title: Dipylidium caninum mimicking recurrent enterobius vermicularis (pinworm) infection.
abstract: Pinworm infection is a very common diagnosis in young children that is not always confirmed through laboratory evaluation before empiric therapy is prescribed. This article describes a toddler who was treated several times for pinworms because small white worms were seen in her perianal area. Laboratory analysis of parasite material found in her diaper later confirmed a diagnosis of dipylidiasis. Because the signs of dipylidiasis and pinworm infection overlap and the treatments for these parasitic infections are different, the laboratory should clinically confirm suspected persistent or recurrent pinworms.
authors.affiliation: Department of Pediatrics, Upstate Medical University, Syracuse, New York, USA.
authors.forename: Ayman
authors.initials: A
authors.lastname: Samkari
authors.forename: Deanna L
authors.initials: DL
authors.lastname: Kiska
authors.forename: Scott W
authors.initials: SW
authors.lastname: Riddell
authors.forename: Kathy
authors.initials: K
authors.lastname: Wilson
authors.forename: Leonard B
authors.initials: LB
authors.lastname: Weiner
authors.forename: Joseph B
authors.initials: JB
authors.lastname: Domachowske
mesh_terms: D000818:Animals; D000969:Antinematodal Agents / Q000627:therapeutic use; D002589:Cestoda / Q000187:drug effects / Q000302:isolation & purification*; D002590:Cestode Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D017229:Enterobiasis / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D004757:Enterobius / Q000187:drug effects / Q000302:isolation & purification*; D005260:Female; D006801:Humans; D008463:Mebendazole / Q000627:therapeutic use; D055502:Secondary Prevention
chemical_list: D000969:Antinematodal Agents; D008463:Mebendazole