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Case Reports
A fatal case of complex hepatic alveolar echinococcosis
Li Xin, Li Mengmeng, Yu Huixia, Zan Runna, Li Guojun, Shang Rongjian, Yu Jia
Parasites Hosts Dis 2026;64(1):98-103.
Published online January 22, 2026
DOI: https://doi.org/10.3347/PHD.25022
Hepatic alveolar echinococcosis (HAE), a life-threatening zoonosis, poses formidable surgical challenges when involving critical vasculature. Herein, we reported the periprocedural management dilemmas in radical resection for advanced HAE. A 58-year-old female visited the outpatient department presented with HAE. Imaging examination revealed extensive invasion of the hilum, bile duct, and several hepatic vessels, as well as left adrenal metastasis. The patient underwent right trisegmentectomy with left hepatic vein reconstruction, auto-transplantation, and adrenalectomy, with intraoperative Doppler demonstrating patent portal flow before abdominal closure. However, emergency thrombectomy and transcatheter thrombolysis were performed due to the abrupt occurrence of portal vein thrombosis 3 h after surgery. Despite intervention, the residual liver volume remained insufficient (approximately 28% of the standard liver volume), leading to progressive liver failure. The patient expired from multiorgan failure 9 days after operation. This case underscores not only the critical balance between radical resection and preservation of residual liver function in the surgical management of complex HAE, but also the imperative need to establish a comprehensive postoperative thromboprophylaxis.
  • 197 View
  • 9 Download
Feline heartworm (Dirofilaria immitis) infection in stray cats in Ulsan, Korea
Jihyun Kim, Miryeng Kim, Seungjin Lee, Youngmin Yun
Parasites Hosts Dis 2026;64(1):92-97.
Published online January 22, 2026
DOI: https://doi.org/10.3347/PHD.25076
Feline heartworm (Dirofilaria immitis) infection is an uncommon but clinically significant disease in Korea. A retrospective review of electronic medical records from a secondary referral animal hospital in Ulsan, Korea, identified 2 antigen-positive (1.5%) cases among 130 stray cats tested between 2019 and 2023, while no infections were detected in 298 client-owned cats. As antigen testing may yield false-negative results in cats with male-only infections, the true prevalence is likely underestimated. This report describes the clinical and echocardiographic findings of 2 infected stray cats. Case 1 involved successful long-term management of heartworm-associated respiratory disease, with the cat remaining healthy for 4 years following diagnosis. Case 2 demonstrated persistent evidence of adult heartworms and sudden death after an asymptomatic period of 1 year. Echocardiography in Case 2 revealed multiple hyperechoic double lines within the pulmonary arteries, consistent with intraluminal adult worms. These cases illustrate the diagnostic challenges and variable clinical outcomes of feline heartworm infection, emphasizing the need for increased awareness in Korea.
  • 372 View
  • 31 Download
Fasciola hepatica infection in Korean water deer (Hydropotes inermis argyropus)
Na-Hyeon Kim, Min-Gyeong Seo, Bumseok Kim, Yu Jeong Jeon, In Jung Jung, Il-Hwa Hong
Parasites Hosts Dis 2025;63(3):243-247.
Published online August 20, 2025
DOI: https://doi.org/10.3347/PHD.25021
Fasciola hepatica is a species of zoonotic liver flukes with a broad range of definitive hosts worldwide. However, this liver fluke has not been detected in Korean water deer (Hydropotes inermis argyropus). This study provides the first evidence for Korean water deer being a definitive host of F. hepatica.
  • 2,948 View
  • 52 Download
Amoebic enteritis: A clinicopathological analysis of 14 cases and literature review
Lining Wang, Linghong Kong, Yang Jiao, Jun Li, Xinpeng Zhang, Huizhong Xue, Xiaogang Liu
Parasites Hosts Dis 2025;63(2):168-173.
Published online May 26, 2025
DOI: https://doi.org/10.3347/PHD.24081
Amoebic enteritis is often misdiagnosed or overlooked due to its nonspecific clinical presentation. This study presents a comprehensive clinicopathological analysis of 14 confirmed cases of amoebic enteritis, examining their clinical manifestations, histopathological features, and responses to treatment. Periodic acid-Schiff and hexamine silver stains were employed to aid in diagnosis. A review of the relevant literature is also included to improve recognition and diagnostic accuracy of this uncommon but clinically significant condition.
  • 2,111 View
  • 35 Download
Thelazia callipaeda (Nematoda: Spirurida) infections in 2 wildlife species, Prionailurus bengalensis and Nyctereutes procyonoides, in Korea
Jinho Jang, Young-Seok Park, YoungMin Yun, Keeseon S. Eom, Seongjun Choe
Parasites Hosts Dis 2025;63(1):95-101.
Published online February 25, 2025
DOI: https://doi.org/10.3347/PHD.24079
Thelazia callipaeda (Spirurida, Thelaziidae), a parasitic eye worm causing thelaziasis has been reported in humans and dogs in Korea. However, its occurrence in other potential reservoir hosts, including wild animals, remains unclear. In the present study, we described the 2 cases of thelaziasis from both of feral and captive wild animal in Korea. In August and November 2017, 2 cases of the parasitic infections were found in the third eyelid of rescued leopard cat Prionailurus bengalensis and reared raccoon dog Nyctereutes procyonoides at the Chungnam Wild Animal Rescue Center. A total of 20 and 24 worms were detected from the left and right eyes of leopard cat, respectively. In the left eye of the raccoon dog, 5 worms were recognized. Male worms were 969–11,860 μm long (10,600 μm on average) and 300–320 μm width (315 μm on average). Female worms were 13,430–15,330 (14,480) μm long and 320–370 (344) μm wide in size. They commonly had a characteristic scalariform buccal cavity and short esophagus. The vulva openings were located at the anterior of esophago-intestinal junction in females. The thelaziasis is reported in 2 species of wildlife, P. bengalensis and N. procyonoides, for the first time in Korea.

Citations

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  • Detection of intestinal parasites in leopard cat fecal samples using shotgun metagenomics
    Jun Ho Choi, Singeun Oh, Myung-hee Yi, Dongjun Kang, Du-Yeol Choi, Xavier Chavarria, Arwa Shatta, Yoon Hee Cho, Seongjun Choe, Seung-Hun Lee, Ju Yeong Kim
    Parasites, Hosts and Diseases.2025; 63(4): 349.     CrossRef
  • 3,658 View
  • 96 Download
  • 1 Web of Science
  • Crossref
A case of disseminated strongyloidiasis diagnosed by worms in the urinary sediment
Young-Ha Lee
Parasites Hosts Dis 2024;62(2):238-242.
Published online May 27, 2024
DOI: https://doi.org/10.3347/PHD.23124
Strongyloidiasis is a chronic infection caused by the intestinal nematode parasite Strongyloides stercoralis and is characterized by a diverse spectrum of nonspecific clinical manifestations. This report describe a case of disseminated strongyloidiasis with urination difficulty, generalized weakness, and chronic alcoholism diagnosed through the presence of worms in the urinary sediment. A 53-year-old man was hospitalized for severe abdominal distension and urinary difficulties that started 7–10 days prior. The patient also presented with generalized weakness that had persisted for 3 years, passed loose stools without diarrhea, and complained of dyspnea. In the emergency room, approximately 7 L of urine was collected, in which several free-living female adult and rhabditiform larvae of S. stercoralis, identified through their morphological characteristics and size measurements, were detected via microscopic examination. Rhabditiform larvae of S. stercoralis were also found in the patient’s stool. During hospitalization, the patient received treatment for strongyloidiasis, chronic alcoholism, peripheral neurosis, neurogenic bladder, and megaloblastic anemia, and was subsequently discharged with improved generalized conditions. Overall, this report presents a rare case of disseminated strongyloidiasis in which worms were detected in the urinary sediment of a patient with urination difficulties and generalized weakness combined with chronic alcoholism, neurogenic bladder, and megaloblastic anemia.

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  • Tropical gastrointestinal infections of contemporary public health importance
    Carlos Seas, Pedro Legua
    Current Opinion in Infectious Diseases.2025; 38(5): 426.     CrossRef
  • 4,669 View
  • 67 Download
  • 1 Web of Science
  • Crossref
Pathological fracture induced by Halicephalobus gingivalis (Nematoda: Rhabditida) in a horse limb
Ticiana Meireles Sousa, Hugo Shisei Toma, Antonio de Pádua Lima, Antonio Carlos Cunha Lacreta Junior, Maira Meira Nunes, Ana Paula Cassiano da Silva, Daniel Wouters, Adriana Silva Albuquerque, Mary Suzan Varaschin, Djeison Lutier Raymundo, Claudia Dias Monteiro Toma, Fernando Arévalo Batista
Parasites Hosts Dis 2024;62(1):131-138.
Published online February 23, 2024
DOI: https://doi.org/10.3347/PHD.23066
Halicephalobus gingivalis is a free-living nematode that occasionally causes infections in horses. We report a rare case of limb fracture of horse caused by infection with H. gingivalis. An 8-year-old mare was referred to the Veterinary Hospital of the Federal University of Lavras with claudication grade 5 of the right hind limb, that had been started 3 months ago. The patient had aseptic arthritis in the tarsal joint and edema that extended to the quartile. The radiographic examination showed punctate osteolysis with exacerbation of bone trabeculation along the calcaneus, talus, proximal epiphysis of the third metatarsal and distal epiphysis of the tibia. Treatment for arthritis was initiated, and the animal showed a slight improvement in limb function. However, 21 days after hospitalization, due to a comminuted fracture of the tibia, it was euthanized. At necropsy, yellowish masses were found from the metatarsal to the tibia, and around the tarsal bones and joint. Similar masses were also found in the left kidney. Numerous nematodes compatible with H. gingivalis were identified. This is the first description of a pathological fracture caused by H. gingivalis infection in an equine limb.

