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An Evaluation on the Prevalence and Reinfection after Medication of Patients with Clonorchis sinensis in an Endemic Locality (간흡충 만연 일 지역에서 투약 후 유병률 및 재감염율 조사)

  • Kim, Suk-Il;Park, Jong;Kim, Ki-Soon;Yang, Ae-Hyang;Kim, Young-Lak
    • Journal of agricultural medicine and community health
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    • v.24 no.2
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    • pp.225-232
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    • 1999
  • A survey of an endemic locality at Songjung Ri, Ogok Myun, Goksung County, South Cholla Province for the prevalence of Clonorchis sinensis and Metagonimus yokogawai was primarily done on 53 residence before medication using formalin-ether concentration method of stool examination. After praziquantel medication of all the clonorchiasis patients, 64 humans consisting 82.1% of total inhibitants and including 84.9% of primarily surveyed residents were secondly surveyed after 2-year post-treatment to evaluate the prevalence and reinfection. The prevalence of clonorchiasis was decreased from 35.8% before medication to 10.9% after medication(P<0.01), indicating this disease was not satisfactorily controlled although the rate was significantly lowered. The prevalence of metagonimiasis was dropped from 17.0% to 6.3% on post-treatment. In clonorchiasis cases, sex ratio showed no difference in both pre- and post-treatment, and mean age was the sixties after medication from the forties and fifties before medication, suggesting more aged people of both sexes were infected with this fluke. The reinfection of clonorchiasis and metagonimiasis following 2-year post-treatment was 15.8% and 25.0%, respectively. The proportion of reinfection among the egg positive cases was 50.0% in clonorchiasis and 100% in metagonimiasis. These findings mean that a high fraction of clonorchiasis and metagonimiasis was reinfected with these trematodes. In conclusion, to eradicate the C. sinensis and M. yokogawai in an endemic area, it should be preceded to control the reinfection of these parasites.

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Studies on Intestinal Trematodes in Kores XIV. Infection Status of Loaches with Metacercariae of Echinostoma cinetoychis and Their Development in Albino Rats (한국의 간흡충에 관한 연구 XIV. 미꾸리의 이전고환극구흡충(Echinostoma cinertorchis) 피낭유충 감염상황 흰쥐내에서의 성장발육)

  • 서병설;박양의
    • Parasites, Hosts and Diseases
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    • v.22 no.2
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    • pp.181-189
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    • 1984
  • The metacercariae of Echinostoma cineterchis (Trematoda: Echinostomatidae) were found infected in the loaches (Misgurnus anguillicaudatus) purchased from two local markets in Korea. Identification of the metacercariae was done after obtaining adult worms from experimentally infected albino rats. Brief course of worm development in rats was also observed up to 28th post-infection day. The results are as follows: 1. The metacercariae of E. cinetorchis were detected from 5 (10.9%) out of 46 loaches examined and the average metacercarial burden per infected loach was 34.4. They were always found from the posterior abdominal wall. 2. The worm recovery rate from 8 rats was 24.6% in average. It was observed that the rate decreased according to age of infection; from 40.7% after 6 days to 15.0% after 28 days. 3. The adult worms were morphologically characterized by the presence of head crown with derfally uninterrupted collar spines, 37-38 in number, and the tendency of migration or disappearance of testes. So that they were identified as Echinostoma cinetorchis Ando et Ozaki, 1923. 4. The development of worm was very rapid during 6-10 days after infection and became much slower thereafter. During the rapid worm growth the development of genital organs was more prominent than that of non-genital organs. From the results it is concluded that the loach is involved in the life cycle of E. cinetorchis in this country and may take a role for infection source to animals and man. It is also confirmed that migration or loss of testes is the distinct specific character of this echinostomatid fluke.

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Infection Status with the Metacercariae of Heterophyid Trematode in Mullet and Goby Collected from Western Coastal Areas of Cholla-do, Korea

