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Dipylidium Caninum Infection

by Richard D. Pearson, MD

Dipylidium caninum can cause intestinal infection, which is typically asymptomatic.

D. caninum, the double-pored tapeworm, is present in dogs and cats. Fleas are the intermediate host. Ingestion of an infected flea, usually by a young child, causes an asymptomatic, self-limited infection, but proglottids may be seen in stool.

Treatment is with a single oral dose of praziquantel 5 to 10 mg/kg. Alternatively, a single 2-g dose of niclosamide (unavailable in the US) is given as 4 tablets (500 mg each) that are chewed one at a time and swallowed. For children, the dose is 50 mg/kg once.

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