Diphyllobothrium latum - Revision history

Rossdonaldson1: /* Evaluation */

2022-09-28T20:19:26Z

Evaluation

← Older revision		Revision as of 20:19, 28 September 2022
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	==Evaluation==		==Evaluation==
			[[File:PMC4675927 kjped-58-451-g002.png\|thumb\|Abdominal CT showing multiple reactive mesenteric lymph nodes (arrows) in a patient with ''diphyllobothrium latum'' infection.]]
	*Stool sample - morphologic identification of eggs<ref name="Scholz" />		*Stool sample - morphologic identification of eggs<ref name="Scholz" />
	**Molecular (PCR) diagnosis also possible, but less used		**Molecular (PCR) diagnosis also possible, but less used

Rossdonaldson1: /* Background */

2022-09-28T20:16:34Z

Background

← Older revision		Revision as of 20:16, 28 September 2022
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	==Background==		==Background==
			[[File:Dlatcycle.png\|thumb\|D. latum life cycle (Courtesy of CDC)]]
			[[File:Dlprog.JPG\|thumb\|D. latum proglottids]]
			[[File:PMC4675927 kjped-58-451-g001.png\|thumb\|Diphyllobothrium latum]]
	*A type of [[tapeworm]] infection		*A type of [[tapeworm]] infection
	*''D. latum'' and ''D. nihonkaiense'' are most common pathogens<ref name="Scholz">Scholz T, Garcia HH, Kuchta R, Wicht B. Update on the Human Broad Tapeworm (Genus Diphyllobothrium), Including Clinical Relevance. Clinical Microbiology Reviews. 2009;22(1):146-160. doi:10.1128/CMR.00033-08.</ref>		*''D. latum'' and ''D. nihonkaiense'' are most common pathogens<ref name="Scholz">Scholz T, Garcia HH, Kuchta R, Wicht B. Update on the Human Broad Tapeworm (Genus Diphyllobothrium), Including Clinical Relevance. Clinical Microbiology Reviews. 2009;22(1):146-160. doi:10.1128/CMR.00033-08.</ref>
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	**Generally due to eating raw or undercooked fish.		**Generally due to eating raw or undercooked fish.
	**In US, Great Lakes and Alaska are most common locations.		**In US, Great Lakes and Alaska are most common locations.

	~~[[File:Dlatcycle.png\|thumb\|D. latum life cycle (Courtesy of CDC)]]~~
	~~[[File:Dlprog.JPG\|thumb\|D. latum proglottids]]~~

	==Clinical Features==		==Clinical Features==

ClaireLewis at 23:26, 22 December 2016

2016-12-22T23:26:26Z

← Older revision		Revision as of 23:26, 22 December 2016
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	**20% of cases report diarrhea, abdominal pain or discomfort		**20% of cases report diarrhea, abdominal pain or discomfort
	*Rarely, migrating proglottids can cause cholangitis, cholecystitis, or intestinal obstruction		*Rarely, migrating proglottids can cause cholangitis, cholecystitis, or intestinal obstruction
	*Competes for absorption of vitamin B12 → can cause pernicious anemia		*Competes for absorption of vitamin B12 → can cause [[pernicious anemia]]

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Management==		==Management==
	*Praziquantel 25mg/kg x1 dose<ref name="Scholz" /> '''OR'''		*[[Praziquantel]] 25mg/kg x1 dose<ref name="Scholz" /> '''OR'''
	**Niclosamide 2 grams x1 dose		**Niclosamide 2 grams x1 dose
	*Replace vitamin B12 if patient has megaloblastic anemia		*Replace [[vitamin B12]] if patient has megaloblastic anemia

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - "==Diagnostic Evaluation==" to "==Evaluation=="

2016-07-28T02:23:01Z

Text replacement - "==Diagnostic Evaluation==" to "==Evaluation=="

← Older revision		Revision as of 02:23, 28 July 2016
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	{{Helminth Types}}		{{Helminth Types}}

	==~~Diagnostic~~ Evaluation==		==Evaluation==
	*Stool sample - morphologic identification of eggs<ref name="Scholz" />		*Stool sample - morphologic identification of eggs<ref name="Scholz" />
	**Molecular (PCR) diagnosis also possible, but less used		**Molecular (PCR) diagnosis also possible, but less used

Neil.m.young: Text replacement - "5 mg" to "5mg"

2016-07-19T07:51:29Z

Text replacement - "5 mg" to "5mg"

