{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T13:47:13Z","timestamp":1785937633500,"version":"3.56.0"},"reference-count":41,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>\n                    Intestinal helminth infections in children remain a significant public health problem worldwide. Among these, those caused by cestodes can be misdiagnosed, as occurs with dipylidiasis, a zoonosis caused by\n                    <jats:italic>Dipylidium caninum<\/jats:italic>\n                    . Although common in dogs and cats, human infection is rare and may be misdiagnosed as\n                    <jats:italic>Enterobius vermicularis<\/jats:italic>\n                    due to overlapping symptoms. We present the case of a 3-year-old Spanish boy with intense anal itching, treated twice with mebendazole for presumed pinworm infection without improvement. Persistent symptoms, anorexia, and weight loss prompted a parasitological examination. Microscopic examination of whitish structures in the feces revealed gravid proglottids with bilateral genital pores and egg packets containing hexacanth embryos, confirming\n                    <jats:italic>D. caninum<\/jats:italic>\n                    infection. Epidemiological investigation suggested exposure to a relative\u2019s dog as the probable source. Treatment with paromomycin sulfate resulted in complete cure. This case highlights the importance of recognizing the characteristic morphology of\n                    <jats:italic>D. caninum<\/jats:italic>\n                    to avoid misdiagnosis and inappropriate therapy.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.26-0208","type":"journal-article","created":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T18:53:57Z","timestamp":1782413637000},"page":"333-339","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Anal Pruritus and Misdiagnosis: Dipylidium caninum in a Spanish Child with a Review of Reported Human Cases"],"prefix":"10.4269","volume":"115","author":[{"given":"Paola","family":"Cociancic","sequence":"first","affiliation":[{"name":"\u00c1rea de Parasitolog\u00eda, Departamento de Farmacia y Tecnolog\u00eda Farmac\u00e9utica y Parasitolog\u00eda, Facultad de Farmacia y Ciencias de la Alimentaci\u00f3n, Universidad de Valencia, Valencia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ver\u00f3nica","family":"Prieto","sequence":"additional","affiliation":[{"name":"\u00c1rea de Parasitolog\u00eda, Departamento de Farmacia y Tecnolog\u00eda Farmac\u00e9utica y Parasitolog\u00eda, Facultad de Farmacia y Ciencias de la Alimentaci\u00f3n, Universidad de Valencia, Valencia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacklyn","family":"Comas","sequence":"additional","affiliation":[{"name":"\u00c1rea de Parasitolog\u00eda, Departamento de Farmacia y Tecnolog\u00eda Farmac\u00e9utica y Parasitolog\u00eda, Facultad de Farmacia y Ciencias de la Alimentaci\u00f3n, Universidad de Valencia, Valencia, Spain;"},{"name":"Salud y Comunidad, Ciencias de la Salud, Ciencia, Tecnolog\u00eda e Innovaci\u00f3n en Salud, Universidad Tecnol\u00f3gica del Choco Diego Luis C\u00f3rdoba, Quibd\u00f3, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Guillermo","family":"Esteban","sequence":"additional","affiliation":[{"name":"\u00c1rea de Parasitolog\u00eda, Departamento de Farmacia y Tecnolog\u00eda Farmac\u00e9utica y Parasitolog\u00eda, Facultad de Farmacia y Ciencias de la Alimentaci\u00f3n, Universidad de Valencia, Valencia, Spain;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","article-title":"The Global Health Observatory: Soil-Transmitted Helminthiases.","year":"2023"},{"issue":"5","key":"b2","series-title":"Parasitology","first-page":"533","article-title":"The forgotten exotic tapeworms: A review of uncommon zoonotic Cyclophyllidea","volume":"147","author":"Sapp","year":"2020"},{"issue":"1","key":"b3","series-title":"Parasit Vectors","first-page":"131","article-title":"Dipylidium caninum in the twenty-first century: Epidemiological studies and reported cases