• Parasites, Hosts and Diseases
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• 제55권3호
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• pp.313-317
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• 2017

Paragonimiasis is a parasitic disease caused by Paragnonimus species. The primary site of infection is the lung, and extrapulmonary involvement is also reported. When infected with Paragonimus westermani, which is the dominant species in Korea, the central nervous system is frequently involved along with the liver, intestine, peritoneal cavity, retroperitoneum, and abdominal wall. Ectopic paragonimiasis raises diagnostic challenge since it is uncommon and may be confused with malignancy or other inflammatory diseases. Here, we report an ectopic paragonimiasis case initially presented with recurrent abdominal pain. The patient developed abdominal pain 3 times for the previous 3 years and the computed tomography (CT) of the abdomen revealed fluid collection with wall enhancement. Recurrent diverticulitis was initially suspected and part of the ascending colon was resected. However, the specimen showed intact colon wall without evidence of diverticulitis and multiple parasite eggs and granulomas were found instead. The size of about $70{\mu}m$, the presence of an operculum and relatively thick egg shell suggested eggs of Paragonimus species. With appropriate exposure history and a positive antibody test, the definitive diagnosis was made as peritoneal paragonimiasis.

• Parasites, Hosts and Diseases
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• 제22권2호
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• pp.209-214
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• 1984

본 조사는 우리나라의 결핵환.자에 대한 기생충검사로서 마출결핵병원 환자와 공연결핵병원 환자에 대하여 장내기생충 감염상태를 formalin-ether 세전법으로 검사하였다. 아울러 폐 및 간디스토마 피내반응검사도 실시하였다. 1. 마산결핵병원 환자의 사내기생충감염률은 피검자 329명중 170명으로 51.7%의 탕성률을 보였고, 그중 후충란이 68명(20.7%), 그리고 간디스토마 충란양성자가 58명 (17.6%)이었다. 2. 공연결핵병원 환자에 있어서는 장내기생충감염률이 피검자 215명중 39명으로서 18.1%의 양성률을 나타내었는데 그중 편충란이 14명(6.5%)이었고, 간디스토마 충란이 13명(6.0%) 있었다. 3. 마출결핵병원 환자에 대한 폐 및 간디스토마 피반응성적은 피검자 322명중 폐디스토마피내반응폭성자가 71명으로 22.0%, 그리고 간디스토마피내반응양성자가 121명으로 37.6%이었다. 4. 공주결핵병원환자에 대한 폐 및 간디스토마피내내반응성적은 피검자 243명중 폐디스토마 피내반응양성자가 37명으로 15.2%, 그리고 간디스토마 피내회응 양성자가 66명으로 27.2%이었다.

• Journal of Preventive Medicine and Public Health
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• 제10권1호
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• pp.71-79
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• 1977

An epidemiological study of clonorchiasis sinensis and paragonimiasis westermani prevailed among the people of a rural county. The author studied the infection rates of of clonorchiasis sinensis and paragonimiasis westermanl in the inhabitants of Chungsong Gun, Kyungbuk Province, Korea. The examinations were carried out from March 1965 to November 1965 fowards 1.303 inhabitants whose ages were ranging from three months to over sixty years. All the inhabitants were tested intradermally with clonorchis and paragonimus antigen and then confirmed the eggs by M. G. L. technique and sputum test. The results of the examination were summarized as follows : 1. Out of the persons tested, 15.8% were infected with clonorchiasis sinensis. 2. Out of the persons tested with paragonimus antigen, 20.9% were infected with Paragonimus westermani. 3. The infection rate of paragonimiasis was higher than that of clonorchiasis. 4. The infection rate of clonorchiasis in male was 20.8% (147 out of 706), while that in female was 7.1% (58 out of 597). The infection rate of paragonimiasis in male was 21.2% (150 out of 706), while that in female was 20.1% (120 out of 597). 5. The maximum infection rates of clonorchiasis and paragonimiasis were observed among the $45{\sim}49$ age group (65.2% and 43.5%) respectively), however it was gradually decreased in the senile group. 6. By occupation, the maximum infection rate of clonorchiasis was observed in policemen (45.7%) and the maximum carrier of eggs (by sputum test) was observed in the unemployed (paragonimiasis). 7. By education, the maximum infection rate of clonorchiasis was observed in the unepmloyed (28.9%) and the maximum carrier of eggs (by sputum test) was observed in the unemployed (paragnoimiasis).

