• Parasites, Hosts and Diseases
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• 제44권1호
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• pp.87-89
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• 2006

A 55-year old Korean man, living in Mokpo-city, Jeollanam-do, Republic of Korea, visited a local clinic complaining of right upper quadrant pain and indigestion. At colonoscopy, he was diagnosed as having a carcinoma of the ascending colon, and thus, a palliative right hemicolectomy was performed. Subsequently, an adult fluke of Gymnophalloides seoi was incidentally found in a surgical pathology specimen of the lymph node around the colon. The worm was found to have invaded gut lymphoid tissue, with characteristic morphologies of a large oral sucker, a small ventral sucker, and a ventral pit surrounded by strong muscle fibers. This is the first reported case of mucosal tissue invasion by G. seoi in the human intestinal tract.

• Parasites, Hosts and Diseases
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• 제39권1호
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• pp.31-41
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• 2001

The intestinal histopathology and in situ postures of Gymnophalloides seoi (Digenea: Gymnophallidae) were studied using C3H/HeN and C57BL/6 mice as experimental hosts; the effects of immunosuppression were also observed. The metacercariae isolated from naturally infected oysters, 300 or 1,000 in number, were infected orally to each mouse, and the mice were killed at days 3-21 post-infection (PI). In immunocompetent (IC) mice, only a small number of flukes were found in the mucosa of the duodenum and jejunum during days 3-7 PI, with their large oral suckers pinching and sucking the root of villi. The intestinal mucosa showed mild villous atrophy crypt hyperplasia, and inflammations in the villous stroma and crypt, with remarkable goblet cell hyperplasia. These mucosal changes were almost restored after days 14-21 PI. In immunosuppressed (IS) mice. displacement as well as complete loss of villi adjacent to the flukes was frequently encountered, otherwise the histopathology was generally mild, with minimal goblet cell hyperplasia. In these mice, numerous flukes were found, and it seemed that they were actively moving and rotating in situ. Several flukes were found to have invaded into the submucosa, almost facing the serosa. These results indicate that in IC mice the intestinal histopathology caused by G. seoi is generally mild, and the flukes do not penetrate beyond the mucosa, however, in IS mice. the flukes can cause severe destruction of neighboring villi. and some of them invade into the submucosa.

• Parasites, Hosts and Diseases
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• 제38권2호
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• pp.51-57
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• 2000

Follow-up studies have been conducted every three years on the endemicity of Gymnophalloides seoi infection in a small coastal village of Chollanam-do (Province), Korea, since it was first known as an endemic area in 1994. Special attention was given to its egg laying capacity in the human host. In fecal examinations, the overall helminth egg and/or cyst positive rate was 78.7% (74/94) in 1997 and 76.6% (82/107) in 2000. Among them G. seoi eggs showed the highest rate; 71.3% (67/94) in 1997 and 72.0% (77/107) in 2000. The average number of eggs per gram of feces (EPG) was 1,015 in 1997, while a reduced rate of 353 was observed in 2000. In 1997, total of 320,677 adult flukes of G. seoi (av. 10,344/person, 94-69,125 in range) were collected from the diarrheic stools of 31 treated patients. The EPG/worm obtained from 21 cases ranged from 0.04 to 0.77 (av. 0.23), suggesting density-dependent constraints on the worm fecundity. The relationship between the worm burden (X) and EPG/worm (Y) can be expressed as $Y=0.42{\cdot}e{\cdot}^{-l.2x}(r=0.49)$. The results showed that G. seoi infection is persistently endemic in this village.

• Parasites, Hosts and Diseases
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• 제45권1호
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• pp.39-44
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• 2007

A new endemic focus of Gymnophalloides seoi infection has been discovered on Aphae Island(Shinan-gun, Jeollanam-do), Republic of Korea. This area, which is referred to as Bokyong-ri, is a small seashore village located in the northern portion of the island. Fecal samples were collected from a total of 57 residents and examined by the Kato-Katz and formalin-ether sedimentation techniques. Helminth eggs were detected in 37 samples(64.9%); 33 samples were positive for G. seoi eggs(57.9%), 4 for Pygidiopsis summa(7.0%), 13 for other heterophyids(22.8%), 1 for Clonorchis sinensis(1.7%), and 1 for Trichuris trichiura(1.7%). Women(70.4%) revealed higher rates of G. seoi infection than did men(46.7%), and individuals older than 50 years of age also evidenced higher rates of G. seoi infection than in other age groups(P<0.05). In worm collection from 13 G. seoi egg positive cases, G. seoi (total 86,558 specimens), Heterophyes nocens(278), Stictodora sp.(10), Heterophyopsis continua(3), P. summa(3), and unidentified flukes(42) were collected. Oysters, the source of G. seoi infection, were collected from an area proximal to the village and 50 were examined for metacercariae; 47(94%) were found infected and the observed metacercarial density was $9.5{\pm}8.9$ per oyster. The results of this study indicate that Bokyong-ri is a new endemic area of G. seoi infection, with high rates of infection in humans and oysters.

