Zaporozhyan state medical university departement of infectious diseases

47 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

III. Epidemiological 

anamnesis 

 

 

 

 

 

 

 

 

3. Objectively 

examination 

 

 

 

 

 

I. General  

examination: 

- general state of the 

patient; 

-skin, mucous 

membranes; 

 

 

II. Gastrointestinal tract:  

- tongue; 

symptoms depend from the period of the 

disease, severity of the course, age of the 

patient, concomitant pathology 

 

 

Pay attention on: 

- temperature;  

- edema of the face; 

- itching; 

- skin rash; 

 

Pay attention on: 

- abdominal pain; 

- decreased of appetite, heartburn; 

- hepatomegaly; 

- meteorism; 

- jaundice; 

- symptoms of peritonitis; 

 

 

Pay attention on:  

- tachycardia; 

- decrease of arterial pressure; 

- muffed heart sound. 

- disorder of heart rhythm; 

 

 

- sleeplesness 

- irritation 

- fatique 

- dizziness 

- headache  

 

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48 

- percussion and 

palpation of the 

abdomen; 

III. Cardiovascular 

system: 

IV. Nervous system 

3.  3. Prescribe 

laboratory 

and 

instrumental 

investigatio

ns, interpret 

the results 

of the 

investigatio

ns 

1. blood count. 

 

 

2. urinanalysis  

 

 

3.investigation of feci 

 

4. biochemical methods 

 

5. ultrasound 

investigation 

 

6. cholecystography  

  

7. fibro-esphago-gastro-

duodenoscopy 

Pay attention on anemia, leukocytosis, 

eosinophylia.  

 

  

 

  

Finding of the eggs or proglottids in feci 

 

Dysproteinemia, changes of the 

biochemical test (increase of total 

bilirubin and it’s fractures, ALT, AST 

and other) 

 

 

 

 

 

 

 

 

 

 

 

 

 

THE BEEF TAPEWORM 

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49 

Etiology 

Taenairhynchus saginatus 

Epidemiology 

Anthroponosis. Peroral biohelmintiasis. 

 

The source of the invasion and definitive host is human. The intermediate 

host is cattle.  

 

The factor of the transmission is insufficient thermal  

processing of the meat 

Pathogenesis 

cysticercus  → small intestine → larvae fixate to mucous membrane  

 

 

 

In 2 month 2 месяца → adult worm → discharge 

of proglottids filled by eggs 

 

Mechanic action 



 

lesion of the mucous membrane in the site 

of the fixation of parazite 



 

irritation of the interoreceptors 



 

disorders of the absorbtion 



 

intoxication 



 

sensibilization 

 

 

 

 

Clinical  

manifestations 

  



 

abdominal pains (especially right 

hypogastrium area) 



 

nauses 



 

meteorism 



 

disorders of appetite 



 

disorders of stool 



 

hypoacidic gastritis 



 

it is typical the active exit of 

proglottids act of the defication 

(especially at the night) 

General toxic symptoms 



 

weakness 



 

fatique 



 

disorders of the sleep 



 

irritability 



 

headache  



 

dizziness 

 

Complications 



 

acute appendicitis acute  pancreatitis acute cholecystitis 



 

occlusive ileus 

Diagnostics 

General clinical methods 



 

moderately eosinophilia 



 

moderately anemia 

Specific methods 



 

revealation of the eggs and 

proglottids of helminth in the feci 

Treatment 



 

niclosamide paromomycin praziquantel   

 

Prophylaxis 



 

dehelminthization of the patients 



 

devastation of the soil 



 

veterinary-sanitary control 



 

the maintenance of the roles of the 

terminal processing of the meat  

PORK TAPEWORM AND CYSTICERCOSIS 

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50 

Etiology 

Taenia solium   

Epidemiology 

Anthroponosis. 

 

Peroral biohelminthosis  

 

The source of the invasion and definitive host is human. The intermediate 

hosts are pigs, dogs, cats, sheep  

The factors of transmission is use into the food meat of the pig with cystecercs

Pathogenesis 

Taenia solium arised in use of the meat with larvae of the parasite. The adult 

helminth parasites in the organism of human. The human is the definitive 

host. Cysticercosis arises in the penetration of the eggs of helminth into the 

intestine. The human is an intermediate host 

 

Taenia soleum 

In infection by cystecercs in 2-3 

months  → adult helminth → 

small intestine  

Cystecercosis  

In infection by eggs of T. soleum in 2-2,5 

month  → cystecercs → brain, 

myocardium, skeletal musculature, eyes 

 

↓ 

↓ 

 

Mechanic influence  



 

 

the lesion of the mucous 

membrane in the site of the fixation of 

parasite 



 

irritation of interoreceptors  



 

disorder of the process of 

absorbtion 



 

intoxication 



 

sensibilization  



 

compression of the tissues 



 

inflammatory process around parasites  



 

toxic and allergic action   

 

Clinical 

manifestations 

  



 

moderate marked dyspeptic 

manifestations and general toxic 

syndrome 



 

the clinical manifestations is 

dependence on localization (brain, eyes, 

subcutaneous, cellulose)  

Diagnostics  

General clinic methods moderate eosinophilia 

Taenia soleum 



 

finding of the helminth’s eggs in the feci 



 

ovoscopy  

Cystecercosis  

In dependence on localization (ophtalmoscopy, roentgenogram, 

computed tomography) 

Serological methods 

ELISA 

Treatment 

Taenia soleum- Filicis maris acterium 

 Cystecercosis - surgical 



 

Prophylaxis Relevation and treatment of the patients: general sanitary measures; veterinary 

control 

 

DIPHILLOBOTHRIASIS 

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