![]() Infectious Diseases and Microbiology - Diphyllobothriasis ( Diphyllobothrium latum) Diphyllobothrium latum is a type of cestode, which is a segmented flatworm. It is commonly known as the broad fish tapeworm. The strobila consists of one or many hermaphroditic proglottids. Humans are the primary host. D latum utilizes two consecutive intermediate hosts: a freshwater copepod known as Cyclops and a freshwater fish. Infection occurs as a consequence of consuming freshwater fish that is undercooked, pickled, or uncooked. The majority of infections do not show any symptoms; nevertheless, when there is a scarcity of vitamin B12, it can cause a shortage in B12, leading to megaloblastic anemia and a range of neurological symptoms. Adult tapeworms maintain their attachment to the intestine through the scolex and can reach a length of up to 13 meters. The eggs of D latum have an elongated shape and possess a lidlike operculum. The proglottids exhibit a greater width compared to their length, featuring a uterine branch pattern arranged in a rosette formation. Praziquantel is administered for therapeutic purposes. Prevention include refraining from consuming undercooked fish and implementing precautions to avoid contamination of freshwater lakes by human feces.
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