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Eucestoda#Medical importance

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+#REDIRECT [[Eucestoda#Medical_importance]]
-{{About|tapeworm infection|more about the flatworm|Cestoda}}
+{{R with history}}
-{{more footnotes|date=November 2013}}
-{{Infobox disease |
-  Name           = Tapeworm infection |
-  Image          = Taenia saginata adult 5260 lores.jpg|
-  Caption        = Beef tapeworm|
- Field           = [[Infectious disease (medical specialty)|Infectious disease]]|
-  ICD10          = {{ICD10|B|67||b|65}}-{{ICD10|B|71||b|65}} |
-  ICD9           = {{ICD9|122}}-{{ICD9|123}} |
-  ICDO           = |
-  OMIM           = |
-  DiseasesDB     = 12875 |
-  MedlinePlus    = |
-  eMedicineSubj  = emerg |
-  eMedicineTopic = 567 |
-  MeshID         = D002590 |
-}}
-'''Tapeworm infection''' is the infestation of the [[digestive tract]] by a species of [[parasite|parasitic]] [[flatworm]] (known as a [[cestode]]), called [[tapeworm]]s.  Live tapeworm [[larva]]e grouped in cysts (coenuri)<ref>{{cite web|title=Medical Definition of COENURUS|url=https://www.merriam-webster.com/medical/coenurus|website=www.merriam-webster.com}}</ref>are sometimes ingested by consuming undercooked meat.  Once inside the digestive tract, a larva can grow into a very large adult tapeworm.  Additionally, many tapeworm larvae cause symptoms in an [[intermediate host]].  For example, [[cysticercosis]] is a disease involving larval tapeworms in the human body.
-==Signs and symptoms==
-Although tapeworms in the intestine usually cause no symptoms, some people experience upper abdominal discomfort, diarrhea, and loss of appetite.<ref>{{Citation | contribution = Tapeworm infections | title = Parasitic infections | publisher = Merck | contribution-url = http://www.merckmanuals.com/home/infections/parasitic_infections/tapeworm+infections.html}}.</ref> [[Anemia]] may develop in people with the fish tapeworm. Infection is generally recognized when the infected person passes segments of proglottids in the stool (which look like white worms), especially if a segment is moving.
-Rarely, worms may cause obstruction of the [[intestine]], and very rarely, T. solium larvae can migrate to the brain causing severe headaches, [[seizures]] and other neurological problems. [[Neurocysticercosis]] can progress for years before the patient displays symptoms.
-In at least one case, cancer cells from a tapeworm spread to the human host in an immunocompromised man, producing swelling, obstructions, and other conventional symptoms of human-originated cancer.<ref name="NEJMoa1505892">{{Citation |last=Muehlenbachs |first=A |year=2015 |title=Malignant transformation of ''Hymenolepis nana'' in a human host |journal=N Engl J Med |volume=373 |issue= |pages=1845–1852 |doi=10.1056/NEJMoa1505892 |postscript=.|display-authors=etal}}</ref>
-==Cause==
-===Ingestion of eggs===
-Tapeworm eggs are generally ingested through food, water or soil contaminated with human or animal (host) feces.
-For example, if a pig is infected with a tapeworm, it may pass eggs or segments (proglottids) of the adult tapeworm through its faeces into soil. Each segment contains thousands of microscopic tapeworm eggs. These eggs can be ingested via food contaminated with the faeces. Once the eggs have been ingested, they develop into larvae, which can migrate out of the intestines and form cysts in other tissues such as the lungs or liver. This type of infection is not common with beef or fish tapeworms, but can occur with the pork tapeworm — called [[cysticercosis]] — and can also occur with dog and sheep tapeworms — called [[echinococcosis]].
-===Ingestion of larvae cysts===
-Tapeworm infection can also be caused by eating raw or undercooked meat from an animal that has the [[larva]]e of the tapeworm, grouped in cysts (coenuri) in its muscle tissue. Once ingested, the larvae then develop into adult tapeworms in the intestines.
-Adult tapeworms can measure up to {{convert|55|ft|m}} long and can survive as long as 25 years. Some tapeworms attach themselves to the walls of the intestine, where they cause irritation or mild inflammation, while others may pass through to the stool and exit the body.
-Unlike other tapeworms, the dwarf tapeworm can complete its entire life cycle — egg to larva to adult tapeworm — in one host. This is the most common tapeworm infection in the world and can be transmitted between humans.
-Even while being treated for certain tapeworm infections, reinfection can result from ingesting tapeworm eggs shed by the adult worm into
-the stool, as a result of insufficient personal hygiene.
-===Common types===
-Among the most common tapeworms in humans are the pork tapeworm (''[[Taenia solium|T. solium]]''), the beef tapeworm (''[[Taenia saginata|T. saginata]]''), the fish tapeworm (''[[Diphyllobothrium]] spp.''), and the dwarf tapeworm (''[[Hymenolepis (tapeworm)|Hymenolepis]] spp.'').  Infections involving the pork and beef tapeworms are also called ''taeniasis''.  Tapeworms of the genus ''[[Echinococcus]]'' infect and cause the most harm to intermediate hosts such as sheep and cattle. Infection with this type of tapeworm is referred to as [[Echinococcosis]] or hydatid disease. Symptoms vary widely, as do treatment options, and these issues are discussed in detail in the individual articles on each worm.  With a few notable exceptions like the fish tapeworm, most cestodes that infect humans and livestock are [[Cyclophyllidea|cyclophyllid]]s, and can be identified as such by the presence of four suckers on their [[scolex]] or head.
-==Treatment==
-{{Main|Deworming}}
-Tapeworms are treated with medications taken by mouth, usually in a single dose. The drug of choice for tapeworm infections is [[praziquantel]]. [[Niclosamide]] can also be used.<ref>{{Citation | title = Medline plus | publisher = NIH | contribution-url = http://www.nlm.nih.gov/medlineplus/ency/article/001391.htm | contribution = Taeniasis}} - by A.D.A.M., Inc.</ref>
-==Occurrence==
-Most occurrences are found in areas that lack adequate [[sanitation]] and include [[Southeast Asia]], [[West Africa]], and [[East Africa]].<ref>{{Citation | year = 2006 | contribution-url = http://aapredbook.aappublications.org/cgi/content/extract/2006/1/3.127 | publisher = American Academy of Pediatrics | title = Red book | contribution = Tapeworm}}.</ref>
-==See also==
-* [[Coenurosis]], a parasitic infection in animals and humans caused by ingested eggs of various species of dog tapeworm
-* [[Coenurosis in humans]]
-* [[Diphyllobothriasis]]
-* [[Parasitic worm (disambiguation)]]
-==References==
-{{reflist}}
-==External links==
-* {{Citation | title = Infectious diseases | contribution-url = http://www.healthinplainenglish.com/health/infectious_diseases/tapeworm/ | contribution = Tapeworm Infection | publisher = Health in Plain English}} (with pictures).
-* {{Citation | title = 10 human parasites | contribution-url = http://www.10humanparasites.info/tapeworm_symptoms_in_humans.htm | contribution = Tapeworm symptoms in humans}}.
-* {{Citation | contribution-url = http://www.metapathogen.com/taenia/ | contribution = Taenia spp., tapeworm, causative agent of cysticercosis/taenosis: life cycle, health implications | title = MetaPathogen}}.
-* {{Citation | title = Illustrated story of a man's experience with tape worm | url = http://fray.com/drugs/worm/post/ | publisher = Fray}}.
-{{Helminthiases}}
-{{DEFAULTSORT:Tapeworm Infection}}
-[[Category:Foodborne illnesses]]
-[[Category:Helminthiases]]