Animals Involved
Aquatic birds, people can be definitive hosts; freshwater fish are intermediate host
Known Distributions
Philippines, Thailand, also reported occasionally in other parts of Asia, Middle East, Cuba
Probable Means of Spreading
Ingestion of undercooked infected fish
Clinical Manifestations in People
Enteropathy with protein loss and malabsorption; diarrhea, abdominal pain; weight loss can be severe; death possible