Human Infection with Hymenolepis Spp.: Case Reports from East IndonesiaSaleha Sungkar, Indra Sianturi and Gladys Kusumowidagdo*
Department of Parasitology, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia
- *Corresponding Author:
- Gladys Kusumowidagdo
Department of Parasitology
Faculty of Medicine, University of Indonesia
Jalan Salemba Raya 6, Jakarta, Indonesia
E-mail: [email protected]
Received Date: May 05, 2017; Accepted Date: May 30, 2017; Published Date: June 05, 2017
Citation: Sungkar S, Sianturi I, Kusumowidagdo G (2017) Human Infection with Hymenolepis Spp.: Case Reports from East Indonesia. Arch Parasitol 1:104.
Copyright: © 2017 Sungkar S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Although rare, cases of hymenolepiasis (infection by Hymenolepis nana and Hymenolepis diminuta) could be found particularly in poor hygienic and sanitation areas. We conducted a community screening for intestinal parasite by stool examination using kato katz technique in Perobatang village, Southwest Sumba, East Indonesia on July 2016 and three cases of hymenolepiasis were found. First case was a 2-year old female child (H. nana) and the remaining two cases were female 32 years old (H. nana) and a male 38 years old (H. diminuta). The three cases were found positive for severe A. lumbricoides and T. trichiura infection. Diagnosis was acquired by history taking, physical examination and stool examination. Laboratory examination through peripheral blood smear was not performed due to the facilities limitation in the village. The 2-year old child came with the complaints of prolonged cough, cold, chronic diarrhea, low body weight and poor feeding. The adults presented with chief complaints of diarrhea and abdominal discomfort. Patients were given triple dose of 400 mg albendazole. The examination was conducted three weeks after the initial intervention found no signs of H. nana, H. diminuta and A. lumbricoides, however positive for mild T. trichiura infection, an improvement from an initial examination. The chief complaints were improved. Perobatang village is an underdeveloped village with difficulties in accessing clean water thus personal hygienic practices such as hand washing habits, uncontaminated food preparation, and bathing habits were substandard. Practice of open defecation is found due to the insufficient latrines. Improving hygienic practices, sanitation and health awareness are required to control cases of hymenolepiasis and other intestinal helminthiasis.