Presentation
The head is lacking, although many of the immature segments immediately following the head are present. The specimen is in several pieces, and the combined length of them [jamanetwork.com]
This paper presents an autochthonous case of Diphyllobothrium latum infection in Brasília, Federal District, Brazil. [scielo.br]
He denied any blood in his stool, but did present with an approximately 3-foot flatworm which he passed in his stool the evening before presentation. [healio.com]
Hee-Jung Choi, Junghye Lee, Hyun-Jong Yang Korean Journal of Parasitology 2012, 50 (2): 143-6 22711926 Diphyllobothrium latum infections in 4 young Korean men detected from 2008 to 2012 are presented. [read.qxmd.com]
School of Medicine, Seoul, Republic of Korea; Yang, H.J., Ewha Womans University School of Medicine, Seoul, Republic of Korea; Access the full text NOT AVAILABLE Diphyllobothrium latum infections in 4 young Korean men detected from 2008 to 2012 are presented [agris.fao.org]
Entire Body System
- Anemia
This may lead to vitamin B12 deficiency and anemia. Most people who are infected have no symptoms. [medlineplus.gov]
Laboratory testing is largely non-specific but may reveal eosinophilia as well as vitamin B12 deficiency, megaloblastic anemia, and/or pernicious anemia. Diagnosis is clinical, but confirmation via stool testing is an option. [ncbi.nlm.nih.gov]
Hematologic examination revealed eosinophilia without signs of anemia and his erythrocyte sedimentation rate was elevated (hemoglobin 13.2 g/dL, hematocrit 37.5%, eosinophil 710/ÂľL, erythrocyte sedimentation rate 29 mm/hr). [e-cep.org]
In Diphyllobothrium latum infection, true: A Definitive host is Cyclops B Infective agent is metacercaria C Produces macrocytic anemia due to B12 deficiency D All are true E None are true Ans. C Produces macrocytic anemia due to B12 deficiency a. [gradestack.com]
Blood examination may reveal a slight leukocytosis with eosinophilia and occasionally a megaloblastic anemia associated with B12 deficiency. [antiinfectivedrugs.com]
- Weight Loss
Published on Nov 22, 2015 PRESENTATION OUTLINE DIPHYLLOBOTHRIUM LATUM INFECTION SYMPTOMS SYMPTOMS pain above the stomach or in the abdomen (tummy) nausea or vomiting Diarrhoea weight loss loss of appetite SYMPTOMS dizziness insomnia fits Malnutrition [haikudeck.com]
However symptoms can include abdominal discomfort, diarrhea, vomiting, and weight loss. Vitamin B12 deficiency leading to pernicious anemia may occur. [cdc.gov]
Review of systems was negative for fevers, night sweats, or involuntary weight loss. Physical exam was notable for an obese abdomen, but was otherwise unremarkable. [healio.com]
If symptoms do occur, they may include: Abdominal discomfort or pain Diarrhea Weakness Weight loss People who are infected sometimes pass segments of worm in their stools. These segments can be seen in the stool. [medlineplus.gov]
However, some cases have been associated with megaloblastic anemia, gastrointestinal discomfort, anorexia, nausea, vomiting, asthenia, weight loss, eosinophilia and diarrhea. [scielo.br]
Gastrointestinal
- Abdominal Pain
He had suffered from recurrent lower abdominal pain and watery diarrhea for about 6 months. These episodes were characterized by vague abdominal pain that may be dull or crampy relatively. [e-cep.org]
Keywords: Diphyllobothrium latum | Abdominal pain | Diarrhea [kjp.or.kr]
Most infected individuals present with a mild illness characterized by abdominal pain or discomfort, diarrhea, and malaise. [ncbi.nlm.nih.gov]
If patients present with abdominal pain and diarrhea, the differential diagnosis includes a variety of infectious and noninfectious causes. [antiinfectivedrugs.com]
- Abdominal Cramps
At her consultation with the physician, she reported that she had been suffering from gastrointestinal disorders such as abdominal cramps, flatulence, sporadic diarrhea, polyphagia and other unspecific symptoms like intense general itching and irritability [scielo.br]
