses
was commonly used in Japan, but this
drug is not available in Indonesia