Division of Gastroenterology, Iwata City Hospital, Japan.
Division of Medical Zoology, Department of Infection and Immunity, Jichi Medical University, Japan.
Intern Med. 2022 Sep 15;61(18):2813-2815. doi: 10.2169/internalmedicine.8881-21. Epub 2022 Feb 26.
Human diplogonoporiasis caused by the tapeworm Diplogonoporus balaenopterae has been rarely reported in Japan in the last decade. A 38-year-old man complained of a fever, diarrhea, intermittent abdominal pain, and worm excretion. He had a history of consuming raw juvenile Japanese anchovy one month earlier. On admission, the patient had acute enteritis and received intravenous fluids. During hospitalization, he excreted a white worm in his stool. On a macroscopic examination, the worm was found to be a tapeworm with scolexes. His health improved spontaneously without taking anthelmintic agents. Based on the genetic analysis, the tapeworm was identified as Diplogonoporus balaenopterae.
近十年来，日本鲜有因带绦虫 Diplogonoporus balaenopterae 引起的人类双槽头槽绦虫病的报道。一名 38 岁男子主诉发热、腹泻、间歇性腹痛和排虫。他在一个月前有食用生幼年日本鳀鱼的病史。入院时，患者患有急性肠炎并接受了静脉补液。住院期间，他从粪便中排出一条白色的虫体。宏观检查发现该虫体为带绦虫，有头节。他未经驱虫治疗，病情自行改善。基于基因分析，该带绦虫被鉴定为 Diplogonoporus balaenopterae。