  • Sohn, Woon-Mok;Moon, Byung-Chul
    • Biomedical Science Letters
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    • v.7 no.1
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    • pp.31-37
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    • 2001
  • The present study was performed to investigate the infection status of heterophyid fluke metacercariae in mullets and gobies collected from some coastal areas of cholla-do. The collected fishes were transferred to the laboratory, artificially digested with pepsin-HCI solution and examined under a stereomicroscope. In 70 mullets examined, the metacercariae of Heterophyes nocens (in 28.6% of fish), Heterophyopsis continua (in 2.9%), Pygidiopsis summa (in 32.9%) and Stictodora spp. (in 14.3%) were detected. The metacercariae of H nocens were detected in mullets from Shinan-gun (in 60.0% of fish), Muan-gun (in 54.4%), Hampyong-gun (in 25.0%) and Yonggwang-gun (in 16.7%). The average metacercarial density per infected fish were 7.6,34, 10 and 5 in each areas. A total of 7 metacercariae of H. continua was detected in only 2 mullets from Hampyong-gun. The metacercariae of p. summa were detected in mullets from Haenam-gun (in 80.0% offish), Muan-gun (in 27.3%), Hampyong-gun (in 16.7%) and Puan-gun (in 100%). The average metacercarial density per infected fish were 350, 14, 5 and 97 in each areas. The metacercariae of Stictodora spp. were detected in mullets from Shinan-gun (in 26.7% offish), Hampyong-gun (in 33.3%) and Puan-gun (in 20.0%). The average metacercarial density per infected fish were 2.8, 18.8 and 2.5 in each areas. In 70 gobies examined, the Metacercariae of H nocens (in 15.7% of fish), H continua (in 47.1%) and Stictodora spp. (in 48.6%) were detected. The metacercariae of H. nocens were detected in gobies from Shinan-gun (in 50.0% of fish) and Yonggwang-gun (in 10.0%). The average metacercarial density per infected fish were 71 and 2 in each areas. The metacercariae of H. continua were detected in gobies from Shinan-gun (in 65.0% of fish), Hampyong-gun (in 70.0%) and Yonggwang-gun (in 60.0%). The average metacercarial density per infected fish were 5.7,6.6 and 3.2 in each areas. The metacercariae of Stictodora spp. were detected in gobies from Shinan-gun (in 80.0% offish), Hampyong-gun (in 70.0%) and Puan-gun (in 40.0%). The average metacercarial density per infected fish were 149,203 and 5.5 in each areas. From the above results, it was confirmed that the mullet and goby from some coastal areas of cholla-do are infected with numerous metacercariae of heterophyid trematodes.

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Intestinal Helminths Recovered from Humans in Xieng Khouang Province, Lao PDR with a Particular Note on Haplorchis pumilio Infection

  • Chai, Jong-Yil;Sohn, Woon-Mok;Jung, Bong-Kwang;Yong, Tai-Soon;Eom, Keeseon S.;Min, Duk-Young;Insisiengmay, Bounnaloth;Insisiengmay, Sithat;Phommasack, Bounlay;Rim, Han-Jong
    • Parasites, Hosts and Diseases
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    • v.53 no.4
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    • pp.439-445
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    • 2015
  • A survey of intestinal helminths was undertaken in riparian people in Xieng Khouang Province, Lao PDR. Fecal specimens were collected from 643 people (289 males and 354 females) residing in 4 districts (Nonghet, Kham, Phoukout, and Pek) and were examined by the Kato-Katz technique. The overall helminth egg positive rate was 41.2%, and hookworms revealed the highest prevalence (32.7%) followed by Trichuris trichiura (7.3%) and Ascaris lumbricoides (5.6%). The positive rate for small trematode eggs (STE), which may include Opisthorchis viverrini, heterophyids, and lecithodendriids, was 4.4%. For recovery of adult helminths, 12 STE or nematode/cestode egg-positive people were treated with 40 mg/kg praziquantel and 15 mg/kg pyrantel pamoate, and then purged. Mixed infections with 2 Haplorchis species (H. pumilio and H. taichui), Centrocestus formosanus, Opisthorchis viverrini, a species of cestode (Taenia saginata), and several species of nematodes including hookworms and Enterobius vermicularis were detected. The worm load for trematodes was the highest for H. pumilio with an average of 283.5 specimens per infected person followed by C. formosanus, H. taichui, and O. viverrini. The worm load for nematodes was the highest for hookworms (21.5/infected case) followed by E. vermicularis (3.2/infected case). The results revealed that the surveyed areas of Xieng Khouang Province, Lao PDR are endemic areas of various species of intestinal helminths. The STE found in the surveyed population were verified to be those of heterophyids, particularly H. pumilio.

Hyperendemicity of Haplorchis taichui Infection among Riparian People in Saravane and Champasak Province, Lao PDR

  • Chai, Jong-Yil;Yong, Tai-Soon;Eom, Keeseon S.;Min, Duk-Young;Jeon, Hyeong-Kyu;Kim, Tae-Yun;Jung, Bong-Kwang;Sisabath, Lay;Insisiengmay, Bounnaloth;Phommasack, Bounlay;Rim, Han-Jong
    • Parasites, Hosts and Diseases
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    • v.51 no.3
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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.

