title: Long-term Taenia saginata infection successfully treated with meglumine/diatrizoate sodium.
abstract: A 46-year-old Japanese man visited our hospital for chronic abdominal pain, persistent diarrhea and discharge of proglottids for 7 years. He had been living in Lao People's Democratic Republic. Ileography using meglumine/diatrizoate sodium (Gastrografin) revealed a long tapeworm. A Taenia saginata including the scolex was excreted through the intestinal tract by the administration of total 780 ml of Gastrografin. Taeniasis is an important disease in the differential diagnosis of imported diseases in Japan. Parasite infection should be suspected in patients with chronic abdominal pain or persistent diarrhea regardless of the findings for small bowel obstruction when there is a history of overseas travel.
authors.affiliation: Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Japan. s.hirasaki@kousei-hp.or.jp
authors.forename: Shoji
authors.initials: S
authors.lastname: Hirasaki
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Murakami
authors.forename: Takaaki
authors.initials: T
authors.lastname: Mizushima
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Hiramatsu
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Hanayama
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Kanamori
authors.forename: Norio
authors.initials: N
authors.lastname: Koide
mesh_terms: D000818:Animals; D003974:Diatrizoate Meglumine / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D041202:Taenia saginata / Q000302:isolation & purification*; D013622:Taeniasis / Q000000981:diagnostic imaging* / Q000188:drug therapy*; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D003974:Diatrizoate Meglumine