Purging the worm: management of Taenia solium taeniasis
2004; Elsevier BV; Volume: 363; Issue: 9413 Linguagem: Inglês
10.1016/s0140-6736(04)15820-0
ISSN1474-547X
Autores Tópico(s)Parasitic Infections and Diagnostics
ResumoTaenia solium or pork tapeworm, a cestode, can cause two forms of human infection. Infection with the adult tapeworm, which resides in the small intestine, occurs only in those who consume uncooked or partly cooked pork infected with cysticercus cysts (measly pork) and results in taeniasis. Cysticercosis is the infection of human beings (and pigs) by the larval stage of the parasite that occurs by the consumption of food that has been contaminated with T solium eggs passed in the stools of taenia carriers. Human beings are the only known definitive hosts although pigs and human beings can be intermediate hosts. About 50 million individuals worldwide have cysticercosis. 1 Eddi C Nari A Amanfu W Taenia solium cysticercosis/taeniasis: potential linkage with FAO activities; FAO support possibilities. Acta Trop. 2003; 87: 145-148 Crossref PubMed Scopus (26) Google Scholar Species identification after treatment for human taeniasisIdentification of species of human tapeworms is crucial because the consequences of infection by Taenia solium and T saginata are very different. However, evacuation of species-identifiable tapeworms is uncommon and Taenia spp eggs are indistinguishable under the microscope. Treatment of taeniasis consists of niclosamide followed by a purgative. Recently, we adopted preniclosamide and postniclosamide electrolyte-polyethyleneglycol salt (EPS) purges to improve bowel cleaning. Retrospective comparison of traditional castor oil with EPS purge showed that recovery of the tapeworm scolex was significantly improved (20 of 68 vs none of 46, p=0·0001) in the EPS group. Full-Text PDF
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