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Huda Alislam Talab
Intestinal Taeniasis
Stool examination
 Demonstration of characteristic eggs and less often
proglottids of Taenia
 Multiple stool examination and concentration
techniques (formol ether sedimentation)
 Anal swabs
 Eggs of T. saginata and T. solium are morphologically
similar except that eggs of T. saginata are acid fast.
 Egg consists of an oncosphere with six hooklets
surrounded by an embryophore
 Proglottids of T. saginata and T. solium can be
differentiated by lateral branches in uterus and
expulsion of segments (singly or in chain)
 Scolex can be detected in feces very rarely. T. solium
scolex is armed with rostellum and hooklets.
Morphology of the parasite
T.saginata cysticercus
( bovis)
T.solium cysticercus
( cellulosae)
 measure 5-10x3-5mm
 Consist of a fluid filled sac
or bladder containing a
small invaginated scolex
which has suckers but no
hooks.
 measure 5-18x5mm
 Consist of a fluid filled sac
or bladder containing a
small invaginated scolex
which has a ring of hooks
and suckers.
T.saginata T. solium
Morphology of the parasite
Scolex of T.solium Scolex of T.saginata
Gravid segment of T.saginata
 White and opaque . 20x6mm.
 The segments are passed singly.
 Longer than T.solium gravid
segment.
 Uterus has more than13 main
side branches on each side.
Gravid segment of T.solium
 Grey-blue and translucent .
 13x8mm.
 The segments passed in chains.
 Shorter than a gravid segment of
T.saginata.
 Uterus has up to 13 main side
branches on each side
Taenia saginata adult
T.solium 2-3meters contain
800-1000 segments
T.saginata 4-10meters
contain up to 2000segments
Egg of T.saginata or T.solium
 Round or round to oval
 33-43 m in diameter
 A thick, brown, radially
striated wall (embryophore)
surround the embryo.
 Hooklets are present
T.saginata T.solium
Cysticercosis
Radiodiagnosis (imaging methods)
 CT scan and MRI are the two important imaging
methods used to detect cysticerci in brain
Are useful to identify:
The number of cyst, location, size, stage of disease
active or dormant lesion
Cystic lesion of neurocysticercosis
Histopathology
Cysticerci can be detected in muscles, eyes, subcutaneous
tissues (or brain during postmortem) by biopsy following
surgical removal or fine needle aspiration of the cyst

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Laboratory diagnosis of Taenia species

  • 2. Intestinal Taeniasis Stool examination  Demonstration of characteristic eggs and less often proglottids of Taenia  Multiple stool examination and concentration techniques (formol ether sedimentation)  Anal swabs
  • 3.  Eggs of T. saginata and T. solium are morphologically similar except that eggs of T. saginata are acid fast.  Egg consists of an oncosphere with six hooklets surrounded by an embryophore  Proglottids of T. saginata and T. solium can be differentiated by lateral branches in uterus and expulsion of segments (singly or in chain)  Scolex can be detected in feces very rarely. T. solium scolex is armed with rostellum and hooklets.
  • 4. Morphology of the parasite
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  • 7. T.saginata cysticercus ( bovis) T.solium cysticercus ( cellulosae)  measure 5-10x3-5mm  Consist of a fluid filled sac or bladder containing a small invaginated scolex which has suckers but no hooks.  measure 5-18x5mm  Consist of a fluid filled sac or bladder containing a small invaginated scolex which has a ring of hooks and suckers.
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  • 15. Morphology of the parasite Scolex of T.solium Scolex of T.saginata
  • 16. Gravid segment of T.saginata  White and opaque . 20x6mm.  The segments are passed singly.  Longer than T.solium gravid segment.  Uterus has more than13 main side branches on each side.
  • 17. Gravid segment of T.solium  Grey-blue and translucent .  13x8mm.  The segments passed in chains.  Shorter than a gravid segment of T.saginata.  Uterus has up to 13 main side branches on each side
  • 19. T.solium 2-3meters contain 800-1000 segments T.saginata 4-10meters contain up to 2000segments
  • 20. Egg of T.saginata or T.solium  Round or round to oval  33-43 m in diameter  A thick, brown, radially striated wall (embryophore) surround the embryo.  Hooklets are present
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  • 23. Cysticercosis Radiodiagnosis (imaging methods)  CT scan and MRI are the two important imaging methods used to detect cysticerci in brain Are useful to identify: The number of cyst, location, size, stage of disease active or dormant lesion
  • 24. Cystic lesion of neurocysticercosis
  • 25. Histopathology Cysticerci can be detected in muscles, eyes, subcutaneous tissues (or brain during postmortem) by biopsy following surgical removal or fine needle aspiration of the cyst