Eucestoda the "broad tapeworm" or "fish tapeworm") and related species. Humans become infected by eating raw, undercooked, or marinated fish acting as a second intermediate or paratenic host harboring metacestodes or plerocercoid larvae. Clinical symptoms are due to the large size of the tapeworm, which often reaches a length exceeding 15 m. The most common symptom is pernicious anemia, caused by the absorption of vitamin B12 by the worm. Other symptoms include various intestinal issues, slight leukocytosis, and eosinophilia. This condition is caused by the plerocercoid larvae of the tapeworm "Spirometra". Humans become infected by drinking contaminated water, eating raw or
Paratyphoid fever spread by eating or drinking food or water contaminated with the feces of an infected person. They may occur when a person who prepares food is infected. Risk factors include poor sanitation as is found among poor crowded populations. Occasionally, they may be transmitted by sex. Humans are the only animal infected. Paratyphoid B is more frequent in Europe. It can present as a typhoid-like illness, as a severe gastroenteritis or with features of both. Herpes labialis, rare in true typhoid fever, is frequently seen in paratyphoid B. Diagnosis is with isolation of the agent in blood or stool and