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Diphyllobothriasis: the first case report from Malaysia.

M Rohela1, I Jamaiah, K W Chan

  • 1Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

The Southeast Asian Journal of Tropical Medicine and Public Health
|September 19, 2002
PubMed
Summary

This is the first reported case of Diphyllobothriasis in Malaysia, a tapeworm infection acquired from consuming raw fish. The patient recovered fully after treatment with praziquantel.

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Area of Science:

  • Parasitology
  • Infectious Diseases
  • Public Health

Background:

  • Diphyllobothriasis is a parasitic infection caused by Diphyllobothrium tapeworms.
  • Humans typically contract the infection through the consumption of raw or undercooked fish containing tapeworm larvae.

Observation:

  • A 62-year-old male in Malaysia presented with watery stools and abdominal discomfort.
  • The patient reported a history of consuming sashimi (raw Japanese fish).

Findings:

  • The patient passed intact proglottids, confirming Diphyllobothrium latum infection.
  • Microscopic examination revealed characteristic operculated eggs in the proglottids.
  • This case represents the first documented instance of Diphyllobothriasis in Malaysia.

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Implications:

  • Highlights the risk of diphyllobothriasis transmission through the consumption of raw fish, even in regions where it was previously unreported.
  • Emphasizes the importance of considering imported food items in the differential diagnosis of parasitic infections.
  • Praziquantel is an effective treatment for Diphyllobothriasis.