II. Epidemiology

  1. Occasionally seen in toddlers

III. Cause

  1. Dog or cat Tapeworm (Dipylidium caninum)

IV. Transmission

  1. Tapeworm carried by fleas
  2. Dogs and cats swallow adult fleas and acquire Tapeworm
  3. Child accidentally swallows flea while playing with pet

V. Symptoms

  1. Usually asymptomatic

VI. Signs

  1. Motile worm segments (proglottids) on stool or perianal
    1. Appear as cucumber seeds when fresh
    2. Appear as rice grains when dry

VII. Management

  1. Praziquantel (Biltricide) 5-10 mg/kg for 1 dose

VIII. Prevention

  1. Flea control
  2. Regular worming of pets

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