Citations

Citations to this article as recorded by  Crossref logo
  • Halicephalobus gingivalis infection in equids
    Simone Peletto
    UK-Vet Equine.2024; 8(6): 286.     CrossRef
  • 4,843 View
  • 97 Download
  • Crossref
A case of vocal cord gnathostomiasis diagnosed with sectional morphologies in a histopathological specimen from a Chinese woman living in Korea
Doo Sik Park, Eun Hyun Cho, Kyung Hoon Park, Soo Min Jo, Bumjung Park, Sun Huh
Parasites Hosts Dis 2023;61(3):298-303.
Published online August 21, 2023
DOI: https://doi.org/10.3347/PHD.23065
This study aimed to describe a rare case of gnathostomiasis in the vocal cord. A 54-year-old Chinese woman living in Korea visited with a chief complaint of voice change at the outpatient department of otorhinolaryngology in Hallym Sacred Heart Hospital, Hallym University on August 2, 2021. She had eaten raw conger a few weeks before the voice change developed, but her medical history and physical examinations demonstrated neither gastrointestinal symptoms nor other health problems. A round and red cystic lesion, recognized in the anterior part of the right vocal cord, was removed using forceps and scissors through laryngeal microsurgery. The histopathological specimen of the cyst revealed 3 cross-sections of a nematode larva in the lumen of the cyst wall composed of inflammatory cells and fibrotic tissues. They differ in diameter, from 190 μm to 235 μm. They showed characteristic cuticular layers with tegumental spines, somatic muscle layers, and gastrointestinal tracts such as the esophagus and intestine. Notably, intestinal sections consisted of 27-28 lining cells containing 0-4 nuclei per cell. We tentatively identified the nematode larva recovered from the vocal cord cystic lesion as the third-stage larva of Gnathostoma, probably G. nipponicum or G. hispidum, based on the sectional morphologies.

Citations

Citations to this article as recorded by  Crossref logo
  • Imported parasitic diseases in the Republic of Korea: status and issues
    Jong-Yil Chai
    Journal of the Korean Medical Association.2025; 68(1): 52.     CrossRef
  • Zoonotic Agents in Farmed Fish: A Systematic Review from the Interdisciplinary Perspective of the One Health Concept
    Juliana Rosa Carrijo Mauad, Marcelo Corrêa da Silva, Carolina Marques Costa Araújo, Rosilda Mara Mussury Franco Silva, Silvia Morales de Queiroz Caleman, Márcia Regina Russo
    Veterinary Sciences.2025; 12(5): 437.     CrossRef
  • 5,696 View
  • 96 Download
  • 2 Web of Science
  • Crossref
A case of hepatic anisakidosis caused by Anisakis pegreffii mimicking liver cancer
Minoru Yamada, Fumi Murakoshi, Hisashi Ikoma, Osamu Inamori, Akio Yanagisawa, Eiichi Konishi
Parasites Hosts Dis 2023;61(3):292-297.
Published online August 21, 2023
DOI: https://doi.org/10.3347/PHD.23055
Extra-gastrointestinal anisakidosis is rare. We herein report an Anisakis pegreffii infection in a patient with hepatic anisakidosis diagnosed based on its molecular identification. A 71-year-old male patient had a hepatic tumor presenting as a low-density area of 20 mm in diameter in segment 6 of the liver on abdominal ultrasonography, computed tomography, and magnetic resonance imaging. The surgically resected pathological specimen revealed a necrotizing eosinophilic granuloma containing nematode larvae, possibly an Anisakis larva. Molecular and phylogenetic analysis demonstrated Anisakis larvae belonging to A. pegreffii. The present results will help identify and characterize unknown Anisakis species in histological sections.

Citations

Citations to this article as recorded by  Crossref logo
  • Histopathological evidence of direct hepatic invasion by Anisakis from the liver surface: A case report
    Hiroki Takahashi, Reina Miyazawa, Mai Iwaya, Megumi Nobuoka, Tsuyoshi Terashima, Tsuyoshi Notake, Akira Shimizu, Yuji Soejima, Takeshi Uehara
    Parasitology International.2026; 113: 103244.     CrossRef
  • Anisakidae and Anisakidosis: A Public Health Perspective
    Diana Nonković, Vanja Tešić, Vida Šimat, Svjetlana Karabuva, Alan Medić, Jerko Hrabar
    Pathogens.2025; 14(3): 217.     CrossRef
  • Screening of Anisakis-Related Allergies and Associated Factors in a Mediterranean Community Characterized by High Seafood Consumption
    Santo Fruscione, Maria Barrale, Maurizio Zarcone, Davide Alba, Barbara Ravazzolo, Miriam Belluzzo, Rosa Onida, Gaetano Cammilleri, Antonella Costa, Vincenzo Ferrantelli, Alessandra Savatteri, Daniele Domenico De Bella, Salvatore Pipitone, Alida D’Atria, A
    Foods.2024; 13(17): 2821.     CrossRef
  • 4,941 View
  • 105 Download
  • 3 Web of Science
  • Crossref
Biliary ascariasis misidentified as a biliary stent in a patient undergoing liver resection
Hochang Chae, Suk Won Suh, Yoo Shin Choi, Hee Ju Sohn, Seung Eun Lee, Jae Hyuk Do, Hyun Jeong Park
Parasites Hosts Dis 2023;61(2):194-197.
Published online May 23, 2023
DOI: https://doi.org/10.3347/PHD.23012
Ascaris lumbricoides causes one of the most common soil-transmitted helminthiases globally. The worms mostly infect the human small intestine and elicit negligible or nonspecific symptoms, but there are reports of extraintestinal ectopic ascariasis. We describe a rare case of biliary ascariasis mistaken for biliary stent in a 72-year-old female patient with a history of liver resection. She visited our outpatient clinic complaining of right upper quadrant pain and fever for the past week. She had previously undergone left lateral sectionectomy for recurrent biliary and intrahepatic duct stones 2 years ago. Besides mildly elevated gamma-glutamyl transferase levels, her liver function tests were normal. Magnetic resonance cholangiopancreatography revealed a linear filling defect closely resembling an internal stent from the common bile duct to the right intrahepatic bile duct. A live female A. lumbricoides adult worm was removed by endoscopic retrograde cholangiopancreatography (ERCP). Despite a significant decrease of the ascariasis prevalence in Korea, cases of biliary ascariasis are still occasionally reported. In this study, a additional case of biliary ascariasis, which was radiologically misdiagnosed as the biliary stent, was described in a hepatic resection patient by the worm recovery with ERCP in Korea.

Citations

Citations to this article as recorded by  Crossref logo
  • A case of acute pancreatitis caused by biliary ascariasis
    Ru-Yu Zheng, Zi-Yue Hu, Yan-Min Kan, Xiang Jing
    Asian Journal of Surgery.2025; 48(11): 7178.     CrossRef
  • 3,160 View
  • 154 Download
  • Crossref
Diagnosing Balamuthia mandrillaris amebic meningoencephalitis in a 64-year-old woman from the Southwest of China
Suhua Yao, Xiaoting Chen, Lian Qian, Shizheng Sun, Chunjing Zhao, Zongkai Bai, Zhaofang Chen, Youcong Wu
Parasites Hosts Dis 2023;61(2):183-193.
Published online May 23, 2023
DOI: https://doi.org/10.3347/PHD.23039
Balamuthia mandrillaris amebic encephalitis (BAE) can cause a fatal condition if diagnosis is delayed or effective treatment is lacking. Patients with BAE have been previously reported in 12 provinces of China, with skin lesions being the primary symptom and encephalitis developing after several years. However, a significantly lower number of cases has been reported in Southwest China. Here we report an aggressive BAE case of a 64-year-old woman farmer with a history of skin lesions on her left hand. She was admitted to our hospital due to symptoms of dizziness, headache, cough, vomiting, and gait instability. She was initially diagnosed with syphilitic meningoencephalitis and received a variety of empirical treatment that failed to improve her symptoms. Finally, she was diagnosed with BAE combined with amebic pneumonia using next-generation sequencing (NGS), qRT-PCR, sequence analysis, and imaging studies. She died approximately 3 weeks after the onset. This case highlights that the rapid development of encephalitis can be a prominent clinical manifestation of Balamuthia mandrillaris infection.

Citations

Citations to this article as recorded by  Crossref logo
  • The role of plasma metagenomic sequencing in identification of Balamuthia mandrillaris encephalitis
    Sarah Y. Edminster, Ryan W. Rebbe, Christopher Khatchadourian, Kyle M. Hurth, Anna J. Mathew, Julie Huss-Bawab, Mark S. Shiroishi, Devin Clark, Andrew P. Norgan, Susan M. Butler-Wu, Annie Hiniker
    Acta Neuropathologica Communications.2025;[Epub]     CrossRef
  • Balamuthia amoebic encephalitis directly causing intracranial infection: A case report
    Yuhan Liang, Yanhong Liu, Zelong Chen, Jiayi Sun, Xuemeng Zhang, Yulin Wang
    Radiology Case Reports.2025; 20(6): 2820.     CrossRef
  • Pulmonary infection due to Balamuthia mandrillaris in the southwestern United States: not all miliary disease is tuberculosis and coccidioidomycosis
    N. B. Price, H. Pariury, J. Papic, M. R. Anthony, W. Lainhart, K. W. Shehab, Carey-Ann D. Burnham
    ASM Case Reports.2025;[Epub]     CrossRef
  • Applications of the powerful next-generation sequencing tool for detecting parasitic infections: towards a smart laboratory platform
    Bahareh Basirpour, Rabeeh Tabaripour, Farzane Jafarian, Mahdi Fakhar, Hajar Ziaei Hezarjaribi, Shirzad Gholami
    Microbial Pathogenesis.2025; 206: 107746.     CrossRef
  • Next-Generation Sequencing for Diagnosis of Fatal Balamuthia Amoebic Encephalitis: A Case Report
    Yuanyuan Feng, Huiyu Feng, Xuegao Yu, Jing Zhao, Hongyan Zhou, Jiaoxing Li, Peisong Chen, Li Feng
    Diagnostics.2025; 15(20): 2590.     CrossRef
  • Dexamethasone/fructose/glycerol/sodium-chloride/mannitol

    Reactions Weekly.2023; 1970(1): 114.     CrossRef
  • 5,848 View
  • 188 Download
  • 3 Web of Science
  • Crossref
Imported human babesiosis in the Republic of Korea, 2019: two case reports
Hyun Jung Kim, Min Jae Kim, Hyun-Il Shin, Jung-Won Ju, Hee-Il Lee
Parasites Hosts Dis 2023;61(1):72-77.
Published online February 22, 2023
DOI: https://doi.org/10.3347/PHD.22168
Human babesiosis is a tick-borne disease induced by the genus Babesia and has been significantly reported in the Republic of Korea. This report shows the cases of 2 patients with human babesiosis who traveled to the USA in 2019. The 2 patients experienced fever and had travel histories to babesiosis-endemic regions. The diagnoses of both cases were verified by the identification of Babesia-infected red blood cells on blood smears. One patient was found to be infected with Babesia microti using polymerase chain reaction (PCR) for 18S rRNA, which discovered the phylogenetic link to the B. microti strain endemic in the USA. The 2 patients recovered from fever with subsequent hemoparasite clearance. Babesiosis could be diagnosed in anyone with histories of travel to babesiosis-endemic countries and tick bites. Furthermore, Babesia-specific PCR is required for determining geno-and phenotypic characteristics.

