Abstract

A 18-month-old infant presented for evaluation of failure-to-thrive, associated with a rare helminthic infection after probable exposure to cockroaches. Stool studies revealed a parasitic worm of the phylum Acanthocephala and in the family of Moniliformidae. Moniliformis , a genus of this group of worms, rarely causes intestinal disease in humans. Our patient's poor weight velocity improved slowly following clearance of stool ova and adult worms, possibly after treatment with nitazoxanide .

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