The effect of reinfection with Neodiplostomum seoulensis on the histopathology and activities of brush border membrane bound enzymes in the rat small intestine (서울주걱흡충의 재감염이 흰쥐 소장의 조직병리 및 미소융모막효소 활성도에 미치는 영향)

  • 유재란;홍성태
    • Parasites, Hosts and Diseases
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    • v.33 no.1
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    • pp.37-44
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    • 1995
  • Neodiplostomum seoulensis, one of the human intestinal trematodes , was reinfected to albino rats, and worm recovery rates, histopathology and activity changes of the intestinal brush border membrane bound enzymes were observed. The experimental groups were three: uninfected, primary infection and reinfection. The worm recovery rate in the reinfection group was much lower than in the primary infection group 14 days after infection. The duodenal histopathology showed villous atrophy during the first and second week in the primary infection group. In the reinfection group, however. villous changes occurred as early as 3 days after the infection, and the lesion was found healed 7 days after infection. The activities of alkaline phosphatase and sucrase in the duodenum of primary infection rats decreased nearly half of the controls 2 weeks after infection, whereas the activities were unchanged in the reinfection group. However, no changes in the activities were observed in the proximal jejunum between the experimental groups. These findings suggested that a secondary infection of N. seouLensis in rats should make less damage on the intestinal mucosa than a primary infection. Key words: Neoniplostomum seoulensis, albino rats, reinfection, worm recovery, histopathology, brush border membrane bound enxyines.

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Echinostoma aegyptica (Trematoda: Echinostomatidae) Infection in Five Riparian People in Savannakhet Province, Lao PDR

  • Chai, Jong-Yil;Jung, Bong-Kwang;Chang, Taehee;Shin, Hyejoo;Sohn, Woon-Mok;Eom, Keeseon S.;Yong, Tai-Soon;Min, Duk-Young;Phammasack, Bounlay;Insisiengmay, Bounnaloth;Rim, Han-Jong
    • Parasites, Hosts and Diseases
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    • v.58 no.1
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    • pp.67-72
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    • 2020
  • Human infection with Echinostoma aegyptica Khalil and Abaza, 1924 (Trematoda: Echinostomatidae) is extremely rare. In this study, we confirmed E. aegyptica infection in 5 riparian residents living along the Mekong River in Savannakhet Province, Lao PDR. The patients revealed eggs of Opisthorchis viverrini/minute intestinal flukes, echinostomes, and other parasites in fecal examinations using the Kato-Katz technique. Following treatment with praziquantel 30-40 mg/kg and pyrantel pamoate 10-15 mg/kg in a single dose and purging with magnesium salts, adult specimens of various helminth species were collected. Among the trematodes, echinostome flukes of 4.5-7.6 mm in length (n = 134; av. 22.3 specimens per case) were of taxonomic interest and subjected in this study. The flukes were morphologically characterized by having total 43-45 collar spines arranged in 2 alternating rows (corner spines usually 5 on each side) and compatible with previous descriptions of E. aegyptica. The patients were mixed-infected with other helminths, so specific clinical manifestations due to this echinostome fluke were difficult to determine. The present paper describes for the first time human E. aegyptica infections in Lao PDR. This is the second report of human infection (2nd-6th cases) with E. aegyptica in the world following the first one from China.

Korean molluscs as auxiliary hosts for parasites: A study of implications for pathogen transmission in a changing climate (기생충의 보조숙주로서의 한국산 연체동물 감염 실태: 기후변화에서 병원체 전파의 영향에 대한 고찰)

  • Park, Gab-Man
    • The Korean Journal of Malacology
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    • v.28 no.1
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    • pp.13-19
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    • 2012
  • To determine the status of Korean molluscs infection and relation with climate change of Korean peninsula, references were reviewed. Wild animals serve as intermediate, reservoirs and paratenic hosts to zoonotic parasites of human beings. Trematode are common parasites of molluscs and almost all trematodes infect mollusks as the first host in the life cycle, and most have a complex life cycle involving other hosts. The significance of auxiliary hosts to the ecology of the parasite has not been proper discussion. There is increasing concern as to the impact of climate change on the epidermiology of many parasitic diseases. A total of 21 species for snail transmitted parasites from Korean molluscs has been reviewed. Among them, 15 species was aquatic mollusks and 6 species for marine mollusks. Maximum infections belonged to Semisulcospira livertina had 11 kind of parasite pathogenic organisms, including Paragonimus westermani, Metagonimus yokogawai, Centrocestus armatus, Notocotylus magniovatus, Centrocestus formosanus, incerte cercaria, nipponensis cercaria, Yoshidae cercaria, cristata cercaria, innominatum cercaria and Metagonimus sp. And 11 in Parafossarulus manchouricus including Clonorchis sinensis, Asymphylodora japonica, Cyathocotyle orientalis, Exorchis oviformis, Notocotylus attenuatus, Echinochasmus japonicus, Loxogenes liberum, Cercariae of Loxogenes liberum Type I, Cercariae of Loxogenes liberum Type II, Furcocercus cercariae (Family Sanguincolidae) and Cercaria of Mucobucaris, 10 in Semisulcospira sp. including Paragonimus westermani, Metagonimus yokogawai, Centrocestus armatus, Echinochasmus redioduplicatus, Notocotylus magniovatus, Cercaria incerte, Cercaria nipponensis, Cercaria yoshidae, paludinarum cercaria and Metagonimus sp., 7 in Koreanomelania globus including Pseudexorchis major, Cercaria of parapleurolophocercous type, Metagonimus sp. (A & B), Cercaria nipponensis, Cercaria inserta and Cercaria yoshidae. Also, Tapes philippinarum have 3 pathogenic organisms including Cercariae tapidis, Cercariae furcocercus and Parvatrema sp. In particular, under climatic extremes such as floods and drought, aquatic molluscs may play a more prominent role in parasite transmission in the future.

