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- Sotaro Ozaka, Ryusuke Soma, Haruhiko Takahashi, Yuta Shimomori, Masahide Fukuda, Koshiro Tsutsumi, Yuka Hirashita, Kensuke Fukuda, Ryo Ogawa, Kazuhiro Mizukami, Yomei Kagoshima, Nozomi Sachi, Naganori Kamiyama, Hideo Hasegawa, Takashi Kobayashi, Masaaki Kodama, and Kazunari Murakami.
- Department of Gastroenterology, Faculty of Medicine, Oita University, Japan.
- Intern. Med. 2024 Nov 1; 63 (21): 293929422939-2942.
AbstractA 35-year-old man with fever and diarrhea visited our hospital because of white string-like fecal excretion. Based on a morphological examination of the excreted object, a Diphyllobothrium infection was suspected. Additionally, Gram staining of a fecal sample revealed Campylobacter infection. After the intraduodenal administration of meglumine/diatrizoate sodium, the tapeworm was excreted. A polymerase chain reaction-based DNA sequence analysis demonstrated that the tapeworm excreted in this case was Diphyllobothrium nihonkaiensis. This report presents a rare case of coinfection with Diphyllobothrium nihonkaiensis and Campylobacter jejuni. Therefore, it is important to consider the coexistence of other intestinal infections when diagnosing parasitic infections in patients with fever.
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