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http://dx.doi.org/10.3347/kjp.2010.48.2.167

A Human Case of Hymenolepis diminuta in a Child from Eastern Sicily  

Patamia, Ildebrando (Laboratory Section and Microbiology Unit, University Hospital of Catania)
Cappello, Elisa (Department of Internal Medicine and Medical Specialties, Parasitology Clinic, University of Catan)
Castellano-Chiodo, Donato (Paediatric Clinic, University of Catania)
Greco, Filippo (Paediatric Clinic, University of Catania)
Nigro, Luciano (Department of Internal Medicine and Medical Specialties, Parasitology Clinic, University of Catan)
Cacopardo, Bruno (Department of Internal Medicine and Medical Specialties, Unit of Infectious Diseases, University of Catania)
Publication Information
Parasites, Hosts and Diseases / v.48, no.2, 2010 , pp. 167-169 More about this Journal
Abstract
We report a case of Hymenolepis diminuta infection in a 2-year-old child living in a suburban area of Catania, Italy. This case was initially referred to us as Dipylidium caninum infection, which was not cured after being treated twice with mebendazole. However, by analyzing the clinical presentation and stool samples we arrived to the diagnosis of H. diminuta infection. The case presented with atypical allergic manifestations which had never been reported as clinical features of symptomatic H. diminuta infection; remittent fever with abdominal pain, diffuse cutaneous itching, transient thoracic rash, and arthromyalgias. The patient was treated with a 7-day cycle of oral niclosamide, which proved to be safe and effective. This case report emphasizes that a correct parasitological diagnosis requires adequate district laboratories and trained personnel. In addition, we recommend the importance of reporting all H. diminuta infection cases, in order to improve knowledge on epidemiology, clinical presentation, and treatment protocols.
Keywords
Hymenolepis diminuta; cestode infection; treatment; intestinal helminthiasis;
Citations & Related Records

