BACKGROUND:Cutaneous larva migrans (CLM) is caused by nematode parasites of the hookworm family of Ancylostomatidae. Ancylostomiasis is a zoonosis found in cats and dogs, and humans are an accidental host. This report presents a case of CLM in an 8-y...

BACKGROUND Hymenolepiasis is a globally prevalent zoonosis of the monoxenic cycle. Humans acquire the disease through fecal-oral transmission by ingesting food or water with infective eggs from infected rodents. This report presents 3 cases of hymenolepiasis in children, due to zoonotic transmission from rodents and presumably associated with the consumption of powdered milk contaminated with infective eggs of Hymenolepis nana, and shows that awareness and early diagnosis contributed to timely treatment of the disease. CASE REPORT Three children, aged 9, 12, and 13 years, living in a marginal urban area of Guayaquil, Guayas province, Ecuador, presented symptoms of diarrhea, low body weight, abdominal discomfort, anorexia, paleness, and anal itching. Subsequently, their fecal samples were analyzed by direct coproparasitic methods, flotation and sedimentation with centrifugation using saline solution; the presence of H. nana eggs was determined. Blood biometry was performed. Further, 10 rodents were captured and necropsied to obtain intestinal contents. The powdered milk consumed by the children was analyzed, the same powder that contained rodent feces. Subsequently, these were studied with the above-mentioned coproparasitic methods. H. nana eggs were identified in the 6 trapped rodents, the powdered milk, and the feces of rodents found in the milk powder. CONCLUSIONS Hymenolepiasis can affect populations of endemic areas. In this case, the disease was identified in 3 children, who were diagnosed with eosinophilia and anemia. Additionally, the presence of H. nana eggs in captured rodents and in powdered milk was determined, indicating that the community was exposed to this zoonotic disease.

Multidrug-Resistant Klebsiella pneumoniae in a Patient with SARS-Cov-2 Pneumonia in an Intensive Care Unit in Guayaquil, Ecuador: A Case Report - Article abstract #936498

Ecoepidemiology of Ancylostoma spp. in Urban-Marginal and Rural Sectors of the Ecuadorian Coast and Prevalence of Cutaneous Larvae Migrans - Article abstract #943931

La Hymenolepidiosis es una zoonosis de prevalencia mundial, sobre todo en niños, es causada por cestodos de roedores denominados Hymenolepis (H) nana e Hymenolepis diminuta, es muy frecuente en países en vías de desarrollo, con climas cálidos, templados y secos. El ciclo biológico de la H. nana no requiere de hospederos intermediarios, y su transmisión habitual es fecal-oral (por ingesta de huevos infectivos); y la infección de H. diminuta se da a través de la ingestión de artrópodos tenebriónidos con la forma larvaria cisticercoides. El objetivo de este estudio fue determinar la presencia de H. nana e H. diminuta en la ciudadela Las Piñas, de la ciudad de Milagro (Ecuador) y dar a conocer a través de charlas informativas el riesgo en salud pública; para esta investigación se capturaron roedores con ayuda de trampas Tomahawk y Sherman en complementariedad con cebos no tóxicos (carne, mortadela, pescado, pan). Mediante un estudio aplicado, con enfoque cualitativo, de tipo descriptivo-prospectivo-transversal, realizado entre el 1 de febrero al 30 de julio del 2018, se analizaron las muestras fecales por métodos directos y de flotación-centrifugación con solución salina sobresaturada. De 87 roedores capturados y procesados, 20 casos (22.99 %) se determinó para Hymenolepis nana y 10 casos (11.49 %) para H. diminuta. Constituyéndose en el primer reporte de Hymenolepis nana y diminuta en roedores en el país. Se concluye que es evidente la presencia de estos parásitos en el sitio de estudio, lo que podría convertirse en un serio problema de salud pública, por el riesgo de transmitirse a los habitantes del sector.