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PMID- 29390318
OWN - NLM
STAT- In-Process
LR  - 20180202
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Hymenolepis nana: A case report of a perfect IBD camouflage warrior.
PG  - e9146
LID - 10.1097/MD.0000000000009146 [doi]
AB  - RATIONALE: There is evidence that parasitic helminths can ameliorate colitis in
      animal models and humans. Although infections with Hymenolepis sp. are clinically
      benign, the immunomodulatory interactions between host and parasite are largely
      unknown. PATIENT CONCERNS: In this study we examined the intestinal mucosa of an 
      adult asymptomatic patient harboring adult and larval dwarf tapeworms
      (Hymenolepis nana) who underwent surgery for an unrelated reason. INTERVENTIONS: 
      Routine histology and immunohistochemistry were performed to characterize the
      host's response to the parasite. Parasitic DNA was sequenced to identify the
      tapeworm species. DIAGNOSES: Morphological and immunohistochemical studies showed
      a nearly complete absence of an anti-parasite host immune response. The outer
      surface of the parasite also showed prominent cross-reactivity with various
      tested leukocyte antigens. Our findings closely resemble experimentally obtained 
      data from the H. diminuta-infected rat at the state of persistent colonization.
      OUTCOMES: Cross-reactivity of parasite-borne molecules with anti-human-leukocyte 
      antibodies indicates a potential functional role in active modulation of the
      host's immune response. LESSIONS: We believe that better understanding of the
      host-cestode interaction will certainly extend our knowledge on auto-aggressive
      disorders such as inflammatory bowel disease and might provide potential
      treatment options.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Hench, Juergen
AU  - Hench J
AD  - Institute of Pathology, Cantonal Hospital Baselland, Liestal.
AD  - Department of Neuropathology, Institute of Pathology, University Hospital Basel, 
      Basel.
FAU - Cathomas, Gieri
AU  - Cathomas G
AD  - Institute of Pathology, Cantonal Hospital Baselland, Liestal.
FAU - Dettmer, Matthias S
AU  - Dettmer MS
AD  - Institute of Pathology, Cantonal Hospital Baselland, Liestal.
AD  - Institute of Pathology, University of Bern, Bern, Switzerland.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
EDAT- 2018/02/03 06:00
MHDA- 2018/02/03 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/03 06:00 [medline]
AID - 10.1097/MD.0000000000009146 [doi]
AID - 00005792-201712150-00068 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9146. doi: 10.1097/MD.0000000000009146.