Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with reported passage of proglottids in stool, described as "rice-grain" or "cucumber-seed" shaped segments. Associated symptoms include mild perianal pruritus, intermittent abdominal discomfort, and occasional nausea. No history of hematochezia or systemic febrile illness. Recent exposure to household pets (dogs/cats) with known flea infestation confirmed.
Clinical Examination Findings
General: Well-appearing, non-toxic. Abdomen: Soft, non-distended, non-tender to palpation; no hepatosplenomegaly or masses. Perianal: No evidence of excoriation, erythema, or visible proglottids at the anal verge during examination. Stool: Guaiac negative.
Treatment Protocol
Diagnosis confirmed via microscopic identification of proglottids or egg packets. Treatment initiated with Praziquantel (5-10 mg/kg, single oral dose). Advise strict flea control for household pets and environmental sanitation to prevent reinfection. Follow-up stool examination in 2-4 weeks if symptoms persist.