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Tapeworm Diphyllobothrium dendriticum (Cestoda)--neglected or emerging human parasite?
Roman Kuchta1, Jan Brabec1, Petra Kubáčková2
1Institute of Parasitology, Biology Centre of the Academy of Sciences of the Czech Republic, České Budějovice, Czech Republic.
Diphyllobothrium dendriticum is an emerging tapeworm causing human infections, previously underdiagnosed and spreading globally. Molecular diagnostics are crucial for accurate identification and understanding its epidemiology.
Area of Science:
- Medical Parasitology
- Zoonotic Diseases
- Molecular Diagnostics
Background:
- Diphyllobothrium tapeworms cause diphyllobothriasis, with D. latum historically identified as the primary human pathogen.
- Morphological misidentification has led to incorrect diagnoses, complicating the understanding of Diphyllobothrium species distribution.
- Diphyllobothrium dendriticum, common in arctic regions, is increasingly recognized as a potential human parasite, challenging previous assumptions about its prevalence and distribution.
Purpose of the Study:
- To update knowledge on the life cycle, geographic distribution, and epidemiology of Diphyllobothrium dendriticum.
- To assess the diagnostic accuracy of morphological versus molecular methods for Diphyllobothrium species identification.
- To highlight D. dendriticum as an emerging zoonotic agent with global spread potential.
Main Methods:
- Revision of over 900 references on Diphyllobothrium tapeworms.
- Morphological and molecular (cox1 gene sequencing) analysis of recent European human cases.
- Characterization of new D. dendriticum sequences to supplement existing data.
Main Results:
- The study provides an updated understanding of Diphyllobothrium dendriticum's life cycle, geographic spread, and epidemiological status.
- Molecular data confirmed D. dendriticum as a cause of diphyllobothriasis in Europe, where it was previously unreported.
- Morphological identification alone is insufficient, underscoring the need for molecular tools in parasite diagnostics.
Conclusions:
- Diphyllobothrium dendriticum is a neglected, likely underdiagnosed parasite with potential for global dissemination.
- Recent European cases demonstrate that diphyllobothriasis agents can be imported, expanding known endemic areas.
- Accurate molecular diagnostics are essential for identifying rare or non-native parasite species, improving knowledge of human parasite distribution and epidemiology.
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