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A Rare Case of Hymenolepis diminuta Infection in a Small Child
- Source :
- Mikrobiyoloji Bulteni. 49:135-138
- Publication Year :
- 2015
- Publisher :
- Bilimsel Tip Publishing House, 2015.
-
Abstract
- Unlike Hymenolepis nana that transmits directly from person to person, the transmission of Hymenolepis diminuta to human is via accidentally ingesting of arthropods carrying cysticercoid larvae as intermediate host. In places with poor hygienic conditions, this cestod may cause seldom infections especially in children. Studies carried out on various populations have reported the prevalence rate of H.diminuta between 0.001% and 5.5%. Although the reported cases are mostly children, the disease can be seen in every age group. In this report, a pediatric case of H.diminuta infection is presented. A twenty one-month-old male patient with the symptoms of vomiting 3-4 times a day along with mud-like diarrhea continuing for a week was admitted to the pediatric outpatient clinic. According to the history, it was learned that the house where he lived was above a barn and there was a history of insect swallowing. Laboratory findings revealed iron-deficiency anemia. The macroscopic appearance of the stool was in a pale clay-like form, and by direct microscopic examination with lugol solution, 70-75 μm in diameter, thick-shelled and six central hookleted eggs that are characteristic for H.diminuta were identified. A six-day course of oral niclosamide was administered to the patient beginning with 500 mg on the first day and 250 mg on the following five days, together with the treatment for the iron deficiency anemia. After fifteen days, the oral niclosamide treatment was repeated. No H.diminuta eggs were detected in the parasitological examination performed one month after completion of the second round of treatment. This case has been presented to call attention to the importance of patient anamnesis and microscopic examination in the diagnosis of H.diminuta infection which is a rarely seen parasitosis.
- Subjects :
- Diarrhea
Male
Microbiology (medical)
Hymenolepis nana
medicine.medical_specialty
Pediatrics
Hymenolepiasis
Vomiting
Anemia
Prevalence
Administration, Oral
Eating
Feces
Rare Diseases
parasitic diseases
medicine
Cysticercoid
Animals
Humans
Outpatient clinic
Anemia, Iron-Deficiency
General Immunology and Microbiology
biology
business.industry
Anticestodal Agents
Infant
Hymenolepis diminuta
medicine.disease
biology.organism_classification
Insect Vectors
Surgery
Infectious Diseases
Iron-deficiency anemia
Niclosamide
medicine.symptom
business
Subjects
Details
- ISSN :
- 03749096
- Volume :
- 49
- Database :
- OpenAIRE
- Journal :
- Mikrobiyoloji Bulteni
- Accession number :
- edsair.doi.dedup.....84f7eb6e0741bf8cdf14ed444ffbed08
- Full Text :
- https://doi.org/10.5578/mb.8695