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Hymenolepis

In humans, infections with Hymenolepis nana are much more common than infections with Hymenolepis diminuta. H. nana is the most common cause of all cestode infections and is encountered worldwide

Parasites of the Intestinal Tract

Ascaris lumbricoides

Trichuris trichiura

Entamoeba histolytica

Giardia lamblia

Hymenolepis

 

 

An ovum of Hymenolepis diminuta

H. diminuta-

Round or slightly oval, size 70-86 um x 60-80 um, with striated outer membrane and a thin inner membrane. The space between the membranes is smooth or faintly granular. The oncosphere has six hooks.

Distinguished mainly by being typically larger, lacks polar filaments and has a yellow transparent cover.

H. nana-

Eggs are oval or subspehrical and smaller, ranging 40-60 um x 30-50 um. On the inner membrane are two poles, from which 4 to 8 polar filaments spread out between the two membranes. The oncosphere has six hooks. Notice in picture the extra detail of the two polar thickenings on the membrane of the oncosphere with filaments extending into the space around the hexacanth embryo.

H. nana adults reside in the ileal portion of the small intestine. From them, proglottids are produced, which release eggs that are immediately infective. Passed in the stool, these eggs cannot survive for more that 10 days outside the host. After ingestion of eggs in contaminated food, water, or anything contaminated by feces, the oncosphere is released from within the egg
This hatches in the small intestine, and the hexacanth burrows into the tissues of the small intestine and a cystercoid forms. When it matures upon rupture of the villus, the cysticercoid returns to the intestinal lumen. Here, it envaginates its scolex, which attaches to the intestinal mucosa to develop into an adult. An alternate mode of infection consists of internal autoinfection, where the eggs release their oncospheres directly into the intestine without passage through tthe external environment. The life span of an adult worm is 4-6 weeks, but internal autoinfection allows it to perist for years with hight host population density. In addition, when eggs are ingested by insects, they develop into cystercoids, which can infect humans or rodents upon ingestion

Humans and other animals become infected when they intentionally or unintentionally eat material contaminated by insects. H. nana is the only cestode that parasitizes humans without requiring an intermediate host. It is possible for the worm's entire life cycle to be completed in the bowel, so infection can persist for years. H diminuta is a cestode of rodents infrequently seen in humans.

Life cycle of Hymenolepis diminuta

Hymenolepiasis is caused by two cestodes (tapeworm) species, Hymenolepis nana (the dwarf tapeworm, adults measuring 15 to 40 mm in length) and Hymenolepis dimnuta (rat tapeworm, adults measuring 20 to 60 cm in length).  Hymenolepis diminuta is a cestode of rodents infrequently seen in humans and frequently found in rodents.

Geographic Distribution:
Hymenolepis nana is the most common cause of all cestode infections, and is encountered worldwide.  In temperate areas its incidence is higher in children and institutionalized groups.  Hymenolepis diminuta, while less frequent, has been reported from various areas of the world.

 Hymenolepis diminuta egg

Hymenolepis diminuta egg

H. diminuta egg

(A Typical Cyclophyllidean Cestode Egg)

Egg of Hymenolepis diminuta.  These eggs are round or slightly oval, size 70 to 86 µm X 60 to 80 µm, with a striated outer membrane and a thin inner membrane.  The space between the membranes is smooth or faintly granular.  The oncosphere has six hooks (of which at least four are visible at this level of focus).  Image contributed by Georgia Department of Public Health.

H. diminuta - The Rat Tapeworm

This tapeworm is much longer than H. nana, growing up to 60cm or more in length. This is primarily a parasite of the rat, humans only being infected by accidental ingestion of the insect intermediate host (see lifecycles below). This species is of more importance as a research model for the study of the biochemistry, physiology, chemotherapy and immunology of tapeworm infections.

Hymenolepis diminuta: eggs of H.nana must be distinguished from eggs of H.diminuta.
Eggs of H.diminuta are larger (70-85 by 60-80 µm) and lack the polar filaments.
Typical egg, measuring between 70 by 80 µm; spherical form and yellow-transparent cover.
The internal membrane (that surrounds the oncosphere)
has polar salients without filaments and six hooks on its interior.

Hymenolepis nana egg Hymenolepis nana egg

An ovum of Hymenolepis nana

Hymenolepis nana egg. Hymenolepis nana egg.

Hymenolepis nana: typical egg, measuring between 30 and 47 µm in diameter, 
containing an oncosphere with an internal cover with polar thickenings and 6 hooks.

HYMENOLEPIS NANA

H. nana-

Eggs are oval or subspehrical and smaller, ranging 40-60 um x 30-50 um. On the inner membrane are two poles, from which 4 to 8 polar filaments spread out between the two membranes. The oncosphere has six hooks. Notice in picture the extra detail of the two polar thickenings on the membrane of the oncosphere with filaments extending into the space around the hexacanth embryo.

H. nana - The Dwarf Tapeworm

This tapeworm is relatively small, growing up to 4cm in length, the size of the parasite being inversely proportional to the number of worms present in the infection. Infections, which are more commonly seen in children in warmer climates, are characterised by the presence of numerous parasites (both cysticercoid larvae and adults) in the small intestine. Infection is by ingestion of soil contaminated with faeces containing eggs (see lifecycles below), and may give rise to abdominal discomfort.

Egg of Hymenolepis nana.  These eggs are oval or subspherical and smaller than those of H. diminuta, their size being 40 to 60 µm X 30 to 50 µm.  On the inner membrane are two poles, from which 4 to 8 polar filaments spread out between the two membranes.  The oncosphere has six hooks (seen as dark lines at 8 o'clock).  Image contributed by Georgia Department of Public Health

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