The symptoms are abdominal distention, flatulence, intermittent abdominal cramping, and diarrhea. abdominal distention 腹部膨満 abdominal 腹の, 腹部[腹腔(ふくこう)]の distention 広がる[広げる]こと, 膨張[拡張]作用 flatulence 腹にガスを生じさせる;〈病気などが〉鼓腸性の;〈人が〉ガスで腹の張った. intermittent abdominal [daxiongmao.exblog.jp]
Yoo Case 1 A 34-year-old Caucasian man with no significant past medical history presented in outpatient clinic with 7 days of diarrhea and 1 day of vomiting, abdominal cramping, and chills. [healio.com]
- Abdominal Distension
The main clinical complaints were intermittent gastrointestinal troubles such as indigestion, abdominal distension, and spontaneous discharge of tapeworm's segments in their feces. [read.qxmd.com]
- Lower Abdominal Pain
He had suffered from recurrent lower abdominal pain and watery diarrhea for about 6 months. These episodes were characterized by vague abdominal pain that may be dull or crampy relatively. [e-cep.org]
He reported lower abdominal pain and diarrhea from February 2006, and from March of the same year, he experienced a total of 4 episodes of fecal discharge of several segments of a tapeworm, 1 to 5 m in length. [parasitol.kr]
- Chronic Diarrhea
Chronic diarrhea may lead to malnutrition. Megaloblastic anemia secondary to B12 deficiency results when the parasite disrupts the B12-intrinsic factor complex, resulting in B12 becoming unavailable for absorption by the host. [antiinfectivedrugs.com]
Skin
- Night Sweats
Review of systems was negative for fevers, night sweats, or involuntary weight loss. Physical exam was notable for an obese abdomen, but was otherwise unremarkable. [healio.com]
- Urticaria
Side effects of praziquantel include weakness, headache, dizziness, abdominal pain, fever, and possibly urticaria.[4][17] An alternative anthelminthic drug used for D. latum infections is a single dose of niclosamide, which is given either in a single [ncbi.nlm.nih.gov]
Neurologic
- Paresthesia
[…] the most common symptom following by abdominal pain.[13] Diphyllobothriasis can affect different organ systems with varied manifestations and are listed below based on published case reports and series: Central nervous system manifestations include paresthesia [ncbi.nlm.nih.gov]
Workup
Dermatological manifestations include glossitis and allergic symptoms, as well as pallor.[4] Evaluation In the appropriate clinical picture with signs and symptoms consistent with diphyllobothriasis, the clinician should consider initial laboratory workup [ncbi.nlm.nih.gov]
Serum
- Macrocytic Anemia
In Diphyllobothrium latum infection, true: A Definitive host is Cyclops B Infective agent is metacercaria C Produces macrocytic anemia due to B12 deficiency D All are true E None are true Ans. C Produces macrocytic anemia due to B12 deficiency a. [gradestack.com]
[…] decreased) (9) mechanical bowel obstruction (10) vomiting or defecating several proglottids or a whole worm Laboratory findings (1) mild eosinophilia (2) macrocytic anemia ("tapeworm anemia") secondary to vitamin B12 deficiency (3) decreased serum vitamin [meducator3.net]
- Macrocytosis
Laboratory evaluation was remarkable for a hemoglobin of 14.7, with macrocytosis (MCV 100), and no eosinophilia. Vitamin B12 level was not checked in the emergency department. [healio.com]
Treatment
This treatment had no serious adverse effects in any of our patients. [thelancet.com]
Treatment Praziquantel and niclosamide are historical treatments that should no longer be used as first line therapy in developed countries; they result in destruction and disintegration of the worm which may make it impossible to confirm that the scolex [bionity.com]
For individual patients in clinical settings, the risk of treatment in pregnant women who are known to have an infection needs to be balanced with the risk of disease progression in the absence of treatment. [cdc.gov]
