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Images in paediatrics
Images in paediatrics
Rare worm in an infant’s nappy
  1. Panagiota Xaplanteri1,
  2. Despoina Gkentzi2,3,
  3. Vasiliki Stamouli1,
  4. Fevronia Kolonitsiou1,
  5. Evangelos D Anastassiou1,
  6. Markos Marangos3,
  7. Iris Spiliopoulou1
  1. 1 Department of Microbiology, University General Hospital of Patras, Patras, Greece
  2. 2 Department of Pediatrics, University General Hospital of Patras, Patras, Greece
  3. 3 Division of Infectious Diseases, University General Hospital of Patras, Patras, Greece
  1. Correspondence to Prof. Iris Spiliopoulou, Department of Microbiology, School of Medicine, University of Patras, Patras, Greece; spiliopl{at}upatras.gr

https://doi.org/10.1136/archdischild-2017-312886

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    A girl child aged 7 months from Southwestern Greece presented with distress during defecation for a fortnight, and parents reported string-like structures within the stools (figure 1). The child had no diarrhoea or vomiting and there was no fever. Physical and laboratory examination were unremarkable. Fresh stool sample examination of both the infant and the parents revealed proglottids of Dipylidium caninum 1 (figure 2).

    Figure 1

    String-like formations in the infant’s nappy.

    Figure 2

    Examination of a wet mount of …

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    Footnotes

    • PX and DG contributed equally.

    • Funding This research was supported by funding of the Departments of Microbiology and Pediatrics, and the Division of Infectious Diseases, University General Hospital of Patras, Greece.

    • Competing interests None declared.

    • Patient consent Guardian consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.