초록
Echinostoma cineterchis(Trematoda: Echinostomatidae)의 인체감염 1예를 praziquantel 투여후 수집된 성충으로 확인하고 국내 계 4례로 기록하였다. 환자에서 이 흡충 감염과 관련된 특별한 증상은 없었고 송사리, 올챙이, 미판리 등을 생식한 경력이 있어 이들이 감염원이 되었을 것으로 추측되었다.
A human case of Echinostoma cinetorchii infection was found in Seoul Paik Hospital on August, 1987. Large trematode eggs, $98.9{\times}62.7{\mu\textrm{m}}$ in average size, were detected in stool examination. The eggs had a small.sired operculum and abopercular wrinkling. After treatment with praziquantel (single dose of 16.2mg/kg) and purgation with magnesium citrate, an adult fluke was collected. It was 8.0 mm long, equipped with 37 collar spines around head crown, and had only one testis just behind the Mehlis' gland. It was identified as E. cinetorchis Ando et Ozaki, 1923. The patient is an 18-year old man residing in Seoul, and was hospitalized due to nephritis. He had eaten raw meat juice of fresh water fishes such as top minnows (Orygias Satipes) and loaches, or tadpoles, which are considered possible source of this fluke infection. This is the 4th human case of E, cineterchis infection in Korea.