• Parasites, Hosts and Diseases
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• 제37권1호
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• pp.21-26
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• 1999

The growth and development of Gymnophalloides seoi were studied in C3H/HeN mice and effects of immunosuppression of the host on the worm development were observed. Two hundred metacercariae of G. seoi were orally administered to each mouse, and worms were recovered on days 1, 3, 5, 7, 14 and 21 post-infection (PI). The worm recovery rate was significantly higher in immunosuppressed (ImSP) mice than in immunocompetent (ImCT) mice except on days 1 and 3 PI. The worms attained sexual maturity by day 3 PI with eggs in the uterus, and worm dimensions and the number of uterine eggs continuously increased until day 14 PI in ImSP mice. Worms recovered from ImSP mice were significantly larger in size than those from ImCT mice on days 1 and 3 PI, and the number of uterine eggs was significantly larger in ImSP mice on days 5 and 7 PI. Genital organs such as the ovary, testes, and vitellaria, that were already developed in the metacercarial stage. grew a little in size until day 14 PI. The results show that the C3H/HeN mouse is, though not excellent, a suitable laboratory host for G. seoi.

• Parasites, Hosts and Diseases
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• 제33권1호
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• pp.1-8
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• 1995

우리 나라 고유의 인체 기생 장흡충 Gwmopholloides seoi Lee, Chai and Hong, 1993은 급성 췌장염 환자에서 처음 발견되었고. 신안군 도서지방에 큰 유행지가 있음이 밝혀져 의학적 중요성이 점차 높아지고 있으나 지금까지 인체 감염원이 되는 제2중간숙주가 알려져 있지 않았다. 이번 연구에서는 자연산 참굴(Crossoskrea gigas)이 제2중간숙주의 하나일 것으로 추정하고 신안군 유행지에서 참굴을 채집한 후 gniulophallid metacercariae에 감염되어 있는지 조사하였다. 조사한 참굴 50마리 모두에서 glrnnophallid metacercariae가 발견되어 100%의 감염률을 보였고. 참굴 1마리 당 평균 610개(개체당 2-4.792개)의 감염량을 보였다 충체의 종은 추후 마우스 감염 실험을 통하여 G. seoi로 동정할 수 있었다. 유충(metacercariae)은 낭을 가지고 있지 않았고, 구흡반으로 참굴의 외투막(mantle surface)을 흡착하고 있었으며, 참굴의 절편 표본에서 참굴큰입흡충 속의 특징 중 하나인 복측흡(ventral pit)이 관찰되며. 복흡반 전방에 근육질이 아닌 생식공이 있고 저정낭으로 연결되어 있었다. 저정낭은 대부녁의 충체에서 단낭성(mono-sac)이어서 유일한 다른 종인 G. toiensis가 이낭성(bipartite) 저정낭을 가진 것과는 차이를 보였다. 이 연구를 통하여 참굴이 G. seoi의 제2중간숙주이며 동시에 가장 중요한 인체 감염원일 것으로 판단하였고, 이 흡충의 우리말 이름을 참굴큰입흡충으로 제안한다.

• Parasites, Hosts and Diseases
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• 제61권4호
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• pp.345-387
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• 2023

Paleoparasitology is a discipline that applies existing conventional and molecular techniques to study parasites found in ancient ruins. This review focuses on the history of the discovery of parasites (mostly helminth eggs and larvae) in archaeological soil samples and mummies in Korea from the Three Kingdoms Period to the Joseon Dynasty (100 BCE-1910 CE). We also briefly review important milestones in global paleoparasitology. The helminth species reported so far in Korea included Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis (larva), Trichostrongylus sp. (larva), Paracapillaria philippinensis (syn. Capillaria philippinensis), Enterobius vermicularis, Fasciola hepatica, dicrocoeliids, Paragonimus westermani, Clonorchis sinensis, Metagonimus yokogawai, Pygidiopsis summa, Gymnophalloides seoi, Isthmiophora hortensis, Dibothriocephalus nihonkaiensis (syn. Diphyllobothrium nihonkaiense), and Taenia spp. tapeworms. The findings obtained by Korean paleoparasitologists/archaeologists have brought about deep insight into the status of helminthic infections in Korea's past populations. Continued paleoparasitological research is essential for further understanding of ancient parasites and parasitic diseases in Korea.

