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Dicrocoelium Dendriticum

Images

WIKIDATA, Public Domain
WIKIDATA, CC BY-SA 3.0
WIKIDATA, Public Domain
WIKIDATA, CC BY-SA 4.0

Presentation

This is a case presentation of a two-year old male child who is infected with Human Immune deficiency virus (HIV). BMI was 10.3kg/m2, which is below the fifth percentile. [ajol.info]

2008/26/1/97/38879 Dear editor, A 21-year-old Afghani woman, who had recently come to Germany, presented with acute urticaria affecting the complete integument. [doi.org]

We report a rare case of dicrocoeliasis in a 55-year-old woman who presented with eosinophilia and elevated bilirubin. Therapy with albendazole eradicated the parasite and normalized blood parameters. [ncbi.nlm.nih.gov]

Gastrointestinal

  • Constipation

    Symptoms caused by D. dendriticum in rare cases of human infections include chronic constipation or diarrhoea, hepatomegaly and biliary obstruction. [4] Unfortunately, since the patient was lost for follow-up, it could not be proven that D. dendriticum [doi.org]

Liver, Gall & Pancreas

  • Biliary Colic

    The disease could lead to biliary colic, digestive disturbances that include bloating and diarrhea. [ajol.info]

Skin

  • Chronic Urticaria

    Parasite-associated chronic urticaria are well known. [doi.org]

Workup

Microbiology

  • Toxoplasma Gondii

    gondii for another example of a parasite changing the behavior of its host. [wikidoc.org]

    Toxoplasma gondii infection and behaviour – location, location, location? J. Exp. Biol. 216, 113–119, https://doi.org/10.1242/jeb.074153 (2013). Article PubMed PubMed Central Google Scholar Hemachudha, T., Laothamatas, J. & Rupprecht, C. E. [nature.com]

  • Paragonimus Westermani

    Lee et al.17 used CT and micro-CT virtual serial sections to visualise the host-parasite interface in the bronchi of dogs infected with adults of the lung fluke Paragonimus westermani Kerbert. [nature.com]

Treatment

Treatment Antimicrobial Regimen 1.Dicrocoelium dendriticum Preferred regimen: Praziquantel 25 mg/kg PO tid for 2 days[1] Note: Praziquantel is not approved for treatment of children less than 4 years old.[2] Alternative regimen (1): Myrrh (commiphora [wikidoc.org]

Albendazole treatment was instituted and after three months, body weight improved to 10.5kg. [ajol.info]

Oral dosing of the ewe lambs with 15mg/kg albendazole only achieved a 79.2% reduction in Dicrocoelium dendriticum egg count, 21day post treatment. [research.ed.ac.uk]

A brief discussion of the parasitology, pathology, clinical findings and treatment is presented. [ncbi.nlm.nih.gov]

A brief discussion of the parasitology, pathology, clinical findings and treatment is presented. ( JAMA 1988;259:567-568) [doi.org]

Etiology

More recently, a cross-sectional survey of young children in Kumasi conducted to evaluate the etiology of anemia detected 2.0% of 197 children with D. dendriticum in stool samples [ 2 ]. [academic.oup.com]

Epidemiology

Patrik Ellström * Section for Zoonotic Ecology and Epidemiology, School of Natural Sciences, Linnaeus University, Kalmar; Clinical Bacteriology, Department of Medical Sciences, Uppsala University, Uppsala, Sweden. [doi.org]

Author information 1 Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland. [ncbi.nlm.nih.gov]

[…] animals 22min OIE rabies international standards: towards ‘Zero by 30’ 18min The OIE Rabies Vaccine Bank: a possible tool for outbreak response 1min First occurrence of liver fluke due to Dicrocoelium dendriticum and Fasciola hepatica in Palestine 8min Epidemiological [oiebulletin.com]

Geographic Distribution/Epidemiology Worldwide in regions with chalk-rich soils; high numbers of infected animals occur in North Africa, Siberia, South America; only a few humans are infected (mostly children) due to the peculiar infection route via ants [link.springer.com]

Prevention

Prevention. There is no special preventive measure. Comments. Differential diagnosis between Eurytrema pancreaticum is needed. Mee-Sun, Ock Dicrocoeliid egg from human. Woon-Mok Sohn Adult worm of Dicrocoelium dendriticum. [atlas.or.kr]

To prevent infestation, cattle avoid patches of the greenest grass, which has been fertilized by manure. [wikidoc.org]

[…] international interest in trematode infections, although factors such as the difficulties entailed in the diagnosis, the complexity of human and agricultural practices, the lack of assessments of the economic costs or the limited number of effective drugs are preventing [books.google.es]

Figure 1 (A) Life cycle of Dicrocoelium dendriticum, image courtesy of the CDC (Centers for Disease Control and Prevention) at https://www.cdc.gov/dpdx/dicrocoeliasis/index.html. See Introduction for details. [nature.com]

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