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Oxford Textbook of Medicine (5 ed.)

Edited by David A. Warrell, Timothy M. Cox, John D. Firth

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Latest update

The May 2013 update sees updates to chapters focusing on Respiratory Medicine and Haematology.

Respiratory Medicine updates include substantial updates to key chapters and new material on a wide range of topics including: new bronchoscopic techniques for early detection of lung cancer, specific causes of effusion and pleural disease, and chronic obstructive pulmonary disease.

Haematology updates include extensive revisions of key chapters on chronic myeloid leukaemia, aplastic anaemia and bone marrow failure disorders, and blood transfusion, with new information on a wide range of matters.

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Publisher:
Oxford University Press
Print Publication Date:
May 2010
Print ISBN-13:
9780199204854
Published to Oxford Medicine:
May 2010
DOI:
10.1093/med/9780199204854.001.1

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Disclaimer

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Contents

Diphyllobothriasis and sparganosis

Chapter:
Diphyllobothriasis and sparganosis
Author(s):

David I. Grove

DOI:
10.1093/med/9780199204854.003.071004_update_001

Update:

Infections with various species of broad tapeworms are being increasingly recognized as fresh or frozen fish are being transported around the world for consumption in sushi and sashimi.

Updated on 31 May 2012. The previous version of this content can be found here.

Diphyllobothriasis—procercoid larvae of Diphyllobothrium latum develop in the gut of people infected by eating undercooked fish. Adult worms cause mild gastrointestinal symptoms and urticaria, and compete with the host for vitamin B12, occasionally leading to pernicious anaemia. Diagnosis is by finding characteristic ova in the stool. Treatment is with niclosamide or praziquantel.

Sparganosis—infection by animal Spirometra spp. is by ingestion of water containing infected crustaceans or uncooked meat (frog, snake, poultry, pork). The worm migrates through tissues, often presenting as a lump in subcutaneous tissue or muscle, and more notably in the brain (typically leading to presentation with epilepsy). Diagnosis and treatment is by surgical excision.

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