in companion animals and humans","volume":"15","author":"Rousseau","year":"2022"},{"issue":"12","key":"b4","series-title":"Vector Borne Zoonotic Dis","first-page":"915","article-title":"High prevalence and diversity of zoonotic and other intestinal parasites in dogs from Eastern Spain","volume":"19","author":"S\u00e1nchez-Thevenet","year":"2019"},{"issue":"6","key":"b5","series-title":"Vet Med Sci","first-page":"2542","article-title":"Prevalence and public health relevance of enteric parasites in domestic dogs and cats in the region of Madrid (Spain) with an emphasis on Giardia duodenalis and Cryptosporidium sp","volume":"9","author":"Mateo","year":"2023"},{"issue":"9","key":"b6","series-title":"PLoS One","first-page":"e0258037","article-title":"Prevalence of intestinal parasitic infections and their associated risk factors among preschool and school children in Egypt","volume":"16","author":"Elmonir","year":"2021"},{"issue":"1","key":"b7","series-title":"Diseases","first-page":"1","article-title":"Dipylidium caninum infection in dogs and humans in Bishoftu Town, Ethiopia","volume":"9","author":"Gutema","year":"2020"},{"key":"b8","series-title":"F1000Res","first-page":"857","article-title":"Case report: A case of dipylidiasis in a first-trimester pregnant woman attending a routine antenatal clinic at Elmina health centre, Ghana","volume":"8","author":"Asare","year":"2019"},{"key":"b9","series-title":"Rev Chil Infect","first-page":"465","article-title":"Infecci\u00f3n por Dipylidium caninum en un preescolar. Presentaci\u00f3n del caso y revisi\u00f3n de la literatura","volume":"25","author":"Neira","year":"2008"},{"key":"b10","series-title":"Parasitol Latinoam","first-page":"36","article-title":"Dipilidiosis humana en Concepci\u00f3n. Reporte de caso y revisi\u00f3n de claves diagn\u00f3sticas en el laboratorio","volume":"65","author":"Su\u00e1rez-Roa","year":"2016"},{"issue":"1","key":"b11","series-title":"Parasit Vectors","first-page":"463","article-title":"Morphological and molecular characterization of the parasite Dipylidium caninum infecting an infant in Colombia: A case report","volume":"15","author":"Benitez-Bolivar","year":"2022"},{"key":"b12","series-title":"Rev Col Gastroenterol","first-page":"86","article-title":"Infecci\u00f3n por Dipylidium caninum.","volume":"20","author":"Casasbuenas","year":"2005"},{"key":"b13","series-title":"Multimed","first-page":"170","article-title":"Dypylidium caninum. A case presentation","volume":"17","author":"Figueredo Gonz\u00e1lez","year":"2013"},{"key":"b14","series-title":"BMJ Case Rep","first-page":"bcr0720114510","article-title":"Dipylidium caninum infection","volume":"2011","author":"Cabello","year":"2011"},{"issue":"7","key":"b15","series-title":"Clin Pediatr (Phila)","first-page":"868","article-title":"Three-month-old girl with worm infestation","volume":"57","author":"Barrett","year":"2018"},{"key":"b16","series-title":"Case Rep Pediatr","first-page":"4716124","article-title":"Presumptive Dipylidium caninum infection in a toddler","volume":"2020","author":"Chong","year":"2020"},{"issue":"3","key":"b17","series-title":"Arch Pathol Lab Med","first-page":"e157","article-title":"Infection by Dipylidium caninum in an infant","volume":"127","author":"Molina","year":"2003"},{"issue":"21","key":"b18","series-title":"N Engl J Med","first-page":"e39","article-title":"Dipylidium caninum infection","volume":"380","author":"Hogan","year":"2019"},{"issue":"4","key":"b19","series-title":"Clin Pediatr (Phila)","first-page":"397","article-title":"Dipylidium caninum mimicking recurrent Enterobius vermicularis (pinworm) infection","volume":"47","author":"Samkari","year":"2008"},{"issue":"4","key":"b20","series-title":"Clin Lab Sci","first-page":"212","article-title":"Dipylidium caninum in a 4-month old male","volume":"24","author":"Taylor","year":"2011"},{"key":"b21","series-title":"Kasmera","first-page":"138","article-title":"Dipylidiasis in children, a generally misdiagnosed cestodiasis. 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