We compared the performance of loop-mediated isothermal amplification (LAMP) with that of a multiplex PCR method for differential detection of human Taenia parasites in fecal specimens from taeniasis patients. The LAMP method, with no false positives, showed a higher sensitivity (88.4%) than the multiplex PCR (37.2%). Thus, it is expected that the LAMP method has a high value for molecular diagnosis of taeniasis.Differential detection of Taenia species (Taenia saginata, T. asiatica, and T. solium) is a key point for control and prevention of taeniasis/cysticercosis in areas where Taenia disease is endemic. The identification of the carriers of T. solium tapeworms is most important for the prevention of cysticercosis, the most severe Taenia disease. Diagnosis of taeniasis by stool examination to detect taeniid eggs, the most common method, lacks both sensitivity and specificity because the eggs of Taenia species are morphologically indistinguishable. Moreover, Taenia species identification relying on comparative morphology of proglottids also lacks specificity.The coproantigen detection method has proved to be a useful application in epidemiological surveys (1, 5), but this method is genus specific, not species specific. Recently, a T. solium-specific coproantigen enzyme-linked immunosorbent assay (ELISA) has been developed and shown to be potentially useful for mass screening (4). However, this test fails to identify T. saginata and T. asiatica taeniasis patients. Therefore, molecular tools are more reliable for differential identifications of taeniid parasites. Several PCR technique-based detection methods for Taenia species in fecal samples, including the multiplex PCR method with mitochondrial DNA (18), the PCR-restriction fragment length polymorphism method with mitochondrial DNA (15, 16), and the nested-PCR method with the Tso31 gene encoding the T. solium oncosphere-specific protein (10), have been reported. We have recently developed a loop-mediated isothermal amplification (LAMP) method targeting cytochrome c oxidase subunit 1 (cox1) and cathepsin L-like cysteine peptidase (clp) genes for differential detection of Taenia species (13). This method utilizes a Bst DNA polymerase with strand replacement activity and four primers that recognize six sequences on the target DNA under isothermal conditions. This method has proved to be simple and highly sensitive and specific for differential detection of Taenia species by using DNA prepared from proglottids, cysticerci, and fecal samples of taeniasis patients (12) without using sophisticated and expensive equipment. In the present study, we evaluated its sensitivity and specificity with fecal specimens from taeniasis patients by comparison of the results obtained by the LAMP method with those obtained by the multiplex PCR method.Thirty-six fecal samples were collected in China from 26 T. saginata taeniasis patients, 5 T. asiatica taeniasis patients, and 5 T. solium taeniasis patients, and 7 fecal samples from Indonesia were obtained from T. saginata taeniasis p...