First known case of human bertiellosis in a child in Paraná, Brazil.

Autor: Kishi NM; Universidade Federal do Paraná, Curitiba, PR, Brazil., Godoy AP; Universidade Federal do Paraná, Curitiba, PR, Brazil., Afonso BLV; Universidade Federal do Paraná, Curitiba, PR, Brazil., Mattar CA; Universidade Federal do Paraná, Curitiba, PR, Brazil., Matos GRM; Universidade Federal do Paraná, Curitiba, PR, Brazil., Prado LM; Universidade Federal do Paraná, Curitiba, PR, Brazil., Kormann MA; Universidade Federal do Paraná, Curitiba, PR, Brazil., Barbosa RF; Universidade Federal do Paraná, Curitiba, PR, Brazil., Barros RC; Universidade Federal do Paraná, Curitiba, PR, Brazil., Rossoni AMO; Universidade Federal do Paraná, Curitiba, PR, Brazil.
Jazyk: angličtina
Zdroj: Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo [Rev Paul Pediatr] 2023 Dec 18; Vol. 42, pp. e2023077. Date of Electronic Publication: 2023 Dec 18 (Print Publication: 2023).
DOI: 10.1590/1984-0462/2024/42/2023077
Abstrakt: Objective: To describe the first known case of human Bertiellosis in Paraná (Brazil).
Case Description: A 6-year-old male residing in the Brazilian state of Paraná was suffering from intermittent nonspecific abdominal pain and abdominal distension, associated with expulsion of live tapeworms in his feces for 7 months. He had a history of interaction with monkeys on an island. His first feces analysis was inconclusive, with an initial hypothesis of an atypical Taenia. However, after additional research, the parasitologist identified pregnant proglottids of Bertiella sp. The patient was initially treated with an unknown dosage of albendazole and nitazoxanide, as it was believed he had been infected with Taenia sp. Since the symptoms persisted, praziquantel 10 mg/kg was prescribed without further proglottids elimination.
Comments: Human Bertiellosis is a rare zoonosis, with less than one hundred cases reported. However, it is a cause of chronic abdominal pain and should be kept as a differential diagnosis, especially in cases reporting recurrent tapeworm expulsion in feces and refractory treatment with albendazole.
Databáze: MEDLINE
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