Misidentification ofDiphyllobothriumSpecies Related to Global Fish Trade, Europe

To the Editor: Diphyllobothriosis, infection by tapeworms of the genus Diphyllobothrium (Cestoda: Diphyllobothriidea) (1), is a well-known disease of humans. In Europe, infections caused by 3 species of Diphyllobothrium have recently been reported in humans: D. latum is considered to be the principal species infecting persons in Europe (1); 4 cases of D. dendriticum infection and 6 cases of D. nihonkaiense infection have also been reported (2,3). Except for those caused by D. latum, which is autochthonous in northeastern Europe and subalpine lakes, most of the cases in Europe have been imported or caused by consumption of fish imported from areas to which the parasites are endemic (1,3,4). …