• Parasites, Hosts and Diseases
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• 제30권1호
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• pp.1-14
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• 1992

폐흡충(Paragonimus westermani)이 숙주의 폐조직 내에서 성숙하는 동안 숙주에게 항체생성을 유도하는 물질의 폐흡충 충체조직내 분포하는 부위와 성숙하는 동안 숙주가 생성하는 항체의 면역반응 정도를 확인하기 위하여 폐흡충 피낭유충을 실험고양이에 감염시키고 발육단계 별 충체와 면역항체를 얻어 조직항원과 면역항체를 반응시켜 환금입자를 표지하였다. 황금입자가 표지된 조직 항원을 전자현미경으로 관찰하고 황금입자의 밀도에 따라 조직성분의 항원성을 측정한 결과 감염군 면역항체를 반응시킨 경우 숙주체내에서 4 주 동안 성숙한 유약성충 조직항원은 표피충의 표피합포체에 높은 밀도의 황금입자가 표지되어 항원성이 강한 것으로 관찰되었다. 8 주 이상 성숙한 충체부터 조직항원은 표피충에 환금 입자의 표지가 현저하게 감소하여 12 주 이상 성숙한 충체 표피층은 항원성이 미약한 것으로 관찰되었다. 12 주 이상 성숙한 충체는 난황세포의 구성물질들에 각각 항원성이 특이하게 나타나며 유연조직의 분비과립과 맹관 그리고 배설낭의 구성 물질들은 충체의 성숙정도에 상관없이 항원성을 포함하고, 숙주가 생성하는 항체는 감염 후 12 주부터 16 주사이에 항체생성이 극대 화되는 것으로 생각되었다.

• Parasites, Hosts and Diseases
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• 제47권1호
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• pp.25-29
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• 2009

Paragonimus harinasutai metacercariae were found in a species of freshwater crab, Indochinamon ou, collected in a small stream of Namback District, Luang Prabang Province, Lao PDR. Adult flukes were recovered after experimental infection of the metacercariae to dogs. Metacercariae were round or slightly elliptical, $0.666{\times}0.626\;mm$ in average size, and had a thin cyst wall of about $20{\mu}m$ in thickness, a black excretory bladder, convoluted ceca, and some pinkish materials in the body. Adults were somewhat elongated, $95.2{\times}36.5\;mm$ in average size, covered with single-tipped tegumental spines, had a smaller oral sucker than the ventral sucker, a moderately branched ovary, and 5-6 lobulated testes. Eggs were ovoid and bilaterally symmetrical in shape, $79{\times}45{\mu}m$ in average size, and had a uniformly thickened shell. By the present study, it has been confirmed that I. ou is a new second intermediate host for P. harinasutai.

• Parasites, Hosts and Diseases
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• 제29권1호
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• pp.31-42
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• 1991

폐흡충(Paragonimus westermani)에 감염된 숙주에 대해 항체 생성을 유도하는 물질이 분포하고 있는 부위를 화인하기 위하여 대조군의 IgG와 폐홉충에 감염된 실험 개의 특이 IgG를 폐흡충 유약성충 조직에 반응시키고 면역황금표식법을 이용하여 전자현미경으로 관찰하여 다음과 같은 결과를 얻었다. 대조군의 IgG를 반응시킨 유약성충 표피층은 표피세포에서 분비되는 물질이 포함된 표피 합포체로 구성되어 기저층과 분명하게 구별되었으며 근육층도 잘 발달되어 있었다. 난황세포는 크기가 다양한 분비과립 등을 포함하고 있었으며 특히 조면소포체가 발달되어 있었다. 맹관의 막구조물은 잘 발달되었으며 장상피 합포체도 잘 발달되어 있었다. 한펀, 폐흡충에 감염된 실험동물의 특이 항체로 반응시킨 유약성충 표피충의 표피 합포체와 표피세포의 세포질에 황금입자의 매우 특이적인 표식가 관찰되었고 난황세포에서는 분필과립에 황금 입자가 높은 밀도로 관찰되었다. 그리고 맹관 상피 합포체는 미약하게 황금 표지가 되었고 맹관 막구조물과 맹관 내강에도 특이하게 황금 표지가 관찰되었지만 표피 합포체와 표피세포보다 밀도가 낮게 관찰되었다. 이상의 결과로 폐홉충에 감염된 실험 개는 폐흡충의 표피 합포체와 표피세포에서 생성된 물질과 난황세포에서 생성된 물질에 의하여 면역항체가 형성되며 일부는 맹관 내용물에 의해 약간의 면역항체가 유도되는 것으로 생각되었다.

