By ULY CLINIC Staff,

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Cestodiasis in Children

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Cestodiasis is an Intestinal parasitic infestation caused by tapeworm of the class cestoda. Two subtype are known Taenia saginata (beef tapeworm) and Taenia solium (pork tapeworm). When ingested through eating raw or undercooked beef leads to under nutrition. Pork tapeworm can infect the brain and cause neurological manifestation (cystercecosis). However, most cases of cestodiasis are asymptomatic.
 

Diagnostic Criteria

 

• Appearance of proglottides or segments in the stool

• Plus evidence of stool microscopic ova (Taenia saginata) or

• Evidence of brain imaging of cystercecosis (Taenia solium)

 

Investigations

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• Stool analysis for ova and parasites.

• Brain CT and MRI scan

 

Treatment

Pharmacological Treatment

Niclosamide PO

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• Children >6 years 2g as a single dose after a light breakfast, followed by a purgative (e.g. bisacodyl 5mg stat) after 2 hours.

• Children 2-6 years 1g as a single dose after a light breakfast, followed by a purgative (e.g. bisacodyl 5 mg stat) after 2 hours.

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Last updated on 14.09.2020

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References

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1. Tanzanian Standard treatment guideline for children 2017 edition page 77