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Neisseria meningitidis - Eurosurveillance

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Table<br />

Case reports of allochthonous Diphyllobothrium infections in Europe, identified by molecular methods, 2005–2011<br />

Therapy Reference<br />

Molecular<br />

identification<br />

Clinical features Probable source of infection<br />

Parasite<br />

characteristics<br />

Diphyllobotrhium<br />

species<br />

Patient<br />

(age in<br />

years)<br />

Country<br />

Year of<br />

parasite<br />

recovery<br />

Data not<br />

shown<br />

Finland Man (60) D. nihonkaiense ND ND ND Cox1 ND<br />

Yera et al.,<br />

2006 [6]<br />

Single dose of praziquantel<br />

at 10 mg/kg.<br />

Cox1, MT-ND3<br />

Wild salmon carpaccio<br />

(Oncorhynchus keta)<br />

imported from Canada (Gulf<br />

of Alaska, Pacific Ocean),<br />

purchased in France<br />

Nausea, epigastric<br />

pain, diarrhoea<br />

D. nihonkaiense Egg size 41 × 60 μm<br />

Woman<br />

(44)<br />

France<br />

2005<br />

Wicht et al.,<br />

2007 [3]<br />

Praziquantel<br />

18S rRNA, cox1,<br />

ITS1 and 2<br />

Raw salmon and sushi<br />

purchased in Switzerland<br />

Diarrhoea (probably<br />

due to another<br />

cause); proglottids<br />

passed in faeces<br />

Egg size 56.68–57.82<br />

× 43.58–45.42 μm<br />

D. nihonkaiense<br />

Woman<br />

(55)<br />

Switzerland<br />

Wicht et al.,<br />

2007 [3]<br />

Single dose of praziquantel<br />

18S rRNA, cox1,<br />

ITS1 and 2<br />

Raw Pacific salmon<br />

(O. keta) imported from<br />

Canada or North America<br />

(Pacific Ocean), purchased<br />

in France<br />

D. nihonkaiense ND None<br />

Woman<br />

(52)<br />

Switzerland<br />

Shimizu et al.,<br />

2008 [5]<br />

Single dose of praziquantel<br />

at 12 mg/kg<br />

ITS1, cox1,<br />

MT-ND3<br />

Pacific salmon purchased in<br />

Switzerland<br />

Mild eosinophily<br />

(7.1%)<br />

Egg size 57.5–65.0 ×<br />

40.0–42.5 μm<br />

Switzerland Boy (5) D. nihonkaiense<br />

2006<br />

98 www.eurosurveillance.org<br />

Wicht et al.,<br />

2008 [4]<br />

Single dose of praziquantel<br />

at 10 mg/kg<br />

18S rRNA, cox1<br />

Regular consumption of wild<br />

salmon, Japanese sushi or<br />

fish carpaccio; journeys in<br />

Canada, Alaska and Norway<br />

Chronically relapsing<br />

courses of diarrhoea<br />

Egg size 49.62–63.86<br />

× 35.75–43.41 μm;<br />

some proglottids<br />

longer than wide,<br />

with excentred utera<br />

D. dendriticum<br />

Woman<br />

(59)<br />

Switzerland<br />

Paugam et al.,<br />

2009 [7]<br />

Single dose of praziquantel<br />

at 15 mg/kg<br />

Cox1<br />

Wild salmon carpaccio or<br />

marinade purchased in<br />

Persistant, mild<br />

eosinophily<br />

D. nihonkaiense Egg size 57 × 44 μm<br />

Woman<br />

(33)<br />

2008 France<br />

France<br />

Praziquantel Present paper<br />

ITS1 and 2, 18S<br />

rRNA, cox1<br />

Smoked salmon (Salmo<br />

salar) imported from<br />

Norway, purchased in<br />

France; poorly cooked perch<br />

from Switzerland; fish eaten<br />

Abdominal cramps,<br />

loose stools<br />

Egg size 48.5–52.5 ×<br />

62.5–70 µm; one of<br />

the proglottids longer<br />

than wide, with<br />

excentred uterus<br />

2010 Switzerland Boy (4) D. dendriticum<br />

in Asia<br />

Kuchta et al.,<br />

2012 [18]<br />

Single dose of praziquantel<br />

(750 mg)<br />

Cox1<br />

Salmons (O. tshawytscha, O.<br />

keta, O. kisutch, O. nerka, O.<br />

gorbuscha) and Coregonus<br />

autumnalis eaten in Alaska<br />

No symptoms<br />

reported; proglottids<br />

passed in faeces<br />

D. dendriticum Egg size 49.5 × 64 µm<br />

2011 Czech Republic Woman<br />

(28)<br />

Cox1: cytochrome c oxidase subunit 1; ITS: internal transcribed spacer of the 5.8S ribosomal ribonucleic acid; MT-ND3: mitochondrially encoded NADH dehydrogenase 3; NADH: reduced nicotinamide adenine<br />

dinucleotide; ND: not determined; rRNA: ribosomal ribonucleic acid.

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