Citations

Citations to this article as recorded by  Crossref logo
  • Imported parasitic diseases in the Republic of Korea: status and issues
    Jong-Yil Chai
    Journal of the Korean Medical Association.2025; 68(1): 52.     CrossRef
  • Nationwide investigation of eukaryotic pathogens in ticks from cattle and sheep in Kyrgyzstan using metabarcoding
    Singeun Oh, Nathalie Amvongo-Adjia, Hyun Jung Kim, Jun Ho Choi, Xavier Chavarria, Myung-hee Yi, Arwa Shatta, Bekbolsun Aknazarov, Ju Yeong Kim, Jung-Won Ju, Bekir Oguz
    PLOS One.2025; 20(8): e0327953.     CrossRef
  • Detection of US and Kobe‐type Babesia microti in ticks collected from small mammals of the Republic of Korea
    Tae Yun Kim, Seong Yoon Kim, Jiye Seo, Hee IL Lee, Wook‐Gyo Lee, Hyunwoo Kim
    Entomological Research.2024;[Epub]     CrossRef
  • Human Babesia odocoilei and Bartonella spp. co-infections in the Americas
    Ricardo G. Maggi, Ana Cláudia Calchi, Charlotte O. Moore, Emily Kingston, Edward B. Breitschwerdt
    Parasites & Vectors.2024;[Epub]     CrossRef
  • Development of Multiplex Assays for the Identification of Zoonotic Babesia Species
    Ana Cláudia Calchi, Charlotte O. Moore, Lillianne Bartone, Emily Kingston, Marcos Rogério André, Edward B. Breitschwerdt, Ricardo G. Maggi
    Pathogens.2024; 13(12): 1094.     CrossRef
  • 4,161 View
  • 180 Download
  • 5 Web of Science
  • Crossref
Demodex Blepharitis: An Analysis of Nine Patients
Young Il Lee, Min Seo, Kyong Jin Cho
Korean J Parasitol 2022;60(6):429-432.
Published online December 22, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.6.429
Inflammatory eyelid symptoms are common in primary care and there have been several reports on Demodex blepharitis. In the present study, we evaluate the 9 patients with Demodex blepharitis, who showed inflammation of the eyelids, dry eye, and cylindrical dandruff at the base of the eyelashes. The causative species from all patients was Demodex folliculorum of either the adult or nymph stage. Two patients had recurrent chalazion and 3 patients had keratitis. Weekly lid scrubs with 50% tee tree oil were performed for 6 weeks. After treatment, the symptoms of blepharitis and keratitis had improved in all patients. This case report provides clinical reference source for the proper treatment of ocular demodicosis.

Citations

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  • Natural Products as Mite Control Agents in Animals: A Review
    Fei Liao, Changquan Han, Qingsheng Deng, Ziyao Zhou, Taotao Bao, Menghuai Zhong, Guangyao Tao, Renjun Li, Bo Han, Yanlong Qiao, Yanchun Hu
    Molecules.2023; 28(19): 6818.     CrossRef
  • 5,336 View
  • 141 Download
  • 2 Web of Science
  • Crossref
Two Cases of Mange Mite (Sarcoptes scabiei) Infestation in Long-Tailed Goral (Naemorhedus caudatus) in Republic of Korea
Da Som Park, Jin Choi, Hee-Jong Kim, Jin-Yong Kim, Min-Han Kim, Jin-Young Lee, Jeong Chan Moon, Hee-Bok Park, KyungMin Park, Jun Hee Yun, Yeonsu Oh, Seongjun Choe, Ki-Jeong Na, Jongmin Yoon
Korean J Parasitol 2022;60(6):423-427.
Published online December 22, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.6.423
The long-tailed goral, Naemorhedus caudatus (Mammalia: Bovidae), is one of the endangered animals in the Republic of Korea (Korea). Sarcoptic mange mites infested in diverse species of mammals, including humans, but no case has been reported in long-tailed gorals. We report 2 cases of mange mite, Sarcoptes scabiei, infestation in long-tailed gorals. Mange mites were sampled in the skin legions of the 2 long-tailed gorals, which were rescued in 2 different regions, Uljin-gun, Gyeongsangbuk-do and Cheorwon-gun, Gangwon-do, Korea. Our results showed that the ectoparasite was the itch mite that burrowed into skin and caused scabies on the morphological inspection and placed within the phylogenetic relations of the species. The present study confirmed for the first time in Korea that mange mites are pathogenic scabies of long-tailed goral. Closer surveillance of this pathogenic ectoparasite in zoonotic and infectious ecosystems is warranted.

Citations

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  • Sarcoptic Mange in Reintroduced Red Foxes (Vulpes vulpes) in South Korea: Case Histories, Clinical Assessments, Treatments, and Pathological Findings
    Sook-Jin Lee, An-Na Lee, Eun-Bin Shin, Min-Sung Kim, Hyoung-Jin Kim, Doo-Hyun Han, Yong-Sik Jo, Jin-Suk Ahn, Seung-Hoon Chea, Chang-Min Jeong, Hee-Yeon Lee, Seong-Geun Bae, Jeong-Jin Yang
    Animals.2025; 15(10): 1491.     CrossRef
  • Genetic and Serological Survey of Sarcoptic Mange (Sarcoptes scabiei) in Wild Boars (Sus scrofa) in South Korea
    Sanghyun Lee, Garam Kim, So-Jeong Kim, Weon-Hwa Jheong, Dong-Hyuk Jeong
    Animals.2024; 14(23): 3490.     CrossRef
  • 8,251 View
  • 141 Download
  • 2 Web of Science
  • Crossref
A Case of Ocular Sparganosis in China: Episode of Migration from Muscle Cone to Subconjunctiva
Xinyuan Chen, Yanyuan Fang, Liming Tao, Miao Liu, Kun Liang
Korean J Parasitol 2022;60(6):419-421.
Published online December 22, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.6.419
To improve our understanding of the migration of sparganum in humans, we report a case of ocular sparganosis having the migratory episode from the muscle cone to the subconjunctiva. A 34-year-old woman was admitted to the Hospital of Anhui Medical University (Hefei, China), in December 2019. She presented with conjunctival hemorrhage and recurrent pain in the left eye. A foreign body was found in the muscle cone of the eye. Two months later, a ribbon-like white material was found under the conjunctiva on slit-lamp examination. A long and slender, actively moving parasite was extracted by surgery. The extracted worm was approximately 8 cm long and 2 mm wide. The worm was whitish, wrinkled, ribbon shaped, and had a slightly enlarged scolex. The worm sample was morphologically identified as a plerocercoid larva (sparganum) of the Spirometra tapeworm. Her conjunctival blood suffusion and eye pain ceased within 1 week after operation. She has been in good health without any symptoms during the 2-year follow-up. A case of ocular sparganosis, in which larval worm migrated from the muscle cone to the subconjunctiva is reported from China.

Citations

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  • Ocular infections in international travelers
    Francesca F. Norman, Julio J. González-López, Diego Gayoso-Cantero, Marta Vicente-Antolin, Maria-Dolores Corbacho-Loarte, Rogelio López-Vélez, Marta González-Sanz
    Travel Medicine and Infectious Disease.2025; 63: 102789.     CrossRef
  • Hand palm sparganosis: morphologically and genetically confirmed Spirometra erinaceieuropaei in a fourteen-year-old girl, Egypt
    Hussein M. Omar, Magdy Fahmy, Mai Abuowarda
    Journal of Parasitic Diseases.2023; 47(4): 859.     CrossRef
  • Ocular sparganosis: comment
    Amnuay Kleebayoon, Viroj Wiwanitkit
    Parasites, Hosts and Diseases.2023; 61(1): 94.     CrossRef
  • 3,015 View
  • 110 Download
  • 2 Web of Science
  • Crossref
Imaging Manifestations and Misdiagnosis Analysis of Six Cases of Bone Hydatid Disease
Yanqiu Sun, Chunlong Yan, Dengfeng Tian, Chenhong Zhang, Qiang Zhang
Korean J Parasitol 2022;60(6):413-417.
Published online December 22, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.6.413
We retrospectively evaluated the clinical and imaging features of 6 patients with bone hydatid disease confirmed by surgery and pathological examination. Among the 6 patients, 2 were infected with Echinococcosis granulosus metacestode and 4 were infected with E. multilocularis metacestode. The 2 cases with cystic echinococcosis were diagnosed by computed tomographic (CT) examination, and other 4 cases were diagnosed by magnetic resonance (MR) imaging. On the initial evaluation, 1 case each was misdiagnosed as a giant cell tumor or neurogenic tumor, and 2 were misdiagnosed as tuberculosis. The imaging manifestations of bone hydatid disease are complex, but most common findings include expansive osteolytic bone destruction, which may be associated with sclerosing edges or dead bone formation, localized soft tissue masses, and vertebral lesions with wedge-shaped changes and spinal stenosis. Combining imaging findings with the patient’s epidemiological history and immunological examinations is of great help in improving the diagnosis and differential diagnosis of bone hydatid disease.

