Volume 20, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



At the age of 4 months, a boy in Isfahan, Iran, was examined because of an illness, of several weeks, characterized by irritability, cough, diarrhea, sweating, and pallor. After each exacerbation of his illness, he had expelled four worms, which proved to be . During the next 5 months, five were expelled; all were male worms. Repeated stool examinations revealed no helminths or helminth eggs, but was found on one occasion. The child had moderate anemia and leukocytosis, with 4% eosinophils. Fourteen days after treatment with thiabendazole, the ninth worm was expelled, and on the 15th day eggs of were found in a stool specimen. A rat captured in the patient's home was infected with a female containing eggs. Cockroaches and a lizard caught in the home were not infected with this or other parasites. We believe that a grain beetle in barley, eaten by the child, may have been the intermediate host.


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