• Parasites, Hosts and Diseases
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• 제21권2호
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• pp.257-264
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• 1983

In order to obtain more specific antigenic preparation for the diagnosis of human paragonlmiasis, crude saline extract of whole worm (=PwWWE), secretory.excretory components (PwSEC) and secretion-excretion-free somatic extract (PwSM) of 12 week-old ParagoninBus westermani were filtrated through Sephadex G-200 gel column. The adult Paragonimus worms were obtained from expevimentally infected doge. A total of 11 antigenic solutions was Iyophilised or diluted to adjust protein content of 1mg/ml. To evaluate the antigenicity of crude antigens and fractions, micro-ELISA was done with the sera from P westermani in(ected cases, C. sinensis infected cases and non-infected control cases to detect Paragonimus specific IgG antibody. The results were as follows: 1. When the PwWWE was filtrated through Sephadex G-200 gel, it was separated into three fractions; PwWWE Fr. 1, PwWWE Fr. 2 and PwWWE Fr. 3. The percentage of protein content was 28.0%, 21.6% and 50.4% respectively. The PwSM was also. separated into three fractions; PwSM Fr. 1, PwSM Fr. 2, PwSM Fr. 3. and their percentage of protein content was 41.3%, 38.6% and 20.1%. However, the PwSEC showed different fractionation pattern; i.e. fraction 1 (=PwSEC Fr.1) and 3 (PwSEC Fr. 3) without fraction 2. The percentage of protein content was 14.0% in PwSEC Fr. 1 and 86.0% in PwSEC Fr. 3. 2. When the antigenicity of each Paragonimus crude antigen and fractionated antigen was evaluated for specific IgG aritibody by micro-ELISA in 10 human paragonimiasis sera, PwSEC Fr, 1 was the most potent antigen showing the mean absorbance 1.98. The PwWWE Fr. 1, PwSEC, PwWWE were next to that: their mean absorbance were 1.72, 1.38 and 0.83 respectively. The antigenicity of fractions 2 and 3 was much weaker in binding specific IgG antibody. 3. When the antigens were reacted in micro-ELISA with 10 human clonorchiasis sera, most antigens showed weak reactivity. Each fraction 1 of crude antigens reacted higher than other fractions or crude antigens; the mean absorbance was 0.17 in fraction 1, but in others the absorbances were about 0.06. 4. With non-infected control sera, the result of micro-RLISA revealed almost same pattern with those of the clonorchiasis sera. From the above results, it became apparent that PwWWE Fr. 1, especially PwSEC Fr. 1 was the most potent antigen reacted with Paragonisfaus specific IgG antibody.

• 농촌의학ㆍ지역보건
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• 제7권1호
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• pp.66-73
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• 1982

Paragonimus westermani is one of the most popular endemic parasitic diseases in Korea. The nation-wide prevalence survey were carried out by Gobayashi (1921) with sputum examination and by Walton and Chyu (1959) with the intradermal skin test respectively. Recent studies showed the decline of positive rate in intradermal skin test of the local inhabitants and also showed the less distribution of intermediate host. The fact seemed that caused by economic improvement of village people, decrease of intermediate host by increasing use of pesticides, becoming lower water level at streams and rivers and better irrigation and finally by better community health education etc. Gangwha area of Gyeonggi-Do was found out as an endemic area of Paragonimus westermani through some studies in the past, however, in the vicinity area of Gangwha, the study in Kyodong island (myon) was carried out in 1965 by Yun et al. Therefore author carried out the intradermal skin test for 2,380 students of primary, middle and high school in Kyodong island and Samsan island. The results showed as follows : 1) The positive rate of intradermal test for paragonimus westermani infection showed positive in 152 among 1,845 students (8.2%) in Kyodong island, and 21 among 637 students (3.3%) in Samsan island respectively. 2) According to grade levels, 49 among 973 students (5.0%) in primary school, 62 among 962 students (6.4%) in middle school and 53 among 445 students (11.9%) in high school showed positive rate. This showed the higher grade the higher positive rate. 3) Among these total 164 positive cases in the intradermal skin test, only in 3 cases eggs were found in sputum. 4) Finding out the intermediate host, only 28 crayfishes from Kyodong island and 12 from Samsan island were collected and examined for metacercaria infection, however, none of metacercaria was found. 5) As a control group, 2 primary schools from the main island were selected. In these schools from the sixth grade students showed positive rate of 4.8% in Naega primary school and 0% in Hajeom Primary school respectively. Those results showed much decrease than studies carried out in the past. 6) The survey for food habit showed that 15 among 1,274 students (1.2%) had experiences of eating raw intermediate host(crayfish) and 266 among 988 students (27.0%) ate cooked.

