Live Diphyllobothrium Latum during Colonoscopy

A 46-year-old woman presented with a history of 3 days of pruritus in the anal area and 1 day of excretion of tapelike materials. During the year before presentation, she had reported intermittent colicky abdominal pain and loose stool, which had been attributed to irritable bowel syndrome. Laboratory evaluation was unremarkable, with no evidence of anemia. Colonoscopy revealed a long, moving tapeworm, Diphyllobothrium latum, located in the terminal ileum and extending to the sigmoid colon. D. latum is a fish tapeworm that can infect humans after they consume infected undercooked or raw fish. The patient had a history of eating raw fish and recalled eating raw trout most recently 2 months before presentation. She was treated with a single dose of praziquantel. After administration, the abdominal pain resolved, but she continued to have intermittent loose stool.

Category:

Science & Technology

Tags:

• tapeworm
• Diphyllobothrium latum
• Colonoscopy
• praziquantel

[UKSGeneral]

no, she's swalloed the eggs in raw fish. The life cycle is complicated a bit. Eggs found in fresh water, eaten by a fish where eggs develop to stages, a bigger fish eats the first fish with eggs, then human eats the bigger fish undercooked or raw with the eggs in Plerocercoid stage then baby D. latum develops in small intestine into adult D. latum .. the one you can see in the video.

Buy a microscope and check your feces if you ever suspect anything in your GI tract. Eggs are presented in feces

[drewsky684]

Could you get worms from eating sushi?

[Biroulations]

omg fuckng disgusting

[ChloroformUrMother]

must get out

[xlebourd]

@drewsky684 Sushi fish is often frozen for that purpose.

[pauldusseau]

I looks like a happy living mango slice

[pjsavalia]

WTF? its so creepy! we studied this in microbiology but i hadnt imagined it this big...:-)

[kuntrasha]

happy fettucine

[karl4551]

@g3rrar1 no. whenever you think that you are infected with a helmithic parasite (worms) you can see the eggs or larvae in your stool (use a microscope)

[jcdunc]

Did she feel it moving around?

[Radagas7]

@g3rrar1 no, you can do a exam to see the eggs on your feces...

[MultiEric456]

@drewsky684  yes you can, unless they were frozen then prepared