Treatment of Diphyllobothrium is simple with a single dose of praziquantel 25mg/kg, with a repeat stool check 1 month following treatment to document cure. [healio.com]
Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. [drugs.com]
Prognosis
Prognosis Since the disease is not commonly associated with severe symptoms, the prognosis of infected individuals is excellent. [antiinfectivedrugs.com]
Prognosis The prognosis of D. latum infections will depend on the patient’s disease severity, comorbid conditions, as well as worm burden within the intestinal tract. [ncbi.nlm.nih.gov]
Human T-cell Leukemia Virus Type I Tax genotype analysis in Okinawa, the southernmost and remotest islands of Japan: Different distributions compared with mainland Japan, and the potential value for the prognosis of aggressive adult T-cell leukemia/lymphoma [kawasaki-m.ac.jp]
Etiology
Noninfectious etiologies to consider include osmotic (eg, lactose intolerance) and secretory (eg, villous adenoma) etiologies, malabsorption syndromes (eg, celiac sprue), and motility disorders (eg, irritable bowel syndrome). [antiinfectivedrugs.com]
(Etiology) Humans are infected by Diphyllobothriasis, when they eat raw or undercooked fish that contains fish tapeworm cysts (especially belonging to the tapeworm Diphyllobothrium latum) When an individual consumes the infected fish, the tapeworm larva [dovemed.com]
Etiology Diphyllobothriasis occurs from the ingestion of larval forms of the fish tapeworm, with the most common species being D. latum. Molecular identification analyses have revealed numerous genus and species with potential for human infectivity. [ncbi.nlm.nih.gov]
Epidemiology
This activity reviews the epidemiology, evaluation, and management of this parasitic infection and highlights the role of the interprofessional team in caring for affected patients. Objectives: Describe the epidemiology of diphyllobothriasis. [ncbi.nlm.nih.gov]
The topics on epidemiology, diagnosis, and clinical aspects emphasize the knowledge gaps that limit a full understanding of these zoonoses, and target where greater research investments on these parasitic diseases should be focused. [books.google.de]
Diphyllobothrium latum From the journal The Japanese journal of antibiotics ISSN : 0368-2781 Other information Language : Japanese Type : Journal Article In AGRIS since : 2013 Volume : 36 Issue : 3 Start Page : 566 End Page : 572 (p. 86-92) All titles : " Epidemiology [agris.fao.org]
Epidemiological studies such as these are necessary for tracking the distribution of different Diphyllobothrium species and monitoring epidemics worldwide. [web.stanford.edu]
We briefly reviewed the 43 cases in terms of epidemiological, clinical, and parasitological aspects. [parasitol.kr]
Pathophysiology
2014;20:1955 ) Epidemiology Occurs in Northern Hemisphere (Europe, North America, Asia) and South America (Uruguay and Chile) Humans acquire larvae by ingesting raw or incompletely cooked fish that have spent at least part of their life in fresh water Pathophysiology [pathologyoutlines.com]
Review the pathophysiology of diphyllobothriasis. Outline the ways that a patient with diphyllobothriasis might present. [ncbi.nlm.nih.gov]
Prevention
According to WHO guidelines for mass prevention campaigns, the use of praziquantel during lactation is encouraged. [cdc.gov]
The preferred treatment for all tapeworm infections is injection of diatrizoic acid into the duodenum, which causes the worm to detach and be passed whole.[2] Prevention Avoid ingestion of raw freshwater fish. [bionity.com]
Prevention & Control Prevention of infection from D latum is achieved through adequate cooking of all freshwater fish or freezing of fish for 24-48 h at -18 °C (Box 3). Isolation of infected persons is not required. [antiinfectivedrugs.com]
Prevent, evaluate, and manage diseases that can be acquired in tropical environments and foreign countries with The Travel and Tropical Medicine Manual. [books.google.de]