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  • Pathological Fracture of the Tibia Due to Lytic Bone Lesion Caused by Hydatidosis with Absence of Systemic Involvement: A Case Report and Review of Literature
    Nashwah Samir AlHariry, Enas A. El Saftawy, Wesam Gamal Abousenna, Mansour A. Alghamdi, Basma Emad Aboulhoda
    Acta Parasitologica.2025;[Epub]     CrossRef
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    Judi Clinical Journal.2025; 1(1): 12.     CrossRef
  • Mechanistic role of the IL-1β/c-Fos/NFATc1 signaling axis in echinococcal infection-promoted osteoclast differentiation and activation in pathological osteolysis: a prospective controlled trial
    Yelinaer Ayiheng, Wuluhan Mahan, Zengru Xie
    Journal of Orthopaedic Surgery and Research.2025;[Epub]     CrossRef
  • Complicated Hydatid Cyst Presentation: A Case Study on the Intersection of Cystobiliary Fistula, Bile Duct Obstruction, and Cholangitis: A Case Report
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    Clinical Case Reports.2025;[Epub]     CrossRef
  • Unmasking the mimic: vertebral alveolar echinococcosis diagnosed by metagenomic next-generation sequencing
    Tassilo Kruis, Marion Wassermann, Barbara Graf, Katharina Lührig, Peter Menzel, Rolf Schwarzer, Johannes Ziegler, Caroline Isner
    Infection.2025;[Epub]     CrossRef
  • Surgical Management of Cystic Pelvic Hydatid Bone Disease Using Additively Manufactured Customized Implants for Salvage Reconstruction: A Report of Two Cases
    Rodica Marinescu, Carmen Michaela Cretu, Stefan Ciumeica, Laptoiu Dan Constantin
    Cureus.2024;[Epub]     CrossRef
  • Hydatid cyst of the humerus presenting as a suspicious lesion: A rare case report and review of literature
    Chaymae Faraj, Khadija Laasri, Sara Essetti, Yahya El Harras, Nazik Allali, Siham El Haddad, Latifa Chat, Loubna Aqqaoui, Sarah Hosni, Fouad Ettayebi
    Radiology Case Reports.2024; 19(10): 4526.     CrossRef
  • Diagnostic Approach and Differences between Spinal Infections and Tumors
    Domenico Compagnone, Riccardo Cecchinato, Andrea Pezzi, Francesco Langella, Marco Damilano, Andrea Redaelli, Daniele Vanni, Claudio Lamartina, Pedro Berjano, Stefano Boriani
    Diagnostics.2023; 13(17): 2737.     CrossRef
  • Echinococcus granulosus promotes bone resorption by increasing osteoclasts differentiation
    Haohao Sun, Sibo Wang, Wenbo Tan, Ye Li, Qian Ren, Yaqing Liu, Yiping Huang, Chenhui Shi, Jing Li
    Acta Tropica.2023; 248: 107027.     CrossRef
  • 3,710 View
  • 110 Download
  • 10 Web of Science
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Ectopic Schistosomiasis Involving Axillary Lymph Nodes
Xia Chen, Nian’an He
Korean J Parasitol 2022;60(6):409-411.
Published online December 22, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.6.409
Axillary lymph node schistosomiasis is a form of ectopic schistosomiasis, in which the Schistosoma adult worms or eggs are infected in the axillary lymph nodes. A 53-year-old woman visited our hospital with a small mass in the right armpit, which had been present for over 1 month. Histological examination of biopsy samples from the right axillary lymph nodes revealed granulomas containing calcified Schistosoma eggs. This is the first authentic case of ectopic schistosomiasis identified in the axillary lymph nodes.
  • 2,693 View
  • 122 Download
Cerebral Paragonimiasis Presenting with Dementia
Seok Woo Moon, Taeho Kim
Korean J Parasitol 2022;60(5):353-355.
Published online October 21, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.5.353
We report a case of an 80-year-old Korean man with chronic cerebral paragonimiasis who presented with progressive memory impairment. He suffered from pulmonary paragonimiasis 60 years ago and has been experiencing epilepsy since the age of 45. He began experiencing memory and cognitive deterioration 3 years ago. He visited the neuropsychiatric department of our hospital to check his symptoms and health from a year ago. Contrast-enhanced brain magnetic resonance imaging study revealed calcifications and cystic lesions encompassing the right temporo-occipital region. Encephalomalatic changes were also observed in the right occipital and temporal areas. The anti-Paragonimus specific IgG antibodies in his serum showed a strong positive response. The neuropsychological test results showed a Global Deterioration Scale of 4 and a Clinical Dementia Rating Scale of 1. The chronic cerebral paragonimiasis lesions in the patient’s right temporo-occipital region might induce the dementic change.

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  • A comprehensive review on the neurological impact of parasitic infections
    Firooz Shahrivar, Ata Moghimi, Ramin Hosseinzadeh, Mohammad Hasan Kohansal, Ali Mortazavi, Tahereh Mikaeili Galeh, Ehsan Ahmadpour
    Microbial Pathogenesis.2025; 206: 107762.     CrossRef
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    Journal of Clinical Microbiology.2024;[Epub]     CrossRef
  • 3,894 View
  • 120 Download
  • 2 Web of Science
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Myiasis in Ulcerated Breast Carcinoma: First Case Record in Myanmar
Aung Phyo Wai, Win Win Maw, Thidarut Boonmars
Korean J Parasitol 2022;60(2):139-141.
Published online April 20, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.2.139
Myiasis is an infestation of maggot, which is frequently associated with poor personal hygiene and environmental sanitation. A 78-year-old female breast cancer patient visited clinic complaining of irritation, itching, and pain within the ulcerous cancer lesion for 3 weeks. Many maggots were found in the lesion. A total of 30 maggots were removed and identified to be 3rd stage of larvae of metallic fly. This is the first case of wound myiasis in advanced breast carcinoma as a complication of untreated or drug-induced ulcer.

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  • Polymicrobial bacteremia including Ignatzschineria indica caused by myiasis in a female patient with carcinoma of unknown primary
    Tatsuki Mura, Yutaka Takahara, Masaharu Iguchi, Nobuhiko Ueda, Yoshitsugu Iinuma
    Journal of Infection and Chemotherapy.2025; 31(4): 102607.     CrossRef
  • 5,098 View
  • 181 Download
  • 1 Web of Science
  • Crossref
A Case Report of Intravitreal Dexamethasone Implant with Exudative Retinal Detachment for Ocular Toxocariasis Treatment
Youran Cai, Ye Yang, Xin Zhong
Korean J Parasitol 2022;60(2):133-137.
Published online April 20, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.2.133
Toxocariasis is one of the most common geohelminth infections in several parts of the world. We describe a rare case of ocular toxocariasis with secondary exudative retinal detachment treated with albendazole and an intravitreal dexamethasone implant. A 13-year-old boy with counting finger vision was diagnosed with retinal vasculitis and exudative retinal detachment in his right eye. Fundoscopic examination revealed retinal hemorrhage, retinal vasculitis, and exudative retinal detachment. Serological test using serum and intraocular aqueous humor were positive for anti-Toxocara specific IgG antibodies. He received repeated doses of intravitreal dexamethasone implants combined with oral albendazole. A sequential follow-up optical coherence tomography revealed that the retina was successfully reattached. His visual acuity subsequently improved to 20/400.

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  • Human toxocariasis
    Susana Lopez-Alamillo, Pravallika Padyala, Megan Carey, Megan M. Duffey, Jill E. Weatherhead, Louisa A. Messenger, Bachir Medrouh, Marcelo U. Ferreira
    Clinical Microbiology Reviews.2025;[Epub]     CrossRef
  • Intravitreal Dexamethasone Implant (Ozurdex) for Ocular Toxocariasis
    Yongwei Zhou, Fangyuan Zhen, Jiahui Wu, Shasha Wang, Xiaoyan Lu, Ge Yang, Zhirou Hu, Fei Chen, Qiuming Li, Shuqian Dong, Akio Oishi
    Journal of Ophthalmology.2024;[Epub]     CrossRef
  • The application of dexamethasone implants in uveitis treatment
    Tian Zhang, Zhutao Liu, Na Li
    Frontiers in Medicine.2024;[Epub]     CrossRef
  • Case report: Ultrasound biomicroscopy as a guide for the selection of injection sites for dexamethasone intravitreal implant (Ozurdex) for peripheral granulomatous ocular toxocariasis in children
    Xin Zhang, Xinzhu Hou, Yan Zhang, Jingjie Liu, Zhiyong Zhang
    Frontiers in Medicine.2023;[Epub]     CrossRef
  • 5,003 View
  • 188 Download
  • 4 Web of Science
  • Crossref
Two Clinical Cases of Feline Hemoplasmosis in Korea
Young Ju Kim, Hyeona Bae, Sun Woo Shin, ARom Cho, Yeseul Jeon, Tae-Sung Hwang, Dong-In Jung, Dae Young Kim, Jun-Gu Kang, DoHyeon Yu
Korean J Parasitol 2022;60(2):127-131.
Published online April 20, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.2.127
Feline hemotropic mycoplasmosis (hemoplasmosis) is an infection of the red blood cells caused by the Mycoplasma haemofelis (Mhf), Candidatus Mycoplasma haemominutum (CMhm), and Candidatus Mycoplasma turicensis (CMt). The existence of Mhf, CMhm, and CMt has been demonstrated in feral cats in Korea using molecular methods, but no clinical cases have yet been reported. This study reports 2 clinical cases of hemotropic mycoplasmosis caused by CMhm and CMt in 2 anemic cats. The first case was a client-owned intact female domestic shorthair cat that presented with fever, pale mucous membranes, and normocytic normochromic non-regenerative anemia. Prior to referral, an immunosuppressive prednisolone dose was administered at the local veterinary clinic for 1 month. The cat was diagnosed with high-grade alimentary lymphoma. Organisms were found on the surface of the red blood cells on blood smear examination. The second case was of a rescued cat that presented with dehydration and fever. The cat had normocytic normochromic non-regenerative anemia. Necropsy revealed concurrent feline infectious peritonitis. Polymerase chain reaction assay targeting 16S rRNA revealed CMhm infection in case 1 and dual infection of CMhm and CMt in case 2. Normocytic normochromic non-regenerative anemia was observed in both cats before and during the management of the systemic inflammation. This is the first clinical case report in Korea to demonstrate CMhm and CMt infections in symptomatic cats.

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  • Molecular Investigation and Characterization of Mycoplasma spp. infections in Naturally Infected Cats in Thailand
    Kiattisak Pimpjong, Kanokwan Ratyotha, Thanvarat Rungruang, Napaporn Thongpriam, Kotchaphon Vaisusuk, Supawadee Piratae
    Acta Parasitologica.2025;[Epub]     CrossRef
  • 6,391 View
  • 203 Download
  • 1 Web of Science
  • Crossref
Four Times of Relapse of Plasmodium vivax Malaria Despite Primaquine Treatment in a Patient with Impaired Cytochrome P450 2D6 Function
Sungim Choi, Heun Choi, Seong Yeon Park, Yee Gyung Kwak, Je Eun Song, So Youn Shin, Ji Hyeon Baek, Hyun-IL Shin, Hong Sang Oh, Yong Chan Kim, Joon-Sup Yeom, Jin-Hee Han, Min Jae Kim
Korean J Parasitol 2022;60(1):39-43.
Published online February 23, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.1.39
Plasmodium vivax exhibits dormant liver-stage parasites, called hypnozoites, which can cause relapse of malaria. The only drug currently used for eliminating hypnozoites is primaquine. The antimalarial properties of primaquine are dependent on the production of oxidized metabolites by the cytochrome P450 isoenzyme 2D6 (CYP2D6). Reduced primaquine metabolism may be related to P. vivax relapses. We describe a case of 4 episodes of recurrence of vivax malaria in a patient with decreased CYP2D6 function. The patient was 52-year-old male with body weight of 52 kg. He received total gastrectomy and splenectomy 7 months before the first episode and was under chemotherapy for the gastric cancer. The first episode occurred in March 2019 and each episode had intervals of 34, 41, and 97 days, respectively. At the first and second episodes, primaquine was administered as 15 mg for 14 days. The primaquine dose was increased with 30 mg for 14 days at the third and fourth episodes. Seven gene sequences of P. vivax were analyzed and revealed totally identical for all the 4 samples. The CYP2D6 genotype was analyzed and intermediate metabolizer phenotype with decreased function was identified.

