Johns Hopkins ABX Guide
Diphyllobothriasis (Dibothriocephalus latum)
MICROBIOLOGY
- The cestode (tapeworm) parasite, is found worldwide but concentrated in some endemic regions.
- Recent genus name change from Diphyllobothrium to Dibothriocephalus.
- The most important fish-borne zoonosis with a complex 3-host life cycle:
- Eggs ingested by crustaceans and form the first larval stage → crustacean ingested by a freshwater fish where plerocercoid (second larval stage) develops → humans contract infection by eating raw or undercooked freshwater fish, and the parasite matures rapidly in the intestine [Figure 1].
- Significant species are D. latum (U.S. Great Lakes region and Alaska, Scandinavia, Russia), D. nihonkaiense (Japan), D. pacificum (Pacific coast of South America), and D. dendriticum (Europe).
- Cases also reported after eating imported fish.
- At least 10 other species are occasionally reported in humans.
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Last updated: January 13, 2023
Citation
Riedel, David. "Diphyllobothriasis (Dibothriocephalus Latum)." Johns Hopkins ABX Guide, The Johns Hopkins University, 2023. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540173/all/Diphyllobothriasis__Dibothriocephalus_latum_.
Riedel D. Diphyllobothriasis (Dibothriocephalus latum). Johns Hopkins ABX Guide. The Johns Hopkins University; 2023. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540173/all/Diphyllobothriasis__Dibothriocephalus_latum_. Accessed November 23, 2024.
Riedel, D. (2023). Diphyllobothriasis (Dibothriocephalus latum). In Johns Hopkins ABX Guide. The Johns Hopkins University. https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540173/all/Diphyllobothriasis__Dibothriocephalus_latum_
Riedel D. Diphyllobothriasis (Dibothriocephalus Latum) [Internet]. In: Johns Hopkins ABX Guide. The Johns Hopkins University; 2023. [cited 2024 November 23]. Available from: https://peds.unboundmedicine.com/pedscentral/view/Johns_Hopkins_ABX_Guide/540173/all/Diphyllobothriasis__Dibothriocephalus_latum_.
* Article titles in AMA citation format should be in sentence-case
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