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NEUROCYSTICERCOSIS STARTS WITH THE PORK TAPEWORM

A long pork tapeworm glowing inside a glass specimen cylinder in a dark lab

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THE PORK TAPEWORM ITSELF 🪱

Taenia Solium Is The Scientific Name Of The Pork Tapeworm

The Adult Worm Lives In The Human Small Intestine

Humans Are The Only Hosts Where It Can Grow Into An Adult

Infection With The Adult Worm Causes Few Symptoms

The Worm May Survive For Several Years Without Treatment

Its Head Is Called The Scolex

The Scolex Has Four Suckers And A Double Crown Of Hooks

Those Suckers And Hooks Attach The Worm To The Intestinal Wall

The Head Stays Hooked There

That Makes Finding It In A Stool Sample Extremely Rare

Behind The Head Is A Wide Chain Of Several Hundred Segments

One Review Puts The Chain At 2 To 4 Meters Long

Each Segment Is Called A Proglottid

The Segments At The Far End Carry Fertile Eggs

Those Segments Break Off And Leave The Body In The Feces

Thousands Of Fertile Eggs Are Released Into The Environment

The Worm's Life Cycle Involves Two Hosts

In The Normal Cycle Pigs Host The Larvae

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HOW PORK CARRIES THE WORM 🐷

In Some Places Human Feces Are Not Disposed Of Properly

There Pigs End Up Eating Human Feces Containing The Eggs

Inside The Pig The Eggs Lose Their Coats

They Release Larvae Called Oncospheres

The Larvae Cross The Pig's Intestinal Wall

They Enter The Bloodstream And Are Carried To The Tissues

There The Larvae Grow Into Cysts Called Cysticerci

Pork From An Infected Pig Carries These Cysts

A Review Says Heating Meat To Between 60 And 65°C Kills Them

Cooking It Until It Loses Its Pink Color Also Works

Another Paper Says Freezing Long Enough Kills Them Too

Eating Improperly Cooked Infected Pork Releases The Cysts

This Happens In The Person's Small Intestine

Digestive Enzymes Make The Cyst's Head Turn Outward

The Head Attaches To The Intestinal Wall

Then The Worm Starts Growing Its Segments

This Gut Infection Is Called Taeniasis

So Undercooked Pork Gives A Person The Adult Worm In The Gut

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HOW THE EGGS REACH THE BRAIN 🧠

People Can Also Host The Larvae The Way Pigs Do

This Happens When The Worm's Eggs Get Into A Person

Food Or Water Contaminated With Feces Can Carry Them

Typically The Eggs Pass From Feces To Mouth

Poor Hand Hygiene Is One Way That Happens

A Person Carrying The Adult Worm Can Also Infect Themselves

Inside The Gut The Larvae Hatch From The Eggs

They Invade The Intestinal Wall

From There They Reach The Bloodstream

Migration To Tissues And Organs Takes 60 To 70 Days

There They Develop Into Cysts

The Cysts Can Grow In Muscles Skin And Eyes

They Can Also Grow In The Central Nervous System

Cysts In The Central Nervous System May Stay Alive For Years

Others Degenerate And End Up As Calcium Deposits

When Cysts Form In The Brain It Is Called Neurocysticercosis

It Is The Most Common Worm Disease Of The Central Nervous System

People With No History Of Eating Pork Have Had It Too

So Have People With No Travel To Areas Where The Worm Is Common

The End

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