Like many other parasite infections, the course of Echinococcus infection is complex. The worm has a life cycle that requires definitive hosts and intermediate hosts. Definitive hosts are normally carnivores such as dogs, while intermediate hosts are usually herbivores such as sheep and cattle. Humans also function as intermediate hosts, although they are usually a 'dead end' for the parasitic infection cycle.The disease cycle begins with an adult tapeworm infecting the intestinal tract of the definitive host. The adult tapeworm then produces eggs which are expelled in the host's feces. Intermediate hosts become infected by ingesting the eggs of the parasite. Inside the intermediate host, the eggs hatch and release tiny hooked embryos which travel in the bloodstream, eventually lodging in an organ such as the liver, lungs and/or kidneys. There, they develop into hydatid cysts. Inside these cysts grow thousands of tapeworm larvae, the next stage in the life cycle of the parasite. When the intermediate host is predated or scavenged by the definitive host, the larvae are eaten and develop into adult tapeworms, and the infection cycle restarts.
Disease symptoms
As already noted, Echinococcus infection causes large cysts to develop in intermediate hosts. Disease symptoms arise as the cysts grow bigger and start eroding and/or putting pressure on blood vessels and organs. Large cysts can also cause shock if they happen to rupture.
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