Monday, February 5, 2018

Case of the Week 480

Starting us off with the first Monday of February 2018 is another exciting case from Idzi Potters and the Institute of Tropical Medicine, Antwerp.

The patient is a 65 year old Spanish woman who brought 3 worm-like structures to her physician. She had expelled the structures 30 minutes prior to presentation, and one was noted to still be moving. She reports no travel outside of Europe.

...and here is the moving one!!



11 comments:

mona said...

taenia saginata proglotids

Anonymous said...

Certainly gravid proglottides of Taenia saginata, based on the following:
Spontaneous expulsion out of stool. Number of primary uterine branches clearly greater than 12-13 (photo 2 excellent). Although T. asiatica cannot be completely ruled out, due to the patient's travel history, it would be a very unlikely finding.
Great pictures and video.
Luis.

Anonymous said...

These are proglottids of Tenía sp., since they are motile this points toward Tenía saginata. The report of no travel outside Europe helps rule out Tenía asiática. The definite clue is the number of lateral main branches of the uterus which exceeds twelve when counting only one side confirms the species being Tenía saginata and not solium.
Florida Fan

Lyne said...

Proglottids of Taenia saginata, the beef tapeworm.

Atiya Kausar said...

S definitely Taenia saginata proglotids ....the no.of lateral main branches,motile and lady is from Europe who hasn't travelled outside.....clear pics

William Sears said...

T Saginata

Sugar Magnolia said...

Taenia saginata proglottids as evidenced by greater than 12 lateral uterine branches, nicely visualized in the second image (Taenia solium possesses 12 or less lateral uterine branches). Proglottid in image 2 is gravid.

This beef tapeworm can grow up to 30 feet! Taenia solium (pork tapeworm) can be ruled out due to high number of lateral uterine branches. I concur with the previous posters that this is unlikely to be Taenia asiatica because, while proglottid morphology is remarkably similar to that of T. saginata, the patient reports no travel outside of Europe.

Thank you for the interesting case and excellent pictures and video!

Nikol said...

Haha yup, it is written there in the name of the second picture ��

david hENRY said...
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