Helminth

Dipylidiasis

search

Dipylidiasis, Tapeworm

  • Epidemiology
  1. Occasionally seen in toddlers
  • Cause
  1. Dog or cat Tapeworm (Dipylidium caninum)
  • Transmission
  1. Tapeworm carried by fleas
  2. Dogs and cats swallow adult fleas and acquire Tapeworm
  3. Child accidentally swallows flea while playing with pet
  • Symptoms
  1. Usually asymptomatic
  • Signs
  1. Motile worm segments (proglottids) on stool or perianal
    1. Appear as cucumber seeds when fresh
    2. Appear as rice grains when dry
  • Management
  1. Praziquantel (Biltricide) 5-10 mg/kg for 1 dose
  • Prevention
  1. Flea control
  2. Regular worming of pets