Abstract
The rabbits were infected with Clonorchis sinensis and were treated with praziquantel at the dose of $50{\;}mg/kg{\times}2회{\times}2$ days after 1,2,4,8 weeks and 7 months from the infection. Their livers were observed histopathologically 1, 4 and 12 weeks after treatment. The findings are summarized as below. 1. The changes of the liver in control rabbits were relatively mild until 2 weeks after infection. However, widening and thickening of bile ducts, proliferation of biliary epithelium and periductal fibrosis were moderate after 4 weeks from infection and those changes were severe after 8 weeks and 7 months. Goblet cell metaplasia was found after 8 weeks from infection. 2. The mild changes of 2-week infection group were completely recovered by 4 weeks after the treatment. In the groups of 4 or more weeks after infection, the changes of bile ducts became milder in the degree after the treatment, but were still found 12 weeks after the treatment. As the infection duration was passed, more severe changes were observed after the treatment. In this context, it is concluded that the liver changes of acute clonorchiasis in the early two weeks are reversible by treatment while chronic biliary epithelial changes are irreversible. Therefore, early treatment should be recommended as possible to minimize the remaining histopathological changes of liver in clonorchiasis.
간흡충(Clonorchis sinensis)에 감염된 토끼에 프라지관텔을 $50{\;}mg/kg{\times}2회{\times}2일의$ 용법으로 투여하여 12주 후까지 간의 조직병리학적인 소견을 관찰한 바 아래의 결론을 얻었다. 감염 2주까지 관찰된 간내 담관 상피층의 미약한 증식, 담도주위 염증과 부종 등은 치료 4주 후에 모두 소실되어 이 때 까지의 변화는 가역적인 것으로 판단된다. 그러나 감염 4주 이후에는 치료 후 1주에 이미 상당히 정도가 약해 졌으나 12주까지도 담관과 담관상피층의 증식이 많이 완화된 수준으로 계속 관찰되었고 담관주위 섬유화도 지속되었다. 이러한 잔존 병변은 감염 후 경과한 기간이 길수록 정도가 심하였다. 간흡충증이 감염 초기가 아니면 치료 후에도 간에 형성된 병변이 잔존하는 것으로 미루어, 감염자의 감염 후 2~4주 이내의 조기치료가 중요하다고 판단된다.