Taeniasis: An Unusual Presentation

Prasada, Shobha; Bhat, Sevitha; Vidyalakshmi, K

doi:10.7860/jcdr/2017/25763.10041

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…In literature there are several cases which associate Myroides spp. with different types of infections such as soft tissue infections [ 6 , 19 ], UTI [ 16 – 18 ], sepsis [ 2 , 20 ], bacteremia [ 21 , 22 ], cellulitis [ 23 , 24 ], pericardial effusion [ 25 ], pediatric severe burn injury [ 26 ], fulminant erysipelas [ 27 ] and urosepsis [ 28 ]. Many of these case reports were from India, Turkey, Syria Tunisia, Belgium, Italy and Greece.…”

Section: Discussionmentioning

confidence: 99%

Myroides odoratimimus urinary tract infection in an immunocompromised patient: an emerging multidrug-resistant micro-organism

Lorenzin

Piccinelli

Carlassara

et al. 2018

Antimicrob Resist Infect Control

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BackgroundMyroides spp. are common environmental organisms and they can be isolated predominantly in water, soil, food and in sewage treatment plants. In the last two decades, an increasing number of infections such as urinary tract infections and skin and soft tissue infections, caused by these microorganisms has been reported. Selection of appropriate antibiotic therapy to treat the infections caused by Myroides spp. is difficult due to the production of a biofilm and the organism’s intrinsic resistance to many antibiotic classes.Case presentationWe report the case of a 69-year-old immunocompromised patient who presented with repeated episodes of macroscopic haematuria, from Northern Italy.A midstream urine sample cultured a Gram negative rod in significant amounts (> 105 colony-forming units (cfu)/mL), which was identified as Myroides odoratimimus. The patient was successfully treated with trimethoprim/sulfamethoxazole after antibiotic susceptibility testing confirmed its activity.ConclusionThis case underlines the emergence of multidrug resistant Myroides spp. which are ubiquitous in the environment and it demands that clinicians should be more mindful about the role played by atypical pathogens, which may harbour or express multidrug resistant characteristics, in immunocompromised patients or where there is a failure of empiric antimicrobial therapy.

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Section: Discussionmentioning

confidence: 99%

Myroides odoratimimus urinary tract infection in an immunocompromised patient: an emerging multidrug-resistant micro-organism

Lorenzin

Piccinelli

Carlassara

et al. 2018

Antimicrob Resist Infect Control

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“…The parasite is usually excreted through defecation due to peristalsis; however, the present case is an unusual occurrence of mouth expulsion. In the literature, 2 articles reported nasal expulsion of T. saginata , which can be due to reverse peristalsis [ 20 , 21 ]. Praziquantel with a single oral dose (10 mg/kg body weight) and niclosamide (2 grams given on 3 consecutive days) are widely used in the management of human taeniasis [ 5 , 22 , 23 ].…”

Section: Discussionmentioning

confidence: 99%

A 27-Year-Old Lebanese Man with Stomach Perforation and Regurgitation of a Beef Tapeworm (Taenia saginata): A Case Report and Review of the Literature

Dbouk¹,

Bazzi

Mcheimeche³

et al. 2021

Am J Case Rep

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Patient: Male, 27-year-old Final Diagnosis: Taeniasis Symptoms: Abdomenal pain Medication:— Clinical Procedure: — Specialty: Surgery Objective: Unusual clinical course Background: The global burden of Taenia saginata ( T. saginata ), the beef tapeworm, includes economic loss, and its pathogenicity is considered mild. T. saginata can infect the human definitive host when people ingest larval cysts from raw or undercooked beef, as cattle are the intermediate host. This report is of a case of gastric perforation and pneumoperitoneum with regurgitation of T. saginata in a 27-year-old Lebanese man, and includes a review of previous cases of gastrointestinal perforation due to T. saginata . Case Report: We report a rare case of stomach perforation caused by T. saginata , in which the tapeworm was subsequently expelled orally. A computerized tomography (CT) scan was done, revealing pneumoperitoneum and abdominal fluid, which was consistent with evidence of a perforated hollow viscus. Three days after exploratory laparoscopy, the patient vomited a 3-meter tapeworm and the diagnosis was subsequently made. On the fourth day, a CT scan of the abdomen with oral contrast was performed and showed no leakage. A clear fluid diet was started on the fifth day. The patient was discharged home on the seventh postoperative day in good condition. One week after the discharge, the patient was examined; he was in a good condition and symptoms were completely relieved 1 week after worm expulsion. Conclusions: This report shows that in countries or societies where eating raw beef is common, a diagnosis of infestation with T. saginata should be considered in patients who present with gastrointestinal symptoms.

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Human taeniasis infection (Taenia saginata): a complex public health problem. Case report

Iza

Villamil

et al. 2020

Case reports

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Introduction: Taeniasis is a zoonosis that can be found worldwide. It is relatively easy to diagnose and its treatment is currently effective. This paper describes the follow-up of a case with persistent refractory taeniasis.Case description: A 31-year-old female patient, street-food seller, was diagnosed with taeniasis when she was 21 years old. Since she was diagnosed, multiple treatments were administered, including albendazole, secnidazole, pirantel pamoato and several metronidazole schemes, which resulted in a partial improvement of the symptoms. In 2018, she expelled a parasite of ~1 meter in length, later described as Taenia saginata; praziquantel was prescribed, but it is not available in Colombia. The patient was referred to the Parasitology Service, and based on her medical history and a scientific review of literature, nitazoxanide (500mg, twice a day, for 3 days) and albendazole (400mg per day, for 3 days) were administered, eliminating the infection and improving the patient’s quality of life.Discussion: This case exposes two important clinical aspects. The first is the difficulty of monitoring and treating taeniasis cases. The second is the presence of persistent refractory taeniasis cases.Conclusion: Secondary, tertiary and combination drugs are available for effective and safe treatment of taeniasis. However, there is a need to conduct further studies to achieve better diagnosis, prevention, education and control.

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Taeniasis: An Unusual Presentation

Cited by 3 publications

References 7 publications

Myroides odoratimimus urinary tract infection in an immunocompromised patient: an emerging multidrug-resistant micro-organism

Myroides odoratimimus urinary tract infection in an immunocompromised patient: an emerging multidrug-resistant micro-organism

A 27-Year-Old Lebanese Man with Stomach Perforation and Regurgitation of a Beef Tapeworm (Taenia saginata): A Case Report and Review of the Literature

Human taeniasis infection (Taenia saginata): a complex public health problem. Case report

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