• Parasites, Hosts and Diseases
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• 제22권2호
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• pp.171-180
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• 1984

우리 나라의 인체기생 이형흡충류(요꼬가와흡충, Heterophyes heterophyes nocens, Stellantchasmus falcatus, Heterophyopsis continua, Pygidiopsis summa) 및 간흡충 충란의.비교형태학적 특징을 관찰함으로써 대편검사에 의한 이들의 진단에 도움이 되도록 하고자 이 연구를 실시하였다. 충란은 감염자를 치료하여 얻은 각 충체의 자궁말단으로부터 분리한 것을 사용하였고 전체적인 외형 및 형태는 물론 길이, 폭 및 길이1폭의 비를 구하여 종별로 비교검토하였다. 결과를 요약하면 다음과 같다. 1. 간흡충 충란은 전단부가 오목한 약간 긴 난원형이며, 길이 $25.3-33.2{\mu}m$(평균 $28.3{\mu}m$), 폭 14.2-17.4 (15.9)${\mu}m$, 길이1폭의 비가 1.60~2.00(1.78)이었다. 이들은 난각에 주름(wrinkling)이 뚜렷한 점에서 관찰한 모든 이형흡충류 충란과 구별되었다. 2. P. summa의 충란은 난원형 또는 서양배 모양이며 관찰한 충란중 가장 작은 점이 특징이었고, 길이 $19.8~22.9(21.6){\;}{\mu}m$, 폭 $11.1~13.4(12.1){\mu}m$, 3 비는 1.63~1.99(1.78)이었다. 3. S. falcatus의 충란은 장란소형이며 가장 길쭉한 형태인 것이 특징이었고, 길이 $25.3~29.2(27,2){\;}{\mu}m$, 폭 $11.1~13.4(12.5){\mu}m$, 비는 2.00~2.57(2.17)이었다. 요꼬가와흡충 충란은 유타원형 또는 타원형이며 양단이 둥근 편이었고, 길이 $26.9~31.6(28.5){\mu}m$, 폭 $14.2~18.2(16.8){\mu}m$, 비는 1.48~2.11 (1.70)이 었다. 5. H. continua 충란은 난형이었고 요꼬가와흡충란이나 H. h. nocens 충란과 비슷한 경우도 많으나 충란의 길이에 비해서 폭이 가장 크고 최대폭이 충란 후반부에 있는 점이 특징적이었으며, 길이 $23.7~27.7(25.0){\mu}m$, 폭 $15.8~15.9(16.4){\mu}m$, 비는 1.33~1.75(1.53)이었다. 6. H. h. nocens의 충란은 유타도형 또는 난원형이나 요꼬가와흡충보다는 다소 덜 팽대되어 있고 양단이 다소 뾰족한 감을 주는 것이 특징이며, 길이 $23.7~29.2(25.7){\mu}m$, 폭 $14.2~15.8(15.4)){\mu}m$, 비는 1.50~2.06(1.67)이었다. 이상의 결과로 볼 때 5종 이형흡충류 및 간흡충 충란은 형태학적으로 서로 감별할 수 있을 것으로 생각되나 많은 수의 충란에 대한 세밀한 관찰과 계측이 요구된다는 것을 알 수 있었다.

• Parasites, Hosts and Diseases
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• 제47권3호
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• pp.243-247
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• 2009

