Presumptive Dipylidium caninum Infection in a Toddler | Dipylidium caninum egg

CaseReportsinPediatrics+JournalMenuPDFJournaloverviewForauthorsForreviewersForeditorsTableofContentsSubmitCaseReportsinPediatrics/2020/ArticleArticleSectionsOnthispageAbstractIntroductionDiscussionConflictsofInterestSupplementaryMaterialsReferencesCopyrightCaseReport|OpenAccessVolume2020|ArticleID4716124|https://doi.org/10.1155/2020/4716124HannahFChong,RoukayaAlHammoud,MichaelLChang,"PresumptiveDipylidiumcaninumInfectioninaToddler",CaseReportsinPediatrics,vol.2020,ArticleID4716124,3pages,2020.https://doi.org/10.1155/2020/4716124ShowcitationPresumptiveDipylidiumcaninumInfectioninaToddlerHannahFChong,1RoukayaAlHammoud,2andMichaelLChang21MemorialHermannHospital,Houston,TX,USA2TheUniversityofTexasHealthScienceCenter,McGovernMedicalSchool,PediatricInfectiousDiseasesDivision,6431Fannin,MSB3.126,Houston,TX77030,USAShowmoreAcademicEditor:MiguelO’RyanReceived11Nov2019Revised29Jan2020Accepted15Feb2020Published07Mar2020Wereportafemaletoddlerwhopresentedrepetitivelywithachiefcomplaintofmotilewhitewormsseeninherdiapers.Symptomsofperianalitchingandvisualizationofvisiblemotilewormspersistedfor6monthsdespitebeingtreatedwithmultiplecoursesofalbendazolecausingalotoffrustrationanddistresstothecaregivers.Thecharacteristicsofthewormsbyinspectionalongwiththepresenceof3petdogsareconsistentwithDipylidiumcaninum.1.IntroductionApreviouslyhealthy2-year-oldgirlpresentedwithnumeroussmall,white,visiblymovingwormsinherstooldailyfor6months.Shehadperianalpruritusbutnofever,diarrhea,vomiting,orabnormalweightgain.Herpediatricianprescribed2dosesofalbendazoleforsuspecteddiagnosisofpinworms.Stoolspecimensweresentonsixseparateoccasionsformicroscopicexaminationforovaandparasitesandwerereportedasnegativeeachtime.Fecaloccultbloodtestingandstoolculturesforbacterialpathogenswerealsonegative.Allfamilymemberswereprescribedalbendazole,underthepresumptionofrecurringpinworminfection.Despitenegativetestingandmultiplecoursesofalbendazole,themothercontinuedtoseeliveworms,andthepatientdevelopedincreasedirritabilityand


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