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Taenia: An Uninvited Guest.
Afshin Shafaghi1, Kambiz Akhavan Rezayat2, Fariborz Mansour-Ghanaei1
1Gastroenterology and Liver Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran.
The American Journal of Case Reports
|July 31, 2015
Summary
A rare case of tapeworm (Taenia) migrating into the stomach was observed in a patient with chronic abdominal pain. Treatment with niclosamide successfully resolved the symptoms, suggesting low gastric acidity as a potential cause.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Parasitology
Background:
- Taenia saginata and Taenia solium are globally prevalent parasites causing significant economic and medical burdens through bovine/porcine cysticercosis and human taeniasis.
- Human taeniasis, caused by intestinal tapeworms, is a widespread zoonotic disease with considerable public health implications.
Observation:
- A 55-year-old woman presented with chronic abdominal pain, dyspepsia, and epigastric fullness.
- Upper gastrointestinal endoscopy revealed a large tapeworm within the stomach.
- Initial attempts to endoscopically remove the tapeworm were unsuccessful.
Findings:
- The patient received niclosamide therapy, leading to symptom alleviation and relief from chronic pain.
- The retrograde migration of the tapeworm into the stomach is hypothesized to be linked to reduced gastric acidity.
- Potential contributing factors to low gastric acidity include atrophic gastritis and chronic proton pump inhibitor (PPI) use.
Implications:
- This case highlights an unusual presentation of taeniasis with gastric involvement.
- Understanding the predisposing factors, such as low gastric acidity, is crucial for managing complex tapeworm infections.
- Further investigation into the relationship between gastric conditions and tapeworm migration may inform clinical practice and patient management.
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