Document Type

Article

Publication Date

1-1-2002

Abstract

Diphyllobothriasis is a disease caused by infection with adult tapeworms of the genus Diphyllobothrium. Humans acquire the infection by consuming the raw or inadequately cooked flesh, roe, liver, or other organs of infected fish. Diphyllobothrium latum infection has not been reported in Malaysia; we are reporting the first case. The patient was a 62 year old Chinese male seen at the outpatient clinic with complaints of watery stools and slight abdominal discomfort for four days. Physical examination was normal. He was treated for diarrhea. Two days after treatment, he passed out intact off-white proglottids in his stool. Diphyllobothriasis was confirmed by examination of these gravid proglottids; typical operculated eggs were seen after rupturing the gravid proglottids. The patient had a history of eating sashimi (Japanese raw fish). He was treated with a single dose of praziquantel and had been well since.

Divisions

fac_med

Publication Title

The Southeast Asian Journal of Tropical Medicine and Public Health

Volume

33

Issue

2

Publisher

SEAMEO Regional Tropical Medicine and Public Health Network

Additional Information

Cited By (since 1996): 10 Export Date: 15 October 2012 Source: Scopus Language of Original Document: English Correspondence Address: Rohela, M.; Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia References: Kyronseppa, H., The occurrence of human intestinal parasites in Finland (1993) Scand J Infect Dis, 25, pp. 671-673; Lee, S.H., Chai, J.Y., Seo, M., Two rare cases of diphyllobothrium latum type infection in Korea (1994) Kisaengchunghak Chapchi, 32, pp. 117-120; Min, D.Y., Cestode infections in Korea (1990) Kisaengchunghak Chapchi, 28 (SUPPL.), pp. 123-144; Tsieh, S., (1988) Diphyllobothriasis, Hymenolepiasis and Dipylidiasis. Color Atlas and Textbook of Diagnostic Parasitology, pp. 283-285. , New York: Igaku-Shoin; Nutman, T.B., Weller, P.F., (1998) Diphyllobothriasis. Harrison's Principles of Internal Medicine, Vol I. International Edition, 14 th Ed., 1, pp. 1226-1227. , USA: McGrow-Hell

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