The prevalence of liver and intestinal helminth infections, including Opisthorchis, Haplorchis, Phaneropsolus, hookworms, Enterobius, and Taenia, was surveyed in Khammouane province, Lao PDR. Fecal specimens were collected from 1,242 people (590 men and 652 women) in 3 Mekong riverside villages and were examined by the Kate-Katz thick smear technique. The overall helminth egg positive rate was 81.1%. The positive rate for small trematode eggs, including Opisthorchis viverrini, heterophyids, and lecithodendriids, was 81.1% and the positive rate for hookworms was 6.7%. To obtain adult worms, 35 people who were positive for small trematode eggs were treated with 20-30 mg/kg praziquantel and 10-15 mg/kg pyrantel pamoate, and then purged. Diarrheic stools were collected from 33 of these people and searched for helminth parasites using a stereomicroscope. Mixed infections with various helminths (Haplorchis taichui, Haplorchis yokogawai, Prosthodendrium molenkampi, Phaneropsolus bonnei, echinostomes, hookworms, Trichostrongylus spp., Trichuris trichiura, Enterobius vermicularis, and/or Taenia saginata) were found. The total number of helminth specimens collected was 20,907 (approximately 634 per person). The most common species was H. taichui, followed by P. molenkampi, 0. viverrini, P. bonnei, E. vermicularis, hookworms, and Trichostrongylus spp. These results show that diverse species of intestinal nematodes, trematodes, and cestodes are infecting humans in Khammouane province, Lao PDR.

• Parasites, Hosts and Diseases
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• 제30권2호
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• pp.75-82
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• 1992

Heterophyes necens의 표피 미세구조를 주사전자현미경으로 관찰하였다. 충체는 실험 감염시킨 고양이에서 얻은 성충과 인체 자연감염자에서 회수한 성충을 재료로 하였다. 충체는 나뭇잎 모양이며 복측으로 약간 굽어 있었고, 유원형 또는 서양배 모양이며 전반부는 등글고 후반부로 갈수록 충체의 폭이 차츰 감소하였다. 구흡반 주위에는 짧은 섬모가 있는 제 I형 감각유두가 4∼5개씩 모인 군집 감각유두가 관찰되었으며 그 사이 사이에 단일 감각유두가 분포하였다. 구흡반 외연 및 직후방에는 5∼9개의 분지를 가진 피극이, 구흡반과 복흡반 사이에는 12∼17개의 분지를 가진 피극이 분포하였다 복흡반의 구순에는 표피가 둥글게 융기한 제 II형 감각유두가 7∼8 개 일정 간격으로 위치하였다. 구흡반과 복흡반 사이에는 우측과 좌측에 각각 5개 및 6개의 감각유두로 구성된 군집 감각유두가 3개군씩 대칭적으로 배열되어 있었고 그 사이에 단일 감각유두가 분포하였다. 고양이에서 회수한 성충의 생식반은 흔히 함몰되거나 약간만 돌출되어 있어 gonotyl spine을 관찰하기 어려웠으나, 환자에서 얻은 성충은 대부분의 경우 생식반이 충체 바깥으로 돌출되어 있었고, gonotyl spine의 수는50∼60개이었다. 복흡반 외측 및 후방에는 8∼12개의 분지를 가진 피극이 각각 관찰되었으며, 충체의 후반부로 갈수록 피극의 분지 수가 점차 감소하여 후단에서는 1∼3개의 분지를 가진 피극이 관찰되었고 피극의 밀도도 점차 낮아지는 양상을 띠었다. 충체 배측에는 4∼5개의 감각유두가 모인 군집 감각유두 4쌍이 좌우 대칭적으로 배열되어 있었다. 충체 배측의 점반부에는 15∼20개의 분지를 가진 피극이 분포하였고 후반부로 갈수록 분지 양상이 감소하여 배측 후 단에서는 8~12개의 분지를 가진 피극이 관찰되었다. 또, 후반부로 갈수록 피극의 밀도가 점차 낮아지는 양상을 보였다. 이상의 결과로 보아 대. nocens 성충의 표피 미세구조는 다른 이형흡충류의 경우와 비슷하나 생식반 외연에 분포하는 gonotyl Spine의 수가 50∼60개인 점, 전 표피에서 관찰되는 피극 및 감각유두의 특이한 분포 등은 H. nocens의 특징적 소견이라고 생각되었다.

