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Case #425 - August 2016

The mother of a four-year-old autistic boy found a worm in her son’s stool while changing his diaper. The family lives on a farm in rural Iowa. The worm and a stool specimen were examined by the Iowa State Hygienic Laboratory, and the images sent to the DPDx Team for confirmation/identification of one or more parasites. Figure A shows the worm next to a ruler for size; Figures B shows a composite of two images that were taken with a dissecting microscope to highlight detail. Figures C D show objects that were observed in the stool specimen; the larger in Figure C was approximately76 micrometers and the smaller objects (Figures C and D) ranged from 45–60 micrometers. The DPDx Team requested an aliquot of the stool specimen for further testing. The objects in Figures E and F, which measured 65 and 67 micrometers respectively, show what was observed by the DPDx Team. What is your diagnosis?  Based on what criteria?

Figure A

Figure A

Figure B

Figure B

Figure C

Figure C

Figure D

Figure D

Figure E

Figure E

Figure F

Figure F

This case and images were kindly provided by the Iowa State Hygienic Laboratory Coralville, IA.

DPDx is an educational resource designed for health professionals and laboratory scientists. For an overview including prevention, control, and treatment visit www.cdc.gov/parasites/.

Page last reviewed: August 24, 2016