Times Cited By Web Of Science : 3  (Related Records In Web of Science)
Times Cited By SCOPUS : 7
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1 Robinson TM, Nelson RG, Boyer JD. Parasitic infection and the polarized Th2 immune response can alter a vaccine-induced immune response. DNA Cell Biol 2003; 22: 421-430.   DOI   ScienceOn
2 Kan SK, Kok RT, Marto S, Thomas I, Teo WW. The first report in Hymenolepis diminuta infection in Sabah, Malaysia. Trans R Soc Trop Med Hyg 1981; 75: 609.
3 Levi MH, Raucher BG, Teicher E, Sheehan DJ, McKitrick JC. Hymenolepis diminuta: one of three pathogens isolated from a child. Diagn Microbiol Infect Dis 1987; 7: 255-259.   DOI   ScienceOn
4 Lo CT, Ayele Y, Birrie H. Helminth and snail survey in Harergeregion of Ethiopia with special reference to schistosomiasis. Ethiop Med J 1989; 27: 73-83.
5 World Health Organization. Tavole OMS per la diagnosi delle parassitosi intestinali. Editoriale Fernando Folini. 1996, tavola 2.
6 Jones WE. Niclosamide as treatment for Hymenolepis diminuta and Dipylidium caninum infection in man. Am J Trop Med Hyg 1979; 28: 300-302.   DOI
7 Pappas PW, Barley AJ. Beetle-to-beetle transmission and dispersal of Hymenolepis diminuta (Cestoda) eggs via the feces of Tenebrio molitor. J Parasitol 1999; 85: 384-385.   DOI   ScienceOn
8 Cohen IP. A case report of Hymenolepis diminuta in a child in St. James Parish, Jamaica. J La State Med Soc 1989; 141: 23-24.
9 Hamrick HJ, Bowdre JH, Church SM. Rat tapeworm: Hymenolepis diminuta infection in a child. Pediatr Infect Dis J 1990; 9: 216-219.   DOI   ScienceOn
10 De Carneri F. Elminti. Classe Cestoda. Ordine Cyclophillidea. Famiglia Hymenolepididae. Parassitologia generale e umana. 13th ed. Milano, Italy. Casa Editrice Ambrosiana. 2004, p 307-309.
11 Tena D, Perez Simon M, Gimeno M, Perez Pomata MT, Illescas S, Amondarain I, Gonzalez A, Dominguez J, Bisquert J. Human infection with Hymenolepis diminuta: case report from Spain. J Clin Microbiol 1998; 36: 2375-2376.
12 Palmer LJ, Celedon JC, Weiss ST, Wang B, Fang Z, Xu X. Ascaris lumbricoides is associated with increased risk of childhood asthma and atopy in rural China. Am J Respir Crit Care Med 2002; 165: 1489-1493.   DOI   ScienceOn
13 Cooper PJ, Chico ME, Bland M, Griffin GE, Nutman TB. Alllergic symptoms, atopy, and geohelminth infections in a rural area of Ecuador. Am J Respir Crit Care Med 2003; 168: 313-317.   DOI   ScienceOn
14 Wiwanitkit V. Overview of Hymenolepis diminuta infection among Thai patients. Med Gen Med 2004; 6: 7.
15 Foresi C. Data on the epidemiology of hymenolepiasis in Italy. Arch Ital Sci Med Trop Parassitol 1967; 48: 251-262.
16 Naquira C, Delgado E, Tantalean M, Naquira F, Elliot A. Prevalencia de enteroparasitos en escolares de los distritos de San Juan y Magdalena. Rev Peru Med Trop 1973; 2: 37-40.
17 Panpiglione S, Visconti S, Pezzino G. Human intestinal parasites in Subsaharan Africa II. Sao Tome and Principe. Parassitologia. 1987; 29:15-25.
18 Ratliff CR, Donalson L. A human case of Hymenolepis diminuta in Alabama. J Parasitol 1965; 51: 808.   DOI   ScienceOn
19 Sane SY, Irani S, Jain N, Shah KN. Hymenolepis diminuta: a rare zoonotic infection report of a case. Indian J Pediatr 1984; 51: 743-745.   DOI
20 Marangi M, Zechini B, Fileti A, Quaranta G, Aceti A. Hymenolepis diminuta Infection in a child living in the urban area of Rome, Italy. J Clin Microbiol 2003; 41: 3994-3995.   DOI   ScienceOn
21 Tesjaroen S, Chareonlarp K, Yoolek A, Mai-iam W, Lertlaituan P. Fifth and sixth discoveries of Hymenolepis diminuta in Thai people. J Med Assoc Thai 1987; 70: 49-50.
22 Varghese SL, Sudha P, Padmaja P, Jaiswal PK, Kuruvilla T. Hymenolepis diminuta infestation in a child. J Commun Dis 1998; 30: 201-203.
23 Guevara D, Dominguez J. Un nuevo caso en Espana de parassitismo humano por Hymenolepis diminuta. Rev Iber Parasitol 1955; 1995: 59.
24 Edelman MH, Springarn CL, Nauenberg WG, Gregory C. Hymenolepis diminuta (rat tapeworm) infection in man. Am J Med 1965; 38: 951-953.   DOI   ScienceOn
25 Gonzalez N, Molinas MA, Leon J. Casos humanos de Hymenolepis diminuta. Rev Parasitol Microbiol II 1967; 1: 58-60.
26 McMillan B, Kelly A, Walker JC. Prevalence of Hymenolepis diminuta infection in man in the New Guinea Highlands. Trop Geogr Med 1971; 23: 390-392.
27 Mercado A, Arias B. Taenia sp. and other intestinal cestode infections in individuals from public outpatient clinics and hospitals from the northern section of Santiago, Chile (1985-1994). Bol Chil Parasitol 1995; 50: 80-83.
28 Scaglione L, Troielli F, Ansaldi E, Orsi PG, Garavelli PL. Hymenolepis diminuta: a rare helminthiasis in humans. Description of a clinical case. Minerva Med 1990; 81: 65-67.