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7326403 
Journal Article 
Three cases of cestode infections (Diplogonoporiasis and Diphyllobothriasis) in Wakayama prefecture, Japan 
Suzuki, K; Yamamoto, M; Nakamoto, H; Katai, A; Tanaka, T; Toda, Y; Tamai, M; Kuchihiro, Y; Kanazaki, Y; Nasu, S; Kuroda, M; Tanaka, T; Uni, S; Waayama, J 
1997 
48 
1 
111-119 
Japanese 
One case of diplogonoporiasis and two cases of diphyllobothriasis were recently found in Wakayama prefecture. Case 1: A 61-year-old fisherman with diarrhea spontaneously expelled a strobila of Diplogonoporus grandis. The patient was treated with Gastrogarfin, but no more strobilae were expelled. Examination of histological section of the specimens showed two sets of genital organs in each proglottid. A laboratory test of the patient showed eosinophilia (9.1%). The patient reported eating raw flesh of various marine fish including sardines. Case 2: A 46-year-old woman with symptoms of fatigue, weakness, acute abdominal pain and diarrhea with expelled two strobilae of Diphyllobothrium latum (D. latum). The patient was treated with Gastrografin and expelled two strobilae with scoleces. Laboratory data showed eosinophilia (9.5%). More than 20 days earlier she had eaten raw and smoked salmon. Case 3: A 75-year-old woman had nausea after eating raw trout. A strobila of D. latum was expelled spontaneously 6 months later. She was treated with paromomycin sulfate but no more strobilae were discharged. Many people risk infection with these cestodes from marine fish by eating the raw flesh. Physicians should keep the possibility of such re-emarging diseases in minds as long as our eating style relys on seafoods. 
diatrizoate; paromomycin; adult; article; case report; cestodiasis; diphyllobothrium latum; food intake; human; infection risk; japan; male; trout