Ver el código de «Diphyllobothrium latum»

==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
*''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
*Found mostly in cold waters Palaearctic region and North America<ref name="Scholz" />
**Generally due to eating raw or undercooked fish.
**In US, Great Lakes and Alaska are most common locations.

==Clinical Features==
*Usually asymptomatic or mild GI symptoms<ref name="Scholz" />
**20% of cases report diarrhea, abdominal pain or discomfort
*Rarely, migrating proglottids can cause cholangitis, cholecystitis, or intestinal obstruction
*Competes for absorption of vitamin B12 → can cause [[pernicious anemia]]

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

==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" />
**Molecular (PCR) diagnosis also possible, but less used

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

==Disposition==
*Discharge

==See Also==
*[[Helminth infections]]
*[[Parasitic diseases]]
*[[Travel medicine]]

==External Links==


==References==
<references/>

[[Category:ID]]
[[Category:Tropical Medicine]]