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In human adults, the tapeworm is more of a nuisance than a health problem, but in small children, many H. nana worms can be dangerous. Usually, the larvae of this tapeworm cause the most problem in children; they burrow into the walls of the intestine, and if enough tapeworms are present in the child, severe damage can be inflicted.
The dwarf tapeworm or Hymenolepis nana is found worldwide. More common in warm parts of South Europe, Russia, India, US and Latin America. Infection is most common in children, in persons living in institutional settings, crowded environments and in people who live in areas where sanitation and personal hygiene is inadequate.
Hymenolepis diminuta, also known as rat tapeworm, is a species of Hymenolepis tapeworm that causes hymenolepiasis. It has slightly bigger eggs and proglottids than H. nana and infects mammals using insects as intermediate hosts. The adult structure is 20 to 60 cm long and the mature proglottid is similar to that of H. nana, except it is larger.
Turkish children living shanty towns have higher prevalence than those in school provide apartments, with similar infection rates between boys and girls. [5] In rural Mexico, 25% of the children aged 6–10 in twelve schools were infected with H. nana. Socio-economic factors and lack of parent education are strong influences on the high ...
Praziquantel is the treatment of choice. [22] Usual treatments are with praziquantel (5–10 mg/kg, single-administration) or niclosamide (adults and children over 6 years: 2 g, single-administration after a light breakfast, followed after 2 hours by a laxative; children aged 2–6 years: 1 g; children under 2 years: 500 mg). [11]
The adult tapeworm has a scolex (head), a short neck, and a strobila (segmented body) formed of proglottids. Tapeworms anchor themselves to the inside of the intestine of their host using their scolex, which typically has hooks, suckers, or both. They have no mouth, but absorb nutrients directly from the host's gut.
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The standard treatment for diphyllobothriasis (as well as many other tapeworm infections) is a single dose of praziquantel, 5–10 mg/kg orally once for both adults and children. [16] [17] [18] Praziquantel is not FDA-approved for this indication. [16] Praziquantel has few side effects, many of which are similar to the symptoms of ...
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