Diphyllobothriasis natural history
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Kalsang Dolma, M.B.B.S.[2] Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[3]
Overview
If left untreated, patients with diphyllobothriasis may progress to develop cholecystitis/cholangitis and anemia. Common complications of diphyllobothriasis include Megaloblastic anemia, cholecystitis/cholangitis, and intestinal obstruction. Prognosis is generally good.
Natural History
The symptoms of diphyllobothriais usually develop after eating undercooked or raw infected fish meat and start with symptoms such as abdominal pain, diarrhea, and tiredness. The symptoms of diphyllobothriasis typically develop five weeks after exposure to infected meat. Without treatment, the patient will develop symptoms of perianal itching, which may eventually lead to secondary skin infections.
Complications
- Megaloblastic anemia
- Intestinal obstruction
- Migration of proglottids can cause cholecystitis or cholangitis.
Prognosis
- Diphyllobothriasis can be removed with a single treatment dose. There are no lasting effects.