Hutchinson J W, Bass J W, Demers D M, Myers G B
Department of Pediatrics, Tripler Army Medical Center, Honolulu, HI 96859-5000, USA.
Hawaii Med J. 1997 Jul;56(7):176-7.
An 11-year-old boy in Hawaii passed mucus and a moving object in his stool. The object was identified as a segment of the fish tapeworm Diphyllobothrium species which is not indigenous to Hawaii. Diphyllobothrium ova were also found in the stool. The only raw fish he recalled eating in previous months were tuna sushi and lomi-lomi salmon which usually contains raw but previously frozen salmon. Of these two fish, only salmon which is not native to Hawaiian waters, has been incriminated as a significant source of diphyllobothrium fish tapeworm infection. Freezing kills this parasite, however, we speculate that the raw fish in the lomi-lomi salmon that our patient had eaten had not been pre-frozen or was not adequately pre-frozen. Eating raw salmon without certainty that it has been adequately pre-frozen carries the risk of diphyllobothriasis or fish tapeworm infection.
夏威夷一名11岁男孩在粪便中排出了黏液和一个会动的物体。该物体被鉴定为阔节裂头绦虫的一段，这种绦虫并非夏威夷本土物种。粪便中还发现了阔节裂头绦虫卵。他回忆说，前几个月他只吃过金枪鱼寿司和洛米三文鱼（一种通常含有生的但之前冷冻过的三文鱼的食物）。在这两种鱼中，只有非夏威夷海域原产的三文鱼被认为是阔节裂头绦虫感染的重要来源。冷冻可以杀死这种寄生虫，然而，我们推测我们的患者所食用的洛米三文鱼中的生鱼没有预先冷冻或冷冻不充分。在不确定生三文鱼是否已充分预先冷冻的情况下食用，会有患阔节裂头绦虫病或鱼绦虫感染的风险。
