A case of Diphyllobothrium latum/nihonkaiense infection identified by capsule endoscopy in small intestine

Hirata, Mari; Yamaguchi, Yasuharu; Ikei, Yoko; Koyama, Genichi; Matsui, Takayoshi; Ishida, Hideyuki; Takahashi, Shinichi

doi:10.1016/j.gie.2006.01.030

Cited by 13 publications

(5 citation statements)

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“…In recent several cases, colonoscopy and capsule endoscopy were useful diagnostic methods for detecting D. latum and D. nihonkaiense infections [ 13 , 14 , 15 , 16 ]. However, in our case, D. nihonkaiense infection could not be detected by colonoscopy.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal Worm Extraction of Diphyllobothrium nihonkaiense with Amidotrizoic Acid in a Child

Shin

Roh

et al. 2014

Korean J Parasitol

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Infection cases of diphyllobothriid tapeworms are not much in the below teen-age group. We report a case of Diphyllobothrium nihonkaiense infection in a 13-year-old boy. He presented with severe fatigue, occasional abdominal pain at night time. He also had several episodes of tapeworm segment discharge in his stools. By his past history, he had frequently eaten raw fish including salmon and trout with his families. Numerous eggs of diphyllobothriid tapeworm were detected in the fecal examination. We introduced amidotrizoic acid as a cathartic agent through nasogastroduodenal tube and let nearly whole length (4.75 m) of D. nihonkaiense be excreted through his anus. After a single dose of praziquantel, the child's stool showed no further eggs, and his symptoms disappeared. The evacuated worm was identified as D. nihonkaiense by mitochondrial cox1 gene analysis. Here we report a successful extracorporeal worm extraction from an infection case of D. nihonkaiense by the injection of amidotrizoic acid.

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Section: Discussionmentioning

confidence: 99%

Extracorporeal Worm Extraction of Diphyllobothrium nihonkaiense with Amidotrizoic Acid in a Child

Shin

Roh

et al. 2014

Korean J Parasitol

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“…If a single scolex remains in the patient’s small intestine, the scolex will re-produce strobilas and finally develop another Diphyllobothriasis 13. In order to achieve full length investigation of intestine, capsule endoscopy may play a pivotal role to facilitate the diagnosis of the infestation in the small intestine 14–16. Although there is further evaluation of this procedure in management of Diphyllobothriasis, it is an effective measure to shed light on the undetected worm.…”

Section: Discussionmentioning

confidence: 99%

Diphyllobothrium nihonkaiense infection linked to chilled salmon consumption

Shimizu

Kinoshita²,

Tokuda³

2012

Case Reports

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“…This new, relatively non-invasive, technology has enabled, for the first time, the in vivo direct imaging of the small bowel lumen and mucosa, which has, thus far, been largely impossible. Some case reports have been published on the capsule endoscopy findings in cestode parasite infestation (3,5). However, the use of the endoscopy method was limited to the confirmation of the existence of the para-sites in these cases.…”

Section: Discussionmentioning

confidence: 99%

Long Fish Tapeworm in the Intestine: An in situ Observation by Capsule Endoscopy

et al. 2011

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We present the case of a patient who was referred to our hospital after she reported having passed a long, whitish object per rectum. Accordingly, capsule endoscopy was performed using the PillCam SB video capsule. A tapeworm of the species Diphyllobothrium nihonkaiense was detected; it appeared to be freely floating and unfolded in the jejunum and sometimes tangled or irregularly folded in the ileum. The stretching of the strobila by strong peristalsis in the ileum may have resulted in the separation of the caudal portion of the strobila, which descended into the colon and was eventually passed per rectum.

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A case of Diphyllobothrium latum/nihonkaiense infection identified by capsule endoscopy in small intestine

Cited by 13 publications

References 0 publications

Extracorporeal Worm Extraction of Diphyllobothrium nihonkaiense with Amidotrizoic Acid in a Child

Extracorporeal Worm Extraction of Diphyllobothrium nihonkaiense with Amidotrizoic Acid in a Child

Diphyllobothrium nihonkaiense infection linked to chilled salmon consumption

Long Fish Tapeworm in the Intestine: An in situ Observation by Capsule Endoscopy

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