• 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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• 제45권3호
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• pp.213-218
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• 2007

The prevalence of liver and intestinal fluke infections was surveyed on residents of Savannakhet Province, Laos. Fecal specimens were collected from a total of 981 residents in 4 Mekong riverside villages and examined by the Kato-Katz thick smear technique. The results revealed that the overall helminth egg positive rate was 84.2%, and the positive rate for small trematode eggs, including Opisthorchis viverrini, heterophyids, or lecithodendriids, was 67.1 %. To obtain adult flukes, 38 small trematode egg positive cases were treated with a 20-30 mg/kg single dose of praziquantel and purged. Diarrheic stools were then collected from 29 people and searched for helminth parasites using stereomicroscopes. Mixed infections with O. viverrini and 6 kinds of intestinal flukes were found, namely, Haplorchis taichui, Haplorchis pumilio, Haplorchis yokogawai, Prosthodendrium molenkampi, Phaneropsolus bonnei, and echinostomes. The total number of flukes collected was 7,693 specimens (av. no. per treated person; 265.3). The most common species was O. viverrini, followed by H. taichui, P. molenkampi, echinostomes, H. pumilio, P. bonnei, and H. yokogawai. The results indicate that foodborne liver and intestinal fluke infections are prevalent among residents of Savannakhet Province, Laos.

• Parasites, Hosts and Diseases
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• 제47권1호
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• pp.37-47
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• 2009

National surveys on the prevalence of intestinal parasitic infections have been carried out every 5-7 years since 1971 in the Republic of Korea in order to establish control measures. The present nationwide survey was conducted from June to December 2004. The 10% population sampling data of Population and Housing Census by the Korean government in 2000 was used as the survey population. One sample was selected randomly from each of the 22,858 registered subjects, and a total of 20,541 people were ultimately included in this survey. Fecal examinations were performed by the cellophane thick smear and saturated brine flotation techniques. Pinworm infection was examined by cello-tape anal swab method. This survey also included a questionnaire study for a socioeconomic analysis. The total helminth egg positive rate was 3.7%, and the estimated total positive number among nationwide people was 1,780,000. The rates in urban and rural areas were 3.1% and 6.8%, respectively. As the total egg positive rate in the 6th survey in 1997 was 2.4%, the present survey showed that there was a considerable degree of increase in the prevalence rate of intestinal parasitic infections over the 7-year period following the 6th survey. The largest increases occurred in the egg positive rates of Clonorchis sinensis and heterophyids including Metagonimus yokogawai.

• Parasites, Hosts and Diseases
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• 제51권3호
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• pp.305-311
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• 2013

In this study, we found that Haplorchis taichui, a heterophyid intestinal fluke, is highly prevalent, with heavy worm loads, among riparian people in Saravane and Champasak province, Lao PDR. Fecal specimens were collected from 1,460 people (717 men and 743 women) in 12 riparian (Mekong river) districts and were examined by the Kato-Katz fecal smear technique. The overall helminth egg positive rate was 78.8% and 66.4% in Saravane and Champasak province, respectively. The positive rate for small trematode eggs (STE), which included H. taichui and other heterophyids, Opisthorchis viverrini, and lecithodendriids, was 69.9% and 46.3% in Saravane and Champasak province, respectively. To obtain adult flukes, 30 STE-positive people were treated with 40 mg/kg praziquantel and then purged. Whole diarrheic stools were collected 4-5 times for each person and searched for fluke specimens using a stereomicroscope. Mixed infections with various species of trematodes (H. taichui, Haplorchis pumilio, O. viverrini, Prosthodendrium molenkampi, Centrocestus formosanus, and Echinochasmus japonicus) and a species of cestode (Taenia saginata) were found. However, the worm load was exceptionally high for H. taichui compared with other trematode species, with an average of 21,565 and 12,079 specimens per infected person in Saravane and Champasak province, respectively, followed by H. pumilio (41.9 and 22.5, respectively) and O. viverrini (9.4 and 1.5, respectively). These results show that diverse species of intestinal and liver flukes are prevalent among riparian people in Saravane and Champasak province, Lao PDR, with H. taichui being the exceptionally dominant species.