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   https://media.npr.org/assets/img/2018/01/19/wormphotoimg_0439_wi   
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   Put away the soy sauce and wasabi and get ready to be grossed   
   out.   
      
   A Fresno man and avid lover of sushi — more specifically, salmon   
   sashimi — pulled a 5 1/2 foot-long tapeworm out his own body. It   
   had been growing inside of him for some time.   
      
   Dr. Kenny Banh recounted the gruesome story as a guest on a   
   recent episode of "This Won't Hurt A Bit," a medical podcast   
   that dissects odd or unusual health cases with experts.   
      
   As Banh tells it, about two months ago he was working in the   
   emergency room at Community Regional Medical Center in Fresno,   
   Calif., when a young man walked in complaining of bloody   
   diarrhea. But, unlike other patients who come in with similar   
   ailments of abdominal pain and cramping, this guy also asked to   
   be treated for worms.   
      
   https://media.npr.org/assets/img/2018/01/19/wormpaperphotoimg_04   
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   The request seemed odd to Banh, but then the anonymous young man   
   handed him a plastic grocery bag. And that's when Banh saw it.   
      
   "I take out a toilet paper roll, and wrapped around it, of   
   course, is what looks like this giant, long tapeworm," Banh said   
   on the Jan. 8 podcast.   
      
   Apparently, the man was sitting on the toilet when the worm   
   began wriggling its way out of him. He thought he was dying,   
   Banh said. Going through the man's mind? " 'Oh, my goodness, my   
   guts are coming out of me!' " Banh recalled.   
      
   As the man began pulling on the worm, and it continued sliding   
   out inch by inch, the creature began moving — and rather than   
   faint, he felt relieved. They weren't his entrails gooping out,   
   but rather a tapeworm, he realized.   
      
   When rolled out on the floor of lobby of the emergency   
   department, Banh says, the parasitic worm — officially called a   
   helminth — was as long as he is tall: 5 feet, 6 inches. While   
   that is uncomfortably long, it's not a record. According to Dr.   
   Jessica Mason, who co-hosts the podcast, a tapeworm can grow up   
   to 40 feet in length.   
      
   Banh and the patient were initially confounded over how the   
   tapeworm ended up in the man's body. He reported no trips abroad   
   and couldn't recall drinking any questionable water. But then   
   the man confessed his deep love of salmon sashimi. "I eat raw   
   salmon almost everyday," he admitted to Bahn.   
      
   A 2017 study published by the U.S. Centers for Disease Control   
   and Prevention found that wild salmon caught in Alaska could be   
   infected with Japanese broad tapeworm — a parasite previously   
   believed to only infect fish in Asia. And the CDC warned, "The   
   risk of becoming infected with the Japanese tapeworm parasite is   
   most prevalent when consuming raw or undercooked fish,   
   particularly in dishes such as sushi, sashimi and ceviche." The   
   CDC says the parasite and the larvae that are buried deep in   
   salmon muscle can be destroyed when fish is adequately cooked or   
   frozen.   
      
   Still, the infection remains uncommon in humans. Only about   
   2,000 cases have been reported in people — mostly in   
   northeastern Asia, according to Roman Kuchta, the lead   
   researcher on the study. (Pork and beef tapeworms, which are a   
   different genus, are relatively more common in America, but the   
   CDC still estimates there are less than 1,000 such cases a year   
   in the U.S.)   
      
   Most of the time, this type of tapeworm leads to only minor   
   symptoms, says the CDC. Often, people don't even know they have   
   it. But in exceptional cases the infection can cause   
   complications including vitamin B12 deficiency, intestinal   
   obstruction and gall bladder disease.   
      
   Treating the parasite is simple. A single dose of de-worming   
   medication — the exact same pill given to dogs — is all it takes   
   to kill all the worms.   
      
   In the meantime, Banh says the man plans to lay off the sashimi.   
   For now.   
      
   https://www.npr.org/sections/thetwo-way/2018/01/19/579130873/man-   
   pulls-5-1-2-foot-long-tapeworm-out-of-his-body-blames-sushi-habit   
       
      
   --- SoupGate-DOS v1.05   
    * Origin: you cannot sedate... all the things you hate (1:229/2)