Two endemic foci of heterophyids and other intestinal fluke infections in southern and western coastal areas in Korea (전북 부안군과 경남 사천군 해안지역에서 발견한 이형흡충류 및 기타 장흡충류의 유행지)

  • 채종일;송태의
    • Parasites, Hosts and Diseases
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    • v.36 no.3
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    • pp.155-162
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    • 1998
  • Two endemic foci of heterophyid infections were discovered in coastal villages of Puan-gun. Chollabuk-do, and Sachon-gun. Kyongsangnam-do, Korea. Fecal examina- tions were performed on 153 inhabitants of Puan-gun and 138 of Sachon-gun, using cellophane thick smear and formalin-ether sedimentation technique. The helminth egg and/or protozoan cyst positive rate was 21.5% (33/153) in Puan-gun and 39.1% (54/138) in Sachon-gun. In Puan-fun, the egg Positive rate of heterophyids was the highest, 17.6%, and that of other parasites was 0.7-2.6% by parasite species. In Sachon-gun, that of heterophyids wa's 18.8%, followed by Clonorchis sinensis (12.3%). and other parasites (0.7-5.OBEI . Twenth-two (Puan-gun) and six (Sachon-gun) heterophyid egg Positive cases were treated loth praziquantel, and adult flukes were collected from their diarrheic stools. A total of 3,284 adult flukes of Heterophyes nocens was collected from all of the 22 patients treated in Puan-gun (3-778 individually) , and other trematodes were also collected from 2- 15 patients; Ftgidiopsis sumac, Stellcntchcsmus JcEcctus, Metogoninus Wokogaupci, M. miyntci, Stictodora Juscnta, Heterophwopsis continua, Acnnthopcrwphium kurognmo, and GWmnophaELoines seoi. In Sachon-gun, M. yokognwci (3,007 specimens), H. nocens (120), aud S. falcatus (46) were collected from 5 of 6 treated patients, and H. continuo and 5. tan each from one patient. The present study revealed that heterophyid flukes, especially If. nocens and M. Wokofowai, are prevalent in the southern and western coastal areas of Korea where fresh and/or brackish water fishes are popularly eaten raw.

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Epidemiological Studies of Digenetic Trematodes in Yongyang County, Kyungpook Province (경북 영양퇴역 흡충류 역학조사)

  • 정동일;김영인
    • Parasites, Hosts and Diseases
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    • v.29 no.4
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    • pp.325-338
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    • 1991
  • The present study was undertaken to determine the endemicity of trematode infections in Yongyang County, Kyungpook Province, Korea. One hundred and seventy-seven out of 955 residents examined were found to be infected with one or more kinds of helminthes. The prevalence rate was 18.5%. Among them, 70 were found to be infected with Clenorchis sinensis, 74 with Meta-gonimus sp. and 2:l with both flukes. The eggs of Fasciolidae were demonstrated from two specimens. The prevalence rate of clonorchiasis in males was 12.6%, while that in females was 3.6% (p<0.05). The prevalence of metagonimiasis in males was 12.0% and was also significantly higher than 6.1% in females (p<0.05). The intensity of both infections was significantly heavier in males than in females. The prevalence of both nukes was higher in residents of oyer 30 years of age than in those below that age. No correlation was found between the intensity and the age group. Among eight species of the fresh-water fish collected at the Panbyon River, Zacco temmincki was found to be the most frequently and heavily infested with metacercariae of Metagonimus sp., and Gnathopogon asromaculatus alone was found to be infested with metacercariae of Clonorchis sinensis. The present results suggest that Yongyang area still remains endemic with Clonorchis sinensis and Metagonimus sp. infection.

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