wikipedia

http://en.wikipedia.org/wiki/Nanophyetus_salmincola


"Nanophyetus salmincola may be the most common trematode endemic to the United States.[1] In particular, the parasite is a food-borne intestinal trematode prevalent in the coast of the Pacific Northwest."

Management and Therapy

Praziquantel, 20 mg/kg body weight, three times a day. Praziquantel causes immobilized contraction of the worm, such that it can no longer grasp the intestinal walls, and can be eliminated from the body Three 2-g doses of niclosamide or two 50 mg/kg doses of bithionol have also proven to be effective when Praziquantel was either not available or treatment was refused.[2] However, a single 2-g dose of niclosamine proved to be ineffective treatment therapy, as did 100 mg orally of mebendazole twice a day for three days. If diarrhea recurs, general supplements must also be provided in order to maintain electrolyte balance and meet nutritional requirements.
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