← Older revision		Revision as of 07:51, 19 July 2016
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	==Management==		==Management==
	*Praziquantel ~~25 mg~~/kg x1 dose<ref name="Scholz" /> '''OR'''		*Praziquantel 25mg/kg x1 dose<ref name="Scholz" /> '''OR'''
	**Niclosamide 2 grams x1 dose		**Niclosamide 2 grams x1 dose
	*Replace vitamin B12 if patient has megaloblastic anemia		*Replace vitamin B12 if patient has megaloblastic anemia

Ostermayer: Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

2016-03-22T16:59:13Z

Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

← Older revision		Revision as of 16:59, 22 March 2016
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	[[Category:ID]]		[[Category:ID]]
	[[Category:~~TropMed~~]]		[[Category:Tropical Medicine]]

Mholtz at 05:18, 8 September 2015

2015-09-08T05:18:03Z

← Older revision		Revision as of 05:18, 8 September 2015
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	==Background==		==Background==
	*A type of [[tapeworm]] infection		*A type of [[tapeworm]] infection
	*D. latum and D. nihonkaiense are most common pathogens<ref name="Scholz">Scholz T, Garcia HH, Kuchta R, Wicht B. Update on the Human Broad Tapeworm (Genus Diphyllobothrium), Including Clinical Relevance. Clinical Microbiology Reviews. 2009;22(1):146-160. doi:10.1128/CMR.00033-08.</ref>		*''D. latum'' and ''D. nihonkaiense'' are most common pathogens<ref name="Scholz">Scholz T, Garcia HH, Kuchta R, Wicht B. Update on the Human Broad Tapeworm (Genus Diphyllobothrium), Including Clinical Relevance. Clinical Microbiology Reviews. 2009;22(1):146-160. doi:10.1128/CMR.00033-08.</ref>
	**15-45 day latency period		**15-45 day latency period
	*Found mostly in cold waters Palaearctic region and North America<ref name="Scholz" />		*Found mostly in cold waters Palaearctic region and North America<ref name="Scholz" />
	**Generally due to eating raw or undercooked fish.		**Generally due to eating raw or undercooked fish.
	**In US, Great Lakes and Alaska are most common locations.		**In US, Great Lakes and Alaska are most common locations.

			[[File:Dlatcycle.png\|thumb\|D. latum life cycle (Courtesy of CDC)]]
			[[File:Dlprog.JPG\|thumb\|D. latum proglottids]]

	==Clinical Features==		==Clinical Features==
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	*Rarely, migrating proglottids can cause cholangitis, cholecystitis, or intestinal obstruction		*Rarely, migrating proglottids can cause cholangitis, cholecystitis, or intestinal obstruction
	*Competes for absorption of vitamin B12 → can cause pernicious anemia		*Competes for absorption of vitamin B12 → can cause pernicious anemia
	~~[[File:Dlatcycle.png\|thumb\|D. latum life cycle (Courtesy of CDC)]]~~

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Helminth Types}}		{{Helminth Types}}

	==~~Diagnosis~~==		==Diagnostic Evaluation==
	*Stool sample - morphologic identification of eggs<ref name="Scholz" />		*Stool sample - morphologic identification of eggs<ref name="Scholz" />
	**Molecular (PCR) diagnosis also possible, but less used		**Molecular (PCR) diagnosis also possible, but less used
	~~[[File:Dlprog.JPG\|thumb\|D. latum proglottids]]~~

	==Management==		==Management==
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	==External Links==		==External Links==


	==References==		==References==

Zipdoc: image

2015-08-18T13:55:14Z

image

← Older revision		Revision as of 13:55, 18 August 2015
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	*Rarely, migrating proglottids can cause cholangitis, cholecystitis, or intestinal obstruction		*Rarely, migrating proglottids can cause cholangitis, cholecystitis, or intestinal obstruction
	*Competes for absorption of vitamin B12 → can cause pernicious anemia		*Competes for absorption of vitamin B12 → can cause pernicious anemia
			[[File:Dlatcycle.png\|thumb\|D. latum life cycle (Courtesy of CDC)]]

	==Differential Diagnosis==		==Differential Diagnosis==

Zipdoc: image

2015-08-18T13:54:36Z

image

← Older revision		Revision as of 13:54, 18 August 2015
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	*Stool sample - morphologic identification of eggs<ref name="Scholz" />		*Stool sample - morphologic identification of eggs<ref name="Scholz" />
	**Molecular (PCR) diagnosis also possible, but less used		**Molecular (PCR) diagnosis also possible, but less used
			[[File:Dlprog.JPG\|thumb\|D. latum proglottids]]

	==Management==		==Management==

Mholtz at 10:49, 18 August 2015

2015-08-18T10:49:43Z

← Older revision		Revision as of 10:49, 18 August 2015
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	==Differential Diagnosis==		==Differential Diagnosis==
			{{Helminth Types}}

	==Diagnosis==		==Diagnosis==