Hymenolepis dimunata Infection in a Child of 14 month

Abstract

We report a case, a 14 month old male child who presented with fever and diarrhea for a month. It was diagnosed as a case of H dimunata infection, which is a sole parasite of rat. Very few cases of such infection have been reported in Nepal. The treatment is done with either Niclosamide or Praziquantel, but the main concern is about the diagnosis of the condition. Since, H dimunata is a sole rat parasite, it is hardly ever thought about a cause of the diarrhea. Key words: Diarrhea, H dimunata, Niclosamide DOI: 10.3126/jnhrc.v7i1.2294 Journal of Nepal Health Research Council Vol. 7, No. 1, 2009 April 49-51

Worldwide overview of human infections with Hymenolepis diminuta

“…The oral dosages of praziquantel prescribed to these patients were as follows: 10 mg/kg single dose (Sinhabahu et al 2014), 20 mg/kg single dose (Mowlavi et al 2008;Rohela et al 2012;Karuna and Khadanga 2013), 25 mg/kg single dose (Martínez-Barbabosa et al 2012;Muñoz-Antolí et al 2013;Gupta et al 2016;Barabás et al 2017;Pérez-Chacón et al 2017;Ahmad et al 2017), 10 mg/kg once daily for 7 days (Tiwari et al 2014) and 20 mg/kg daily for 5 days (Saha et al 2017). Niclosamide is another drug showing an excellent record of efficacy against H. diminuta in six patients, in whom it was administered as a single 40 mg/kg dose (Martínez-Peinado et al 2006), a dose of 1 g on the first day and 500 mg/day for the following 6 days (Marangi et al 2003;Patamia et al 2010), or a first dose of 2 g and five subsequent doses of 1 g daily (Kunwar et al 2005;Thakur et al 2009).…”