2003
DOI: 10.1086/375357
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Lethal Invasive Cestodiasis in Immunosuppressed Patients

Abstract: Using both traditional methods and broad-range 18S ribosomal DNA (rDNA) polymerase chain reaction, we examined 2 cases of lethal cestodiasis, in which the disease agent had been poorly identified or misidentified. In one case, involving a patient with AIDS, we identified the human dwarf tapeworm, Hymenolepis nana, as a cause of aberrant metastatic larval disease. In the second case with similar pathologic abnormalities, involving a patient with Hodgkin disease, we identified a larval cestode with a previously … Show more

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Cited by 51 publications
(43 citation statements)
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“…Humans have been considered to be susceptible to H. nana (1). In fact, in some parts of the world, especially in tropical regions, human infection is prevalent, particularly in children (13,14) and immunodeficient patients (15,16 (18). In our study, the detection of eggs of H. nana in the feces of Syrian hamster was quite remarkable for public health, because these rodents are in close contact with children and can move freely on their desk and bed.…”
Section: Discussionmentioning
confidence: 99%
“…Humans have been considered to be susceptible to H. nana (1). In fact, in some parts of the world, especially in tropical regions, human infection is prevalent, particularly in children (13,14) and immunodeficient patients (15,16 (18). In our study, the detection of eggs of H. nana in the feces of Syrian hamster was quite remarkable for public health, because these rodents are in close contact with children and can move freely on their desk and bed.…”
Section: Discussionmentioning
confidence: 99%
“…Unique to R. microstoma and R. fraterna is the capability of reproducing and completing their life cycles without the need of an intermediate host [2]. However, an intermediate host is necessary to complete the life cycle of H. diminuta .…”
Section: Discussionmentioning
confidence: 99%
“…230 and 620 species of hymenolepidids parasitizing mammals and birds, respectively. Some of the hymenolepidid species of rodents are of health interest, since they are zoonotic and can cause severe diseases in immunosuppressed individuals [2-4]. …”
Section: Introductionmentioning
confidence: 99%
“…Generally, human cases of hymenolepiasis mostly appear asymptomatic; however, humans infected with these parasites are sometimes responsible for mild clinical symptoms, mainly including diarrhea, abdominal pain, anorexia, and vague gastrointestinal manifestations [5,6]. Most seriously, infection of H. nana and H. diminuta ultimately can cause severe diseases, even life threatening conditions in immunosuppressed individuals with HIV [7,8]. …”
mentioning
confidence: 99%
“…Clinically, hymenolepiasis is often neglected or underreported due to more asymptomatic infections in humans. However, 2 death cases caused by H. nana in immunosuppressed individuals highlight the severity of hymenolepiasis [7,8]. The importance and necessity to carry out epidemiological investigations of human hymenolepiasis is undeniable in the future, including assessment of transmission dynamic and the burden of human hymenolepiasis attributable to zoonotic transmission.…”
mentioning
confidence: 99%