Following-up on the last case study, here is a crossword puzzle to challenge you on Diphyllobothriasis. You should be able to complete the crossword by referring to the previous case study. As always, I hope you enjoy it and feel free to use it as an educational exercise for students.
Until next time … all the very best!

HINTS
5) D. latum competes for vitamin B12 in the host by utilizing it and preventing its …
6) The end effect of praziquantel on the D. latum worm is to cause expulsion due to flaccid ….
8) Praziquantel interferes in D. latum by interfering with the metabolism of ….
9) D. latum worms have been known to exist in human host for up to or longer than this many years …
10) The abopercular end of the D. latum egg has a small …
11) The shell of D. latum is described as not thick but instead ….
14) This type of anemia results in abnormally large, structurally abnormal red cells and is due to B12 deficiency …
16) The infection with D. latum can result in an anemia that is described as …
18) Vitamin B12 is also known as ….
19) The areas in the United States most likely to have infections with D. latum are the Great Lakes and ….
20) The eggs of D. latum passed in the feces are not mature but are described as ….
Down
1) Tapeworms belong to this group of Helminths …
2) The circumboreal distribution of human tapeworm may be due to globalization, human migration, and …
3) The eggs of D. latum have at one end a prominent …
4) This species of Diphylobothridae are the most commonly associated with infection because of it’s expansive geographic distribution …
5) Many infections with D. latum are said to be ….
7) Source of Diphyllobothridae infections are due to the consumption of undercooked or raw ….
8) This source of D. latum infection should be cooked, to prevent transmission of D. latum, to a temperature of 63 degrees ….
12) Roundworms belong to this Helminth group …
13) This species of Diphylobothridae are common to Japan …
15) Flatworms belong to this Helminth group …
17) This developmental form will hatch out of the D. latum egg to be ingested by crustaceans …
The completed crossword is to follow in the next posting

