CESTODA USUS
Taenia solium
(Pork Tape Worm = cacing pita babi)
Penyebab Taeniasis solium pada manusia Distribusi geografis : Kosmopolitan Lifespan : sampai 25 tahun Hospes / host : DH : Manusia IH : Babi Habitat : Usus halus (jejunum bagian atas)
LARVA : berupa cysticercus cellulosae (pada jaringan organ tubuh babi), 5 x10 mm
dewasa
Panjang 2 7 m Scolex : segi 4, 1 mm, mempunyai4 buah sucker & 2 baris rostellum 25-30 kait
Strobila :tdd 800-1000 proglotid immature , mature & gravid ( uterus gravid memp 7-12 cabang lateral)
PATOGENESA:
Iritasi mucosa usus Obstruksi usus Perforasi usus Intoksikasi
GEJALA KLINIS
Taenia saginata
(Beef Tape Worm = Cacing pita sapi)
Penyebab Taeniasis saginata pada manusia Distribusi geografis : Kosmopolitan Lifespan : sampai 10 tahun Hospes : DH : manusia I H : sapi Habitat : Usus halus(jejunum ) bagian atas
MORFOLOGI
TELUR : mirip telur T.solium LARVA : Cysticercus bovis (Pada jaringan organ tubuh sapi), 5 x 9 mm DEWASA : panjang 4 6 m Scolex : segi4, 1,50 - 2 mm, memp 4 buah sucker, tidak mempunyai rostelum & kait
Strobila : tdd 1000 2000 proglotid immature, mature, gravid ( uterus gravid tdd 15-30 cabang lateral)
Gejala klinis
- Tidak menunjukkan gejala yang berarti - Mungkin tdp gejala ringan & menahun sakit kepala, sakit perut, diare & konstipasi bergantian, nafsu makan tidak tetap, kelelahan & lemah
Life cycle
Taeniasis is the infection of humans with the adult tapeworm of Taenia saginata or Taenia solium. Humans are the only definitive hosts for T. saginata and T. solium. Eggs or gravid proglottids are passed with feces ; the eggs can survive for days to months in the environment. Cattle (T. saginata) and pigs (T. solium) become infected by ingesting vegetation contaminated with eggs or gravid proglottids . In the animal's intestine, the oncospheres hatch , invade the intestinal wall, and migrate to the striated muscles, where they develop into cysticerci. A cysticercus can survive for several years in the animal. Humans become infected by ingesting raw or undercooked infected meat . In the human intestine, the cysticercus develops over 2 months into an adult tapeworm, which can survive for years. The adult tapeworms attach to the small intestine by their scolex and reside in the small intestine . Length of adult worms is usually 5 m or less for T. saginata (however it may reach up to 25 m) and 2 to 7 m for T. solium. The adults produce proglottids which mature, become gravid, detach from the tapeworm, and migrate to the anus or are passed in the stool (approximately 6 per day). T. saginata adults usually have 1,000 to 2,000 proglottids, while T. solium adults have an average of 1,000 proglottids. The eggs contained in the gravid proglottids are released after the proglottids are passed with the feces. T. saginata may produce up to 100,000 and T. solium may produce 50,000 eggs per proglottid respectively.
PENCEGAHAN TAENIASIS
Pengobatan penderita Pengawasan daging babi & sapi Memasak daging 50C minimal 30 Pembekuan daging pada minimal -2C BAB pada jamban Note : Pengawetan daging dengan cara pengasinan tidak selalu berhasil dengan baik
Dipylidium caninum
( Dog Tape Worm = cacing pita anjing ) Penyebab dipilidiasis Hospes : - DH : anjing, kucing, serigala dan manusia - IH : Ctenocephalides canis Ctenocephalides felis Pulex iritans Trichodectes canis
Siklus hidup
IH Telur
Larva oncosphere
Dewasa
cysticercoid
DH
Life cycle
Gravid proglottids are passed intact in the feces or emerge from the perianal region of the host . Subsequently they release typical egg packets . On rare occasions, proglottids rupture and egg packets are seen in stool samples. Following ingestion of an egg by the intermediate host (larval stages of the dog or cat flea Ctenocephalides spp.), an oncosphere is released into the flea's intestine. The oncosphere penetrates the intestinal wall, invades the insect's hemocoel (body cavity), and develops into a cysticercoid larva . The larva develops into an adult, and the adult flea harbours the infective cysticercoid . The vertebrate host becomes infected by ingesting the adult flea containing the cysticercoid . The dog is the principal definitive host for Dipylidium caninum. Other potential hosts include cats, foxes, and humans (mostly children) , . Humans acquire infection by ingesting the cysticercoid contaminated flea. This can be promulgated by close contact between children and their infected pets. In the small intestine of the vertebrate host the cysticercoid develops into the adult tapeworm which reaches maturity about 1 month after infection . The adult tapeworms (measuring up to 60 cm in length and 3 mm in width) reside in the small intestine of the host, where they each attach by their scolex. They produce proglottids (or segments) which have two genital pores (hence the name "double-pored" tapeworm). The proglottids mature, become gravid, detach from the tapeworm, and migrate to the anus or are passed in the stool .
Diagnosa, Pengobatan& Pencegahan Pemeriksaan feces ditemukan telur / proglotid gravid / scolex Pengobatan Niclosamid (yomesan) dws 2 gram Anak BB 11-34 1,5 g > 2 th 1 g Pencegahan : Dengan pengobatan thd hospes
CYSTICERCOSIS
Adalah Infeksi yang disebabkan oleh Larva Taenia Penyebab : Cysticercus cellulosae (larva Taenia solium & Cysticercus bovis (larva Taenia saginata) Morfologi : oval (lonjong) Cysticercus cellulosae 5 x 8-10 mm ; Cysticercus bovis 4-6 x 7,5-10 mm berwarna putih susu ; mempunyai invaginasi scolex ke dalam kantung
Gejala klinis
tergantung lokasi larva pada SC & Otot gejala ringan pada Otak epilepsi & hydrocephalus pada Mata keradangan pada iris, retina & conjunctiva
Image: Center is an image of a Taenia egg at a high magnification of 400x. When consumed by humans Taenia eggs can lead to cysticercosis, including a serious condition known as neurocysticercosis. On the left and right are x-ray images of humans with neurocysticercosis. The darker regions are cysts in the brain of the patient. Credit (L to R): Westchester Medical Center, PHIL, The Cysticercosis Working Group in Peru.
Siklus Hidup
TELUR HOSPES
Larva ONCOSPHERE menembus dinding usus Pembuluh darah
Predileksi
LARVA CYSTICERCUS
Diagnosa : - anamnesa - Radiologis - test serologis (intradermal test) Pengobatan : operatif Pencegahan : - pengobatan Hospes - personal hygiene (mencegah autoinfeksi)