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  • Ellagic Acid from Geranium thunbergii and Antimalarial Activity of Korean Medicinal Plants
    Hojong Jun, Joon-Hee Han, Min Hong, Fadhila Fitriana, Jadidan Hada Syahada, Wang-Jong Lee, Ernest Mazigo, Johnsy Mary Louis, Van-Truong Nguyen, Seok Ho Cha, Wanjoo Chun, Won Sun Park, Se Jin Lee, Sunghun Na, Soo-Ung Lee, Eun-Taek Han, Tae-Hyung Kwon, Jin-
    Molecules.2025; 30(2): 359.     CrossRef
  • Characteristics of Plasmodium vivax apicomplexan amino acid transporter 8 (PvApiAT8) in the cationic amino acid transport
    Wang-Jong Lee, Ernest Mazigo, Jin-Hee Han, Seok Ho Cha
    Scientific Reports.2025;[Epub]     CrossRef
  • Efficacy of Primaquine for the Radical Cure of Plasmodium vivax Malaria in Northeast Myanmar and the Impact of Cytochrome P450 2D6 Genotypes
    Weilin Zeng, Huaie Liu, Pallavi Malla, Yan Zhao, Lynette Menezes, Yaming Cao, Chengqi Wang, Zhaoqing Yang, Liwang Cui
    Clinical Infectious Diseases.2025; 81(2): 379.     CrossRef
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    Hyelee Hong, Kwonmo Moon, Thuy-Tien Thi Trinh, Tae-Hui Eom, Hyun Park, Hak Sung Kim, Seon-Ju Yeo
    Parasites, Hosts and Diseases.2024; 62(1): 42.     CrossRef
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    Hyelee Hong, Tae-Hui Eom, Thuy-Tien Thi Trinh, Bao Duong Tuan, Hyun Park, Seon-Ju Yeo
    Malaria Journal.2023;[Epub]     CrossRef
  • Capecitabine/oxaliplatin/primaquine

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  • Cost-Benefit Analysis of Tafenoquine for Radical Cure of Plasmodium vivax Malaria in Korea
    Jiyeon Suh, Jung Ho Kim, Jong-Dae Kim, Changsoo Kim, Jun Yong Choi, Jeehyun Lee, Joon-Sup Yeom
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • Cytochrome P450 2D6 (CYP2D6) and glucose-6-phosphate dehydrogenase (G6PD) genetic variations in Thai vivax malaria patients: Implications for 8-aminoquinoline radical cure
    Kamonwan Chamchoy, Sirapapha Sudsumrit, Thanyapit Thita, Srivicha Krudsood, Rapatbhorn Patrapuvich, Usa Boonyuen, Paul O. Mireji
    PLOS Neglected Tropical Diseases.2022; 16(12): e0010986.     CrossRef
  • 6,155 View
  • 203 Download
  • 7 Web of Science
  • Crossref
Delayed Cerebral Toxoplasmosis in a Kidney Transplant Patient: a Case Report
Hosung Myeong, Moowan Park, Ji Eun Kim, Sun Won Park, Sang Hyung Lee
Korean J Parasitol 2022;60(1):35-38.
Published online February 23, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.1.35
Cerebral toxoplasmosis is often life-threatening in an immunocompromised patient due to delayed diagnosis and treatment. Several differential diagnoses could be possible only with preoperative brain images of cerebral toxoplasmosis which show multiple rim-enhancing lesions. Due to the rarity of cerebral toxoplasmosis cases in Korea, the diagnosis and treatment are often delayed. This paper concerns a male patient whose cerebral toxoplasmosis was activated 21 years post kidney transplantation. Brain open biopsy was decided to make an exact diagnosis. Cerebral toxoplasmosis was confirmed by immunohistochemistry and PCR analyses of the tissue samples. Although cerebral toxoplasmosis was under control with medication, the patient did not recover clinically and died due to sepsis and recurrent gastrointestinal bleeding.

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  • Disseminated toxoplasmosis infection 20 years post kidney transplant
    Shaun Chandler, Lana Sundac, Carmel Hawley
    BMJ Case Reports.2024; 17(9): e260412.     CrossRef
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  • 4,120 View
  • 203 Download
  • 1 Web of Science
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A Human Case of Lumbosacral Canal Sparganosis in China
Jian-Feng Fan, Sheng Huang, Jing Li, Ren-Jun Peng, He Huang, Xi-Ping Ding, Li-Ping Jiang, Jian Xi
Korean J Parasitol 2021;59(6):635-638.
Published online December 22, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.6.635
In this study, we intended to describe a human case of lumbosacral canal sparganosis in People’s Republic of China (China). A 56-year-old man was admitted to Xiangya Hospital Central South University in Changsha, Hunan province, China after having an experience of perianal pain for a week. An enhancing mass, a tumor clinically suggested, was showed at the S1-S2 level of the lumbosacral spine by the examination of magnetic resonance imaging (MRI) with gadolinium contrast. The patient was received the laminectomy from S1 to S2, and an ivory-white living worm was detected in inferior margin of L5. In ELISA-test with cerebrospinal fluid (CSF) and serum samples, anti-sparganum antibodies were detected. He had a ingesting history of undercooked frog meat in his youth. By the present study, a human case of spinal sparganosis invaded in lumbosacral canal at the S1-S2 level was diagnosed in China. Although the surgical removal of larvae is known to be the best way of treatment for sparganosis, we administered the high-dosage of praziquantel, albendazole and dexamethasone to prevent the occurrence of another remain worms in this study.

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    Anita M. Fletcher, Shamik Bhattacharyya
    Continuum.2024; 30(1): 133.     CrossRef
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    Haijie Xiang, Jie Wang, Dandan Tan, Ying Xiong, Pengcheng Huang, Yu Shen, Yun Xu, Zhihong Gong, Fei Hu, Chunhua Xu, Jie Wu, Wei Liu, Junpu Liu, Hui Wan, Daojun Hong, Huiqun Xie
    Frontiers in Immunology.2023;[Epub]     CrossRef
  • Multiple sparganosis spinal infections mainly in the thoracic region: A case report
    Gan-Jun Wen, Jian Chen, Shi-Fei Zhang, Zhi-Sen Zhou, Gen-Long Jiao
    World Journal of Clinical Cases.2023; 11(36): 8507.     CrossRef
  • 5,374 View
  • 106 Download
  • 2 Web of Science
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Trichinosis Imitating an Inflammatory Systematic Disease
Maria Kosmidou, Georgios Papamichail, Eleftherios Klouras, Konstantinos Tsamis, Ioannis Sarmas, Iro Rapti, Haralampos Milionis
Korean J Parasitol 2021;59(5):497-499.
Published online October 22, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.5.497
Trichinellosis (trichinosis) is a parasitic infection caused by nematodes of the genus Trichinella. Pigs are the most common source of human infection. We describe a case of a 47-year-old woman presented with a wide range of intermittent symptoms including prolonged fever, dry cough, diarrhea, rash, myalgias and arthralgias. The patient was attended by physicians with various medical specialties such as dermatologists, rheumatologists and allergiologists, but they did not establish a certain diagnosis because of the gradual onset of symptoms, raising the suspicion of a systematic disease. After extensive work up, the diagnosis of trichinosis was established with femoral muscle biopsy compatible with inflammatory myopathy of parasitic etiology with trichinosis to be the predominant diagnosis. Despite the significant delay of diagnosis for almost three months, patient was treated successfully with no further complications. Trichinellosis is a food-borne treatable infection. Preventive measures include community education especially in zones where parasite prevalence is increased, improvement of farming and cooking techniques.

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    Wesam M. A. Elgendy, Ahmad A. Othman, Nema A. Soliman, Nivin Baiomy, Dina M. El-Guindy, Dina I. Elgendy
    Parasitology Research.2025;[Epub]     CrossRef
  • C-Reactive Protein: Pathophysiology, Diagnosis, False Test Results and a Novel Diagnostic Algorithm for Clinicians
    Dimitra S. Mouliou
    Diseases.2023; 11(4): 132.     CrossRef
  • 5,023 View
  • 98 Download
  • 2 Web of Science
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COVID-19 and Plasmodium ovale Malaria: A Rare Case of Co-Infection
Bilge Caglar, Ridvan Karaali, Ilker Inanc Balkan, Bilgul Mete, Gokhan Aygun
Korean J Parasitol 2021;59(4):399-402.
Published online August 18, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.4.399
The COVID-19 pandemic continues to be a major health problem worldwide. Timely diagnosis of co-infections mimicking COVID-19, such as malaria, might be challenging particularly in non-endemic areas. We report the first case of COVID-19 and Plasmodium ovale malaria co-infection from our region aiming to highligt the importance of travel history and prophylaxis in malaria management in the context of pandemic. The galloping sound can sometimes be a harbinger of zebra besides the horse.

