Parasites, Hosts and Diseases

  • 제59권3호
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  • Pages.311-317
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  • 2021
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  • 2982-5164(pISSN)
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  • 1738-0006(eISSN)
대한기생충학·열대의학회 (The Korea Society for Parasitology and Tropical Medicine)
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Taenia saginata Infection Misdiagnosed as Acute Cholecystitis in a Tibetan Patient, in China

  • Han, Xiu-Min (Clinical Research Institute of Hydatid Disease, Qinghai Provincial People's Hospital) ;
  • Zhang, Xue-Yong (State Key Laboratory of Plateau Ecology and Agriculture, Qinghai University, Qinghai Academy of Animal Sciences and Veterinary Medicine, Qinghai University) ;
  • Jian, Ying-Na (State Key Laboratory of Plateau Ecology and Agriculture, Qinghai University, Qinghai Academy of Animal Sciences and Veterinary Medicine, Qinghai University) ;
  • Tian, Qing-Shan (Clinical Research Institute of Hydatid Disease, Qinghai Provincial People's Hospital)
  • 투고 : 2020.07.16
  • 심사 : 2021.04.13
  • 발행 : 2021.06.30
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초록

The present study reports a rare case of Taenia saginata infection, which was initially diagnosed as acute cholecystitis in a Tibetan patient at the Qinghai-Tibetan Plateau pastoral area, China. A 45-year-old female was initially diagnosed with acute cholecystitis at a hospital in China. She had a slight fever, weight loss and constipation and complained of pain in the upper abdomen and left back areas. Increase of monocyte, eosinophil and basophil levels were shown. Taenia sp. eggs were detected in a fecal examination. An adult tapeworm approximately 146 cm in length, whitish-yellow color, was collected from the patient after treatment with traditional Chinese medicine. The adult tapeworm had a scolex and proglottids with genital pores. The scolex was rectangular shape with 4 suckers and rostellum without hooklet. The cox1 gene sequence shared 99.5-99.8% homology with that of T. saginata from other regions in China. The patient was diagnosed finally infected with T. saginata by morphological and molecular charateristics.

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과제정보

This study was carefully reviewed by the ethics committee of Qinghai Provincial People's Hospital in accordance with relevant medical ethics regulations, because the study involved the isolation of T. saginata from a patient and was therefore subject to the principles of medical ethics. We obtained approval (Approval No. 2016-12) from the ethics committee, ensuring that the study met the relevant requirements of the ethics committee and maintained the rights of the patient. This study was focused only on T. saginata isolated from a patient and did not involve any personal privacy information (individual details, images or videos). Before T. saginata deworming, the patient was informed that the tapeworm would be further identified or used for scientific research. She knew this and agreed to the publication of biological information about the tapeworm. We are grateful to the staff working in Qinghai Provincial People's Hospital for their assistance with collecting the samples and data. This research was supported by the Basic Scientific Independent Research Project of Qinghai Academy of Animal Science and Veterinary Medicine (MKY-2019-10) and the Qinghai University Young and Middle Research Foundation Project (2018-QNY-1).

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