Wednesday, May 29, 2024

Case of the Week 749

This week's case features photos and videos from my lab, courtesy of Ms. Heather Morris and Felicity Norrie. The following object (which was still moving!) was submitted for identification. No history was provided, unfortunately. What do you think it is? (Be as specific as possible). What additional steps could you take to confirm your presumptive identification?








13 comments:

  1. This comment has been removed by the author.

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  2. Best I can do is probable Diphyllobothriid tapeworm - would need genetic sequencing to be more specific.

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  3. Craspedote proglotids with central line of uteri point towards Diphyllobothrid tapeworm.
    Florida Fan

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  4. Central uterus, cestode, Diphyllobothrium latum ?

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  5. Very beautiful pictures and cool video material!
    I agree: the proglottids of this tapeworm are gravid - the brown central points represent large numbers of dark eggs concentrated in a centrally positioned uterus.
    As the gravid proglottids are craspedote and wider than they are long, this points towards a Diphyllobothriid tapeworm (possibly Dibothriocephalus).

    An easy way to confirm this is to cut open a proglottid and expell some of the typical eggs. But for exact species determination, molecular tools should be deployed.

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  6. Common names zipper worm, broad tapeworm or fish tapeworm. Will need molecular sequencing to identify to a species level.

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  7. I agree that this is a diphyllobothriid tapeworm. We used to called them all Diphyllobothrium latum. Molecular studies have now demonstrated that there are several different species and in fact genuses that are not easily distinguished morphologically. Dibothriocephalus lotus (formerly D Tatum) is most likely if the organism was acquired near Mayo. Dibothriocephalus nihonkaensis is more common in Japan and north east Asia. Adenocephalus pacificus would be more common in Peru. There are also others.

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  8. Dibotriocephalus latum

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  9. Looks like Diphyllobothrium latum though I am a novice.

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  10. agree , the dark ones are the rosette uterus of D latum the longset cestode in humans

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  11. Please HELP my children and I!!!! We have parasites and we do not know what they are! Anyone please I’m begging!!!

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  12. I have pictures and documentation over 8 months and I’m willing to pay. Please I’m begging for answers for the sake of my children, someone in this specialty please have mercy on me! My drs agree but don’t know how to help us anymore

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  13. Sunamita.taylor@yahoo.com

    815. 914. 3944

    Please help! Please!

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