title: Capsule endoscopy is a feasible procedure for identifying a Diphyllobothrium nihonkaiense infection and determining the indications for vermifuge treatment.
abstract: Diphyllobothrium is a member of Cestoda family, which is the largest parasite of humans. The diagnosis of diphyllobothriasis is based on the detection of eggs in the stool. Because the remainder of the scolex causes a relapse in diphyllobothriasis, the scolex must be completely discharged to cure the parasite infection. However, the scolex or forefront of the Diphyllobothrium is difficult to detect with gastroduodenoscopy and colonoscopy, because most Diphyllobothrium attach to the jejunal wall. In the present case, capsule endoscopy detected proglottids as well as forefront of the parasite at jejunum. Based on the results of capsule endoscopy, the patient underwent additional vermifuge (anthelminthic) treatment to cure the diphyllobothriasis and discharged a worm measuring 3 m in length with a scolex. Capsule endoscopy is a practical option to determine whether additional vermifuge treatment is required through the detection of the proglottids as well as a scolex or forefront of the parasite.
authors: Department of Medicine, Division of Gastroenterology and Hematology/Oncology, Asahikawa Medical College, Asahikawa, Japan.
authors: Yoshiki
authors: Y
authors: Nomura
authors: Mikihiro
authors: M
authors: Fujiya
authors: Takahiro
authors: T
authors: Ito
authors: Katuyoshi
authors: K
authors: Ando
authors: Ryuji
authors: R
authors: Sugiyama
authors: Toshie
authors: T
authors: Nata
authors: Nobuhiro
authors: N
authors: Ueno
authors: Shin
authors: S
authors: Kashima
authors: Chisato
authors: C
authors: Ishikawa
authors: Yuhei
authors: Y
authors: Inaba
authors: Kentaro
authors: K
authors: Moriichi
authors: Kotaro
authors: K
authors: Okamoto
authors: Tetsuya
authors: T
authors: Yanagida
authors: Akira
authors: A
authors: Ito
authors: Katsuya
authors: K
authors: Ikuta
authors: Jiro
authors: J
authors: Watari
authors: Yusuke
authors: Y
authors: Mizukami
authors: Yutaka
authors: Y
authors: Kohgo
mesh_terms: D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D053704:Capsule Endoscopy; D004169:Diphyllobothriasis / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology*; D006801:Humans; D007579:Jejunal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology*; D008297:Male; D055815:Young Adult
chemical_list: D000871:Anthelmintics