Open AccessIntestinal Parasitic Infections
Author(s) -
Mekone Nkwele Isabelle,
Mbono Ritha,
Bissohong Grace,
Djike Puepi Yolande,
Nlende Mengalle Britha,
Medi Sike Christiane,
Ngando Laure,
Ngo Um Sap Suzanne,
Chiabi Andreas
Publication year - 2021
Publication title -
jpgn reports
Language(s) - English
Resource type - Journals
ISSN - 2691-171X
DOI - 10.1097/pg9.0000000000000082
Subject(s) - ascaris lumbricoides , cutaneous larva migrans , coinfection , medicine , enterobius , ascariasis , environmental health , diarrhea , pediatrics , dermatology , helminths , immunology , pathology , human immunodeficiency virus (hiv) , larva migrans
We report a rare case of coinfection by intestinal parasitosis and myiasis ( Ascaris lumbricoides and Eristalis tenax ) in a 10‐month‐old female infant living in Yaounde, an urban area in a low‐ and middle‐income country. Incidental discovery was made following symptoms of acute vomiting and diarrhea with a massive release of an estimated thirty adult A. lumbricoides worms and E. tenax larvae through nasal, buccal, and anal routes. Diagnosis was based on the macroscopic appearance of the worms and the fly larvae. Treatment with benzimidazoles was initiated, with a resolution of symptoms within one week. This case highlights the challenges of public health eradication guidelines (such as the antihelminthic drugs marketing authorization) in our setting and discusses the protocols of management in less than 1‐year‐old infants in sub‐saharan Africa, a region of high helminthic endemicity.