• Parasites, Hosts and Diseases
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• 제34권1호
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• pp.21-26
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• 1996

우리 나라 고유의 인체 기생 장흡충의 하나인 참굴큰입홉충(Gvmophono천es seoi) 피낭유충에 대한 방사선 조사가 실험적 종숙주인 C3H 마우스 감염 능력에 어떠한 영향을 미치는지 관찰하였다. 유행지에서 굴을 채집하여 비조사 대조군 피낭유충 소사군 및 굴 조사군 등 3개 군으로 나누고, 각 군에서 얻은 피낭유충을 C3H 마우스 마리당 각각 100개씩 경구감염시킨 다음 7일째에 충체 회수율을 관찰하였다. 연구 결과, 피낭유충 조사군에서는 200 Gy 이상 조사시 대조군에 비해 유의하게 충체 회수율이 감소하였다. 생존 충체의 자궁 내 충란수는 50 Gy 이상 조사시 통계적으로 유의한 감소를 보였다. 굴 조사군에서는 50 Gy 이상 조사시 충체 회수율이 유의하게 감소하였으며 50 Gy 이상 조사시 자궁내 충란수의 유의한 감소를 보였다. 이상의 결과를 종합할 때 굴에 200-1 000 Gy를 조사할 경우 참굴큰입흡충 피낭유충의 갈멸 효과가 뚜렷하였으며, 따라서 이 흡충증 관리 방법의 하나로 이용할 수 있을 것으로 전망하였다.

• Parasites, Hosts and Diseases
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• 제33권3호
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• pp.165-172
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• 1995

참굴큰입흡충(Gymophazloides seoi) 피낭유충 및 성충의 표피층(일반 표피. 흡반 부위 및 ventral pit)의 미세구조를 투과전자현미경으로 관찰하였다. 피낭유충은 자연감염된 굴에서 분리하 였고. 성충은 실험감염시킨 C3H 마우스에서 획득하였다. 일반적으로 표피층은 합포체의 응기 및 굴곡이 심하지 않았고, 다수의 미토콘드리아와 수많은 작은 공포들이 관찰되었으며. 근육층 아래에 는 표피세포의 핵이 위치하고 있었다. 피낭유충과 성충에서 표피층의 구조적인 차이는 발견되지 않았다. 구흡반에는 잘 발달된 근육층이 분포하였고. 복흡반은 구흡반과 비슷한 구조였으나 합포체의 fold수가 구흡반보다 많았다. Ventralpit은 합포체층의 두께가 얇았으며. 많은 수의 microtubule 과 미토콘드리아가 관찰되었다. 주위에는 종주근과 윤주근 다발들이 잘 발달되어 있었다. 이상의 결과로 보아 참굴큰입흡충 표피층의 미세구조는 피낭유충과 성충 사이에 별다른 차이가 없었으며 흡충류의 일반적인 구조와 대체로 일치하였다. 이 흡충의 특징적 구조물인 ventralpit은 괄약근 또는 보조 흡착기관으로서의 역할을 수행할 것으로 생각하였다.

• Parasites, Hosts and Diseases
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• 제43권1호
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• pp.1-5
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• 2005

The prevalence of parasitic infections was investigated in human immunodeficiency virus (HIV)-infected patients (n = 105) who visited Seoul National University Hospital, Seoul, Korea, during the period from 1995 to 2003. Fecal samples were collected from 67 patients for intestinal parasite examinations, and sputum or bronchoalveolar lavage samples from 60 patients for examination of Pneumocystis carinii. Both samples were obtained from 22 patients. Thirty-three ($31.4\%$) of the 105 were found to have parasitic infections; Cryptosporidium parvum ($10.5\%$; 7/67), Isospora belli ($7.5\%$; 5/67), Clonorchis sinensis ($3.0\%$; 2/67), Giardia lamblia ($1.5\%$; 1/67), Gymnophalloides seoi ($1.5\%$; 1/67), and Pneumocystis carinii ($28.3\%$; 17/60). The hospital records of the 11 intestinal parasite-infected patients showed that all suffered from diarrhea. This study shows that parasitic infections are important clinical complications in HIV-infected patients in the Republic of Korea.