Table 1.
Clinical features of cestodes
|
Parasite
|
Ref.
|
Global distribution
|
Hosts
|
Symptoms and complications
|
Diagnosis
|
Treatment
|
| Echinococcus granulosus | Rinaldi et al[7] | Eurasia, Africa, Australia, South America | Dogs, herbivores, humans | Abdominal pain, hepatic cysts commonly, rarely pulmonary cysts | US, CT scan, ELISA and indirect hemagglutination, newer cystic fluid lipoprotein antigen | Albendazole 15 mg/kg/day in 2 divided doses, praziquantel once/week 40 mg/kg surgery, puncture, aspiration, instillation, reaspiration |
| Echinococcus multilocularis | Nunnari et al[6] | North America, Asia | Carnivores | Early symptoms of fatigue, weight loss, followed by portal hypertension, ascites splenomegaly | US, CT, IHA, ELISA, raised levels of IgG1 and IgG4 antibodies | Surgical resection, albendazole 15 mg/kg/day and mebendazole 40 mg/kg/day |
CT: Computed tomography; ELISA: Enzyme-linked immunosorbent assay; IHA: Indirect hemagglutination; US: Ultrasound.