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    Abou Bakari Diabaté, Boureima Sangaré, Ousmane Koutou
    Journal of Biological Dynamics.2025;[Epub]     CrossRef
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    Anti-Infective Agents.2024;[Epub]     CrossRef
  • COVID-19 and malaria co-infection: a systematic review of clinical outcomes in endemic areas
    Amal H. Mohamed, Ebtihal Eltyeb, Badria Said, Raga Eltayeb, Abdullah Algaissi, Didier Hober, Abdulaziz H. Alhazmi
    PeerJ.2024; 12: e17160.     CrossRef
  • Effect of the second and third COVID-19 pandemic waves on routine outpatient malaria indicators and case management practices in Uganda: an interrupted time series analysis
    Pius Mukisa, Freddy Eric Kitutu, Arthur Mpimbaza, Jaffer Okiring, Joan N. Kalyango, Joaniter I. Nankabirwa
    Malaria Journal.2024;[Epub]     CrossRef
  • Mixed infection with COVID-19 and tropical malaria (case report)
    Dmitriy O. Efremov, Ainur R. Khuramshin, Sergey S. Кozlov, Nikolay I. Gulyaev
    Epidemiology and Infectious Diseases.2023; 28(1): 53.     CrossRef
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    Fatemeh Nemati Zargaran, Mosayeb Rostamian, Sara Kooti, Hamid Madanchi, Keyghobad Ghadiri
    Parasite Epidemiology and Control.2023; 21: e00299.     CrossRef
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    Chandana Rayella, Praveen Devanandan, Kavitha Rasuri, Sai Sudha Yerravelly, Sanjana Andem, Ranadheer Chowdary Puvvada
    Tropical Parasitology.2023; 13(1): 22.     CrossRef
  • MIS-C and co-infection with P. vivax and P. falciparum in a child: a clinical conundrum
    Michela Scalisi, Salvatore Giordano, Laura Antonella Canduscio, Maria Concetta Failla, Luca Messina, Elisa Sferrazza, Raffaella Rubino, Lucia Siracusa, Veronica Vanella, Antonio Cascio, Claudia Colomba
    Italian Journal of Pediatrics.2022;[Epub]     CrossRef
  • Co-Infection with Plasmodium vivax and COVID-19 in Thailand
    Parat Boonyarangka, Kittijarankon Phontham, Sabaithip Sriwichai, Kamonporn Poramathikul, Krit Harncharoenkul, Worachet Kuntawunginn, Napat Maneesrikhum, Sarayouth Srisawath, Chanida Seenuan, Chattakorn Thanyakait, Kanjana Inkabajan, Suda Pludpiem, Kingkan
    Tropical Medicine and Infectious Disease.2022; 7(8): 145.     CrossRef
  • SARS-CoV-2 and Plasmodium falciparum Co-Infection in a Returning Traveler
    Qian Huang, Wen-Jie Xu, Xiao-Xiao Wang, Xuan Zhang, Ke-Nu Pan, Jia-Qi Zhang, Hua-Liang Chen, Wei Ruan, Li-Nong Yao
    Frontiers in Public Health.2022;[Epub]     CrossRef
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    Emadeldin Hassan E. Konozy, Makarim El-fadil M. Osman, George Ghartey-Kwansah, Hind Mohamed Abushama
    Frontiers in Immunology.2022;[Epub]     CrossRef
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  • 140 Download
  • 9 Web of Science
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Helminth Eggs Detected in Soil Samples of a Possible Toilet Structure Found at the Capital Area of Ancient Baekje Kingdom of Korea
Chang Seok Oh, Sang-Yuck Shim, Yongjun Kim, Jong Ha Hong, Jong-Yil Chai, Hisashi Fujita, Min Seo, Dong Hoon Shin
Korean J Parasitol 2021;59(4):393-397.
Published online August 18, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.4.393
Although research conducted in East Asia has uncovered parasite eggs from ancient toilets or cesspits, data accumulated to date needs to be supplemented by more archaeoparasitological studies. We examined a total of 21 soil samples from a toilet-like structure at the Hwajisan site, a Baekje-period royal villa, in present-day Korea. At least 4 species of helminth eggs, i.e., Trichuris trichiura, Ascaris lumbricoides, Clonorchis sinensis, and Trichuris sp. (or Trichuris vulpis) were detected in 3 sediment samples of the structure that was likely a toilet used by Baekje nobles. The eggs of T. trichiura were found in all 3 samples (no. 1, 4, and 5); and A. lumbricoides eggs were detected in 2 samples (no. 4 and 5). C. sinensis and T. vulpis-like eggs were found in no. 5 sample. From the findings of this study, we can suppose that the soil-transmitted helminths were prevalent in ancient Korean people, including the nobles of Baekje Kingdom during the 5th to 7th century.

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  • Clonorchis sinensis and Cholangiocarcinoma
    Eun-Min Kim, Sung-Tae Hong
    Journal of Korean Medical Science.2025;[Epub]     CrossRef
  • Problems in Japanese archaeoparasitology: Analysis of paleo-parasitic eggs from Hachinohe Castle
    Hisashi Fujita, Masako Funaba, Shiori O. Fujisawa
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  • Paleoparasitology research on ancient helminth eggs and larvae in the Republic of Korea
    Jong-Yil Chai, Min Seo, Dong Hoon Shin
    Parasites, Hosts and Diseases.2023; 61(4): 345.     CrossRef
  • 4,704 View
  • 105 Download
  • 3 Web of Science
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A Case of Human Hepatic Alveolar Echinococcosis Accompanied by Lung and Brain Metastases
Chuanchuan Liu, Haining Fan, Ri-li Ge
Korean J Parasitol 2021;59(3):291-296.
Published online June 21, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.3.291
Alveolar echinococcosis (AE) is considered as a fatal zoonosis caused by the larvae of Echinococcus multilocularis. The lungs and brain are the most common metastatic organs. We report a human case of hepatic alveolar echinococcosis accompanied by lung and brain metastasis. In particular, the patient had a history of tuberculosis and the lung lesions were easily misdiagnosed as lung abscesses. The lesions of liver and lung underwent radical resection and confirmed as alveolar echinococcosis by pathological examination. The patient had no surgical complications after operation and was discharged after symptomatic treatment. Unfortunately, the patient later developed multiple intracerebral AE metastases. We required the patient to take albendazole orally for life and follow up.

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    Beatriz Sampaio, Felisbela Gomes, Mafalda Leal, Rita Bernardino
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    V. S. Panteleev, M. A. Nartaylakov, I. Z. Salimgareev, A. S. Petrov
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  • The Role of the Intestinal Epithelium in the “Weep and Sweep” Response during Gastro—Intestinal Helminth Infections
    Piotr Bąska, Luke James Norbury
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  • 85 Download
  • 8 Web of Science
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Ignatzschineria larvae Bacteremia Following Lucilia sp. Myiasis in an Irregular Migrant: A Case Report
Kristina Nadrah, Urška Glinšek Biškup, Vesna Cvitković Špik, Manica Müller Premru, Barbara Šoba
Korean J Parasitol 2021;59(2):159-165.
Published online April 22, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.2.159
Bacteremia induced by wound myiasis is uncommon and therefore rarely suspected by clinicians when treating patients with neglected wounds. We present a case of Ignatzschineria larvae bacteremia as a complication of Lucilia sp. maggot wound myiasis in a young male migrant. This is the first reported human case of Ignatzschineria bacteremia in Slovenia and one of the 2 described in the literature where the fly larvae infesting the wounds of the patient with Ignatzschineria bacteremia were not only suspected to be Lucilia sp. but also entomologically identified.

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    Rie Jul Christiansen, Caius Mortensen, Wojciech Cebula, Asta Lili Laugesen, Jacob Fyhring Mortensen, Michael Kemp, Anne Line Engsbro
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    Alex Belote, Dana Hawkinson, D. Matthew Shoemaker
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    Cureus.2023;[Epub]     CrossRef
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  • 105 Download
  • 5 Web of Science
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First Clinical Cases of Spirometrosis in Two Cats in Korea
Joohyung Kim, Younsung Ock, Kihwan Yang, Seongjun Choe, Kyung-Mee Park, Wan-Kyu Lee, Kyung-Chul Choi, Soochong Kim, Dongmi Kwak, Seung-Hun Lee
Korean J Parasitol 2021;59(2):153-157.
Published online April 22, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.2.153
This study reports the first two clinical cases of spirometrosis caused by Spirometra sp. in cats in Korea. In these two cases, the cats vomited, and long proglottids of tapeworm were recovered. The sick cats presented with anorexia and lethargy. However, they unexpectedly showed no diarrhea, which is the main symptom of spirometrosis. Based on a fecal floatation test as well as morphological and molecular analyses, the parasite was diagnosed as Spirometra sp. The 2 cases were treated with praziquantel. This study suggests regular monitoring of health and deworming in companion animals, even when animals are well cared for, with regular preventive medication. Additionally, spirometrosis should be considered in the differential diagnosis in cases of gastrointestinal symptoms in Spirometra endemic areas.

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    Enrique Salazar-Grosskelwing, Roger I. Rodriguez-Vivas, Manuel E. Bolio-González, Dora Romero-Salas, Rodolfo Ramos-Beltrán, Alberto Solano-Barquero, Alicia Rojas
    Veterinary Parasitology: Regional Studies and Reports.2025; 57: 101189.     CrossRef
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    Hiroshi Yamasaki, Hiromu Sugiyama, Yasuyuki Morishima, Hirotaka Kobayashi
    Parasitology International.2024; 98: 102798.     CrossRef
  • Molecular identification of Spirometra infections in companion animals and wildlife in Japan
    Hiroshi YAMASAKI, Hiromu SUGIYAMA, Yasuyuki MORISHIMA, Yasuhito SAKO
    Journal of Veterinary Medical Science.2024; 86(4): 409.     CrossRef
  • WITHDRAWN: First morphological and molecular characterisation of Spirometra mansoni (Cestoda, Diphyllobothriidae) in a domestic cat from Veracruz, Mexico
    Enrique Salazar-Grosskelwing, Roger I. Rodriguez-Vivas, Manuel E. Bolio-González, Dora Romero-Salas, Rodolfo Ramos-Beltrán, Alberto Solano-Barquero, Alicia Rojas
    Veterinary Parasitology: Regional Studies and Reports.2024; 56: 101127.     CrossRef
  • 5,392 View
  • 136 Download
  • 5 Web of Science
  • Crossref
Two Helminthic Cases of Human Mummy Remains from Joseon-Period Graves in Korea
Chang Seok Oh, Hyejin Lee, Jieun Kim, Jong Ha Hong, Soon Chul Cha, Jong-Yil Chai, Cheol Min Ha, Ryang-Ji Kang, Do-Seon Lim, Dong Hoon Shin, Min Seo
Korean J Parasitol 2021;59(2):149-152.
Published online April 22, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.2.149
Our previous research on coprolite specimens from the mummies of Joseon Dynasty (1392-1910 CE) has revealed various species of parasite eggs. Herein, we added 2 new helminthic cases of human remains from Joseon-period graves in the Republic of Korea (Korea). The organic materials precipitated on the hip bones of 2 half-mummied cases (Goryeong and Gwangmyeong cases) were collected, rehydrated, and examined by a microscope. In the sample from Goryeong-gun (gun=County), ova of Trichuris trichiura, Clonorchis sinensis, and Metagonimus spp. were detected, and eggs of T. trichiura and A. lumbricoides were found from the sample of Gwangmyeong-si (si=City). By adding this outcome to the existing data pool, we confirm our previous estimates of Joseon-period parasite infection rates. The overall rates of A. lumbricoides, T. trichiura, and C. sinensis decreased dramatically from Joseon to the modern period. In Goryeong mummy specimen, we also found Metagonimus spp. eggs that has rarely been detected in archaeological samples so far.