• 농촌의학ㆍ지역보건
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• 제16권2호
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• pp.154-164
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• 1991

Albendazole is a broad spectrum anthelmintics with high activity against intestinal nematodes as well as tremtodes and cestodes infections. But so far wormicidal effect of albendazole against Paragonimus westermani is uncertain. The present study undertaken to observe the morphological changes of Paragonimus westermani which was obtained from experimentally infected with metacercariae isolated from Cambaroides similis and 9 of them were given albendazole 2 doses of 25mg/kg daily for the 2 days and 4 days from the day of 20 weeks after infection. The Paragonimus werms were collected from the lung of the cats which were autopsied at 24 hours after treatment. The fine structures of the collected worms were studied by means of scanning and transmission electron microscopy. The findings of the observations were compared with those of untreated worms. The results are as follows : 1) In the scanning electron microscopic(SEM) observations, the worms obtained from 2 days treated group showed many blebs which were formed on the surface of damaged tegument in between two suckers. Protrusion of oral sucker typically observed and surrounding tegumental ridges were damaged. 2) The worms obtained from 4 days treated group showed marked contraction revealing half size of normal worms. 3) The transmission electronmicroscopic(TEM) observations indicated that large blebs of irregular shapes were formed by the destruction of tegumental ridge of tegumental syncytium and also showed degeneration of mitochondriae. 4) Destruction of tegumental syncytium formation of blebs were usually observed in the ventral side of the worms. 5) Differentiation of tegumental layer and basement layer muscular layer and parenchymal layer around two suckers of worms obtained at 4 days treated group was difficult. 6) Many host cells invaded and destroyed the degenerated tegument by the occurrence of blebs or the exposed muscular layer of the worm after exfoliation of the tegument.

• Parasites, Hosts and Diseases
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• 제26권4호
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• pp.239-244
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• 1988

폐홉충의 생리식염수 추출액을 항원으로 효소면역측정 법을 실시하여 특이 IgG항체 황성도를 측정하면 폐홉충중 현증 환자를 민감하고도 특이하게 감별할 수 있다. 진단에 사용하는 생리식염수 추출액은 조항원(조항원)므로 그 구성단백질중 환자 혈청내 특이항체와 반응하는 단백질항원이 어느 것인지에 패해서는 아직도 논란의 대상이 되고 있다. 조항원 중 특이항원을 정확히 판단하면 드물게 나타나는 교차반응의 기전을 이해하는데에도 도움이 될 분만 아니라 종특이 단일 단백질 항원을 제작할 수 있게 하는 데에도 기초가 된다. 이 연구는 폐홉충 성충의 생리식염수 추출액 중 폐홉충중 환자 혈청과 반응하는 단백질 분최을 관찰하기 위하 여 실시하였다. 개에 실험적으로 감염시킨지 13주째에 얻은 폐흡충 성충의 생리 식염수 추출액을 10∼15% linear gradient gel에서 환원조건하의 SDS-PAGE론 실시하였다. Coomassie염색결과 단백질 대(대) 15개를 판별할 수 있었고 그 분자량은 80, 51, 46, 45, 30, 25, 23, 21, 19, 16.5, 15.5, 14.3, 13. 12 및 10 hDa이었다. 그중 23, 16.5, 14.3, 13, 12 및 10 kDa가·진하게 염색되는 주(주) 단백질대이었다. 활동성 폐흡충증으로 확진한 환자 20명의 혈청을 효소면역전기영동이척법(immunoblot)으로 분리된 단백질대 에 반응시켰을 때에 46, 30및 23 kDa단백질에 가장 가장 강하게 반응하였다. 그 중에서도 30 kDa는 가장 많 은 환자 혈청과 반응하였고 가장 강한 반응이 나타났다. 그리고 46 kDa 및 23 kDa에서도 강한 반응이 있었다.