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SINGAPORE: The tapeworm that grew in the gut of a patient here was so long that it was at least one and a half times his height. When fully stretched out, it measured all of 2.8m.

In order for it to be captured in an image taken by the Singapore General Hospital's (SGH) Department of Microbiology, the worm had to be folded 18 times to fit into the picture.

Despite its length, the patient showed no signs at all that a parasite was growing in his body.

"The patient was somewhat appalled when the worm was passed out via the rectum," said infectious diseases expert Hsu Li Yang.

Professor Hsu said the 2.8m-long worm seen in Singapore was clearly a tapeworm as no other human parasite can grow to such a



length.

"The question is what tapeworm, which will also help answer how the patient had acquired the worm."

An adult tapeworm has a head, neck and chain of segments called proglottids. During an intestinal infection, the tapeworm head sticks to the intestinal wall, and the proglottids grow and produce eggs.

People get tapeworms mostly by eating undercooked pork, beef or fish. From the egg obtained from a segment of the 2.8m-long tapeworm excreted out, the SGH's Department of Microbiology said the egg most closely resembled those of fish tapeworms.

Most fish tapeworms are acquired by the consumption of raw or undercooked freshwater fish, as well as fish that spend a considerable amount of their life in fresh water, such as salmon.

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