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  • Updates on parasite infection prevalence in the Joseon period based on parasitological studies of human coprolites isolated from archaeological sites in the cities of Euijeongbu, Gumi, and Wonju
    Chang Seok Oh, Jong-Yil Chai, Sori Min, Kyong Taek Oh, Jeonghwan Seol, Mi Kyung Song, Dong Hoon Shin, Min Seo
    Parasites, Hosts and Diseases.2023; 61(1): 89.     CrossRef
  • Paleoparasitology research on ancient helminth eggs and larvae in the Republic of Korea
    Jong-Yil Chai, Min Seo, Dong Hoon Shin
    Parasites, Hosts and Diseases.2023; 61(4): 345.     CrossRef
  • Ancient DNA of Metagonimus yokogawai Recovered from Joseon Period Human Remains Newly Discovered at Goryeong County in South Korea
    Chang Seok Oh, Jong Ha Hong, Jong Yil Chai, Mi Kyung Song, Ho-Jin Jang, Min Seo, Dong Hoon Shin
    Acta Parasitologica.2022; 67(1): 539.     CrossRef
  • Genetic Analysis of Ancient Clonorchis sinensis Eggs Attained from Goryeong Mummy of Joseon Dynasty Period
    Chang Seok Oh, Min Seo, Hye Jin Lee, Myeung Ju Kim, Do-Seon Lim, Dong Hoon Shin
    Journal of Parasitology.2022;[Epub]     CrossRef
  • Current status of Clonorchis sinensis and clonorchiasis in Korea: epidemiological perspectives integrating the data from human and intermediate hosts
    Won Gi Yoo, Woon-Mok Sohn, Byoung-Kuk Na
    Parasitology.2022; 149(10): 1296.     CrossRef
  • 5,757 View
  • 126 Download
  • 5 Web of Science
  • Crossref
Cerebral Coenurosis of a Long-Tailed Goral, Naemorhedus caudatus, in Korea
Sangjin Ahn, Hyeongseok Oh, Soo-Young Choi, Jong-Taek Kim, Hyeon-Cheol Kim
Korean J Parasitol 2021;59(1):55-59.
Published online February 19, 2021
DOI: https://doi.org/10.3347/kjp.2021.59.1.55
We intended to describe a case of cerebral coenurosis in a long-tailed goral, Naemorhedus caudatus, from Hwacheon-gun, Gangwon-do (Province), in the Korea. The goral, a 10-year-old male, was suffering from neurological symptoms, such as turning the circle to one side without lifting the head straight, and died at 30 days after admission to the wildlife medical rescue center in Chuncheon-si, Gangwon-do. A fluid-filled cyst was detected in the left cerebral hemisphere by computed tomography and magnetic resonance imaging. The cyst removed from the deceased goral was transparent, about 3×3 cm in size, contained a clear fluid and approximately 320 protoscolices invaginating from the internal germinal layer. The protoscolex had 4 suckers and a rostellum with 28 hooklets arranged in 2 rows. By the present study, a case of cerebral coenurosis was first confirmed in a long-tailed goral, N. caudatus, from Gangwon-do, in Korea. The residents frequently exposed in the sylvatic environment should be careful the accidental infections of zoonotic metacestode of Taenia multiceps, Coenurus cerebralis, in Korea.

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  • Radiographic Evaluation of Vertebral Heart Scale and Caudal Vena Cava Size Useful for Diagnosing Cardiac Diseases in Endangered Long-Tailed Goral (Naemorhedus caudatus)
    Sangjin Ahn, Woojin Shin, Yujin Han, Sohwon Bae, Chea-Un Cho, Sooyoung Choi, Jong-Taek Kim
    Journal of Veterinary Clinics.2023; 40(2): 119.     CrossRef
  • ОПТИМИЗАЦИЯ УСЛОВИЙ ЭКСПРЕССИИ РЕКОМБИНАНТНЫХ АНТИГЕНОВ-КАНДИДАТОВ ВАКЦИН ПРОТИВ ЦЕНУРОЗА
    Е. А. Колосова, П. В. Колосов, Ю. А. Меркульева, Д. Н. Щербаков
    Актуальная биотехнология.2023; (1): 57.     CrossRef
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    Sangjin Ahn, Sooyoung Choi, Jong-Taek Kim
    Journal of Veterinary Science.2022;[Epub]     CrossRef
  • 11,337 View
  • 111 Download
  • 1 Web of Science
  • Crossref
Ocular Sparganosis: The First Report of Spirometra ranarum in Thailand
Wilai Saksirisampant, Chatanun Eamudomkarn, Hyeong-Kyu Jeon, Keeseon S. Eom, Buravej Assavapongpaiboon, Sunisa Sintuwong, Wasee Tulvatana
Korean J Parasitol 2020;58(5):577-581.
Published online October 22, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.5.577
A 22-year-old Thai man from the Northeast region presented with acute eye swelling, itching, and discharge on his left eye. He was suspected of having gnathostomiasis and treated with albendazole and prednisolone for 3 weeks. Nine months later, he was treated with high-dose oral prednisolone for the preliminary and differential diagnoses with thyroid-associated orbitopathy and lymphoma. He had been administered prednisolone intermittently over a few years. Then he developed a painless movable mass at the left upper eyelid and recurrent pseudotumor oculi was suspected. The surgical removal of the mass was performed. A white pseudosegmented worm revealed a definite diagnosis of ocular sparganosis by a plerocercoid larva. Molecular diagnosis of the causative species was made based on the mitochondrial cytochrome c oxidase subunit 1 (cox1) gene. Proper technique of extraction and amplification of short fragments DNA from formalin-fixed paraffin-embedded tissue successfully identified parasite species. The result from the sequencing of the PCR-amplified cox1 fragments in this study showed 99.0% sequence homology to Spirometra ranarum. This is the first report of S. ranarum in Thailand.

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    Mahboobeh Salimi, Meysam Sharifdini, Eshrat Beigom Kia
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    Blaine A. Mathison, Richard S. Bradbury, Bobbi S. Pritt, Romney M. Humphries
    Journal of Clinical Microbiology.2023;[Epub]     CrossRef
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  • 5 Web of Science
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An Unusual Case of Extra-Enteric Blastocystosis in the Uterine Cervix
Yolanda Escutia-Guzman, Williams Arony Martinez-Flores, Joel Martinez-Oca?a, Ramon Martinez-Pimentel, Marisol Benitez-Ramirez, Fernando Martinez-Hernandez, Sara Arroyo-Escalante, Mirza Romero-Valdovinos, Guadalupe Erendira Orozco-Mosqueda, Pablo Maravilla
Korean J Parasitol 2020;58(5):571-576.
Published online October 22, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.5.571
Extra-enteric infections by Blastocystis spp. have rarely been documented. Here, we report a case of extra-enteric blastocystosis in a patient with minimal cervicitis symptoms. A 47-year-old Hispanic female patient was attended in a primary health centre in Michoacan state, Mexico, for her routine gynaecological medical examination. As only symptom, she referred to a slight vaginal itching. The presence of several vacuolar-stages of Blastocystis spp. were identified by Papanicolaou staining; molecular identification was attempted by culture-PCR sequencing of a region of 18S gene from cervical and faecal samples obtained 2 months after cytological examination, even when patient declared that she tried self-medicating with vaginal ovules. Blastocystis ST1 was identified only in the faecal sample. The presence of Blastocystis spp. in the cervix of a patient with scarce symptomatology, demonstrates the extraordinary flexibility of this microorganism to adapt to new environments and niches.

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    The Korean Journal of Parasitology.2022; 60(3): 195.     CrossRef
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  • 91 Download
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Clinical Case of a Transfusion-Associated Canine Mycoplasma haemocanis Infection in the Republic of Korea: A Case Report
Jihu Kim, Donghwan Lee, Eunchae Yoon, Hyeona Bae, Daseul Chun, Jun-Gu Kang, Dong-In Jung, Do-Hyeon Yu
Korean J Parasitol 2020;58(5):565-569.
Published online October 22, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.5.565
This report describes the first clinical case of a transfusion-associated Mycoplasma haemocanis infection in a dog in Korea. A 6-year-old male Maltese underwent a red blood cell transfusion for idiopathic immune-mediated hemolytic anemia. Eighteen days after the blood transfusion, the recipient’s packed cell volume decreased and basophilic organisms were found on erythrocytes. A polymerase chain reaction and sequential analysis showed that both the donor dog and recipient dog had M. haemocanis. Six weeks after doxycycline administration, no organisms were detected and the recipient’s anemia had improved.

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    Frontiers in Cellular and Infection Microbiology.2022;[Epub]     CrossRef
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  • 125 Download
  • 6 Web of Science
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Molecular Identification of Adenocephalus pacificus (Cestoda) from Three Human Cases in Lima Province, Peru
Aar?n Mondrag?n-Mart?nez, Rosa Mart?nez-Rojas, Enrique Garcia-Candela, Abraham Delgado-Escalante, Manuel Tantale?n-Vidaurre, Lidia Cruz-Neyra
Korean J Parasitol 2020;58(4):457-460.
Published online August 25, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.4.457
The Pacific tapeworm Adenocephalus pacifcus (syn. Diphyllobothrium pacificum) is a causative agent of diphyllobothriosis occurred in Pacific coast of South America, mainly in Peru. Source of infections are traditional meal from raw or undercooked marine fish such as “cebiche”. We confirmed 3 new cases, one including scolex and the other two headless. A strobila 46 cm long without scolex was discharged from an 8-year-old boy before treatment. Specimens were confirmed morphologically by presence of tegumental protuberances on proglottids and small sized eggs. Partial sequence of cytochrome c oxidase subunit 1 gene was congruent with A. pacificus sequences.

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    Revista de Gastroenterología del Perú.2024; 44(3): 288.     CrossRef
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Two Human Cases of Echinococcus ortleppi Infection in the Lung and Heart in Vietnam
Nguyen Van De, Pham Ngoc Minh, Le Van Duyet, Nguyen Ngoc Bich, Trinh Nam Son, Bong-Kwang Jung, Jong-Yil Chai
Korean J Parasitol 2020;58(4):451-456.
Published online August 25, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.4.451
This is a report of 2 cases of human hydatidosis caused by Echinococcus ortleppi in Vietnam. The patients were a 12-year-old male (case 1) having a cyst of 10.0×9.0 cm size in the lung and a 50-year-old female with a 3.0×3.3 cm-sized cyst in the heart. Eosinophilia was 33.7% in the male and 45.8% in the female patient. C-reactive protein was increased to 16.5 mg/L in the male and 18.2 mg/L in the female. Both patients were positive for ELISA at OD=2.5 and 3.1, respectively. Echinococcus protoscolices were collected from the cysts by amniocentesis and surgery. The protoscolices were identified as E. ortleppi by morphology and analysis of mitochondrial NADH dehydrogenase 1 (nad1) gene sequence. Both patients were cured by surgical resection of the hydatid cyst combined with albendazole medication. The E. ortleppi infection in lung is the second report, and the other in the heart is the first in Vietnam.

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First Infestation Case of Sarcoptic Mange from a Pet Rabbit Oryctolagus cuniculus in Republic of Korea
Seongjun Choe, Sungryong Kim, Ki-Jeong Na, Tilak Chandra Nath, Barakaeli Abdieli Ndosi, Yeseul Kang, Mohammed Mebarek Bia, Dongmin Lee, Hansol Park, Chatanun Eamudomkarn, Hyeong-Kyu Jeon, Keeseon S. Eom
Korean J Parasitol 2020;58(3):315-319.
Published online June 26, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.3.315
In November 2019 a 5-month-old mixed-breed rabbit presented to Chungbuk National University Veterinary Teaching Hospital, Cheongju-si, Chungbuk, Republic of Korea (Korea) with symptoms comprising pruritus, crusts on skin, poor appetite and reduced defecation. The rabbit was purchased 2 months prior from a pet shop located in a big market, and that the symptoms were first observed about 2 weeks prior to the hospital visit. Physical examination revealed that the patient had crust formation and alopecia on the nose together with lesions on the digits. A skin scraping test was performed using mineral oil and a high density of mites was observed by microscopy. Each mite showed a round, tortoise-like body with 4 comparatively short pairs of legs. The anus was located at the terminal unlike with suspected pathogen, Notoedres cati. Based on morphological characteristics, we identified the mite as Sarcoptes sp. Ivermectin was administered weekly by subcutaneous injection at a dosage of 0.4 mg/kg, and 4 weeks of follow-up study revealed the patient was fully recovered. And no more mites were detected from the case. This is the first case report of sarcoptic mange in a pet rabbit in Korea.

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A Retrieved Sparganum of Spirometra erinaceieuropaei from a Korean Man during Mechanical Thrombectomy
Yang-Ha Hwang, Wonsoo Son, Yong-Won Kim, Dong-Hun Kang, Hyun-Ha Chang, Youn-Kyoung Goo, Yeonchul Hong, Dong-Il Chung
Korean J Parasitol 2020;58(3):309-313.
Published online June 26, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.3.309
Human sparganosis is a zoonotic disease caused by infection and migration of the plerocercoid of Spirometra spp. Although sparganosis were reported from most parts of the body, the sparganum parasitizing inside cerebral artery is remarkably uncommon. We report a case of cerebral intravascular sparganosis in an elderly patient with acute ischemic stroke who was diagnosed by retrieving sparganum during mechanical thrombectomy. Finally, the parasites were identified as Spirometra erinaceieuropaei using multiplex PCR and cox1 gene sequencing.

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Asymptomatic Human Paragonimiasis among the Karen People in Tak Province, Thailand: A Case Report
Teera Kusolsuk, Orawan Phuphisut, Wanna Maipanich, Somchit Pubampen, Surapol Sa-nguankiat, Akkarin Poodeepiyasawat, Nirundorn Homsuwan, Srisuchart Mongkolmoo, Tippayarat Yoonuan, Poom Adisakwattana, Udomsak Silachamroon, Yukifumi Nawa
Korean J Parasitol 2020;58(1):57-60.
Published online February 29, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.1.57
During the mobile clinic activities in Tak Province, Thailand, Paragonimus sp. eggs were found in a fecal sample of a 72-year-old Karen resident. Paragonimus DNA was amplified from the stool sample and identified to P. heterotremus. The patient did not have any symptoms. Apparent pulmonary lesion was not found on the chest X-ray. The patient admitted habitual consumption of semi-cooked or roasted waterfall crabs for several years. The waterfall crabs collected from stream near the village were found negative for Paragonimus metacercariae. In northern Thailand, paragonimiasis remains as one of the public health concerns and should be ruled out for asymptomatic pulmonary patients.

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Case Report of Urinary Schistosomiasis in a Returned Traveler in Korea
Yangkyu Lee, Hyun Beom Song, Bong-Kwang Jung, Gheeyoung Choe, Min-Ho Choi
Korean J Parasitol 2020;58(1):51-55.
Published online February 29, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.1.51
A 23-year-old Korean woman with a residence history in Kenya and Malawi for about 2 years presented with gross hematuria for 1 month. Blood tests were within normal range except eosinophilia. Asymmetrically diffuse wall thickening and calcification were observed at the urinary bladder on CT. Multiple erythematous nodular lesions were observed in the cystoscopy and transurethral resection was done. Numerous eggs of Schistosoma haematobium with granulomatous inflammation were observed in the submucosal layer of the bladder. The patient was diagnosed with schistosomiasis-related cystitis and treated with praziquantel (40 mg/kg/day) twice before and after transurethral resection. This case suggests that S. haematobium infection should be considered as a cause of hematuria in Korea when the patient had a history of traveling endemic areas of schistosomiasis.

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Dysentery Caused by Balantidium coli in China
Peixia Yu, JianRong Rong, Yan Zhang, Jingjing Du
Korean J Parasitol 2020;58(1):47-49.
Published online February 29, 2020
DOI: https://doi.org/10.3347/kjp.2020.58.1.47
Balantidium coli human infection predominantly occurs in tropical and subtropical regions in the world. Human case is extremely rare in China. This report details a case of B. coli infection in a 68-year-old man in China, who presented with history of abdominal pain, tenesmus, diarrhea with blood and was diagnosed as B. coli-caused dysentery. Our case indicates possible occurrence of Balantidium coli-related disease in cooler climates. This case is presented not only because of its rarity but also for future references.

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A Case of Alveolar Echinococcosis Occurring in the Hilar Bile Duct
Jinyu Yang, Zhanxue Zhao, Shuai Li, Hekai Chen
Korean J Parasitol 2019;57(5):517-520.
Published online October 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.5.517
Echinococcosis is a disease caused by the Echinococcus species that parasitizes in humans. Alveolar echinococcosis (AE) which is caused by Echinococcus multilocularis is harmful to humans. AE mainly occurs in the liver and can be transferred to retroperitoneal lymph nodes, lung, brain, bone, spleen and other organs through lymphatic and blood vessels. Cholangiocarcinoma can occur in the intrahepatic and extrahepatic bile ducts and is more common in the hilar. We reported a case of hilar bile duct alveolar echinococcosis which was originally misdiagnosed an cholangiocarcinoma.

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Subcutaneous Sparganosis on Abdomen Mimicking Multiple Lipomas
Seung Ki Ahn, Hwan Jun Choi, Jun Hyuk Kim
Korean J Parasitol 2019;57(5):513-516.
Published online October 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.5.513
Human sparganosis is a food-borne zoonosis mainly caused by the plerocercoid belonging to the genus Spirometra. The most common clinical sign of sparganosis is a subcutaneous mass in the trunk including abdominal or chest wall. The mass may be mistaken for a malignant tumor, thereby causing difficulty in terms of diagnosis and treatment. A 66-year-old woman visited our clinic for the removal of a lipoma-like mass. It was movable, hard, and painless. We identified 2 white mass, measuring 0.2×4 cm and 0.2×1 cm. Pathologic findings indicated the white mass was a sparganum. She recalled having eaten a raw frog approximately 60 years before. A 35-year-old who lived North Korea was also presented to our clinic with an asymptomatic nodule on her abdomen. Intraoperatively, we found sparganum approximately 24 cm size. Subcutaneous masses are associated with clinical signs of inflammation or they may mimic a soft tissue neoplasm. While the incidence rate of sparganosis has decreased with economic development and advancements in sanitation, surgeons still encounter patients with sparganosis in the clinical setting. Therefore, a careful history is required in order to diagnose sparganosis.

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The First Acanthamoeba keratitis Case of Non-Contact Lens Wearer with HIV Infection in Thailand
Napaporn Tananuvat, Natnaree Techajongjintana, Pradya Somboon, Anchalee Wannasan
Korean J Parasitol 2019;57(5):505-511.
Published online October 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.5.505
Acanthamoeba keratitis (AK) is a rare sight-threatening corneal infection, often reporting from contact lens wearers. An asymptomatic human immunodeficiency virus (HIV)-infected Thai male without history of contact lens use complained foreign body sensation at his left eye during motorbike riding. He had neither specific keratitis symptoms nor common drugs responding, which contributed to delayed diagnosis. By corneal re-scraping, Acanthamoeba-like cysts were detected by calcofluor white staining and agar culture. The etiological agent obtained from the culture was molecularly confirmed by Acanthamoeba spp.-specific PCR, followed by DNA sequencing. The results from BLAST and phylogenetic analysis based on the DNA sequences, revealed that the pathogen was Acanthamoeba T4, the major genotype most frequently reported from clinical isolates. The infection was successfully treated with polyhexamethylene biguanide resulting in corneal scar. This appears the first reported AK case from a non-contact lens wearer with HIV infection in Thailand. Although AK is sporadic in developing countries, a role of free-living Acanthamoeba as an opportunistic pathogen should not be neglected. The report would increase awareness of AK, especially in the case presenting unspecific keratitis symptoms without clinical response to empirical antimicrobial therapy.

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    Journal of Clinical Medicine.2020; 9(11): 3775.     CrossRef
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An Imported Case of Disseminated Echinococcosis in Korea
Dong Hoon Shin, Hae Chan Jo, Jeong-Han Kim, Kang Il Jun, Wan Beom Park, Nam-Joong Kim, Min-Ho Choi, Chang Kyung Kang, Myoung-don Oh
Korean J Parasitol 2019;57(4):429-434.
Published online August 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.4.429
A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old businessman who frequently traveled overseas, including China, Russia, and Kazakhstan from 2001 to 2007. The patient was first diagnosed with a large liver cyst during a screening abdomen ultrasonography in 2011, but he did not follow up on the lesion afterwards. Six years later, dizziness, dysarthria, and cough developed, and cystic lesions were found in the brain, liver and lungs. The clinical course was complicated when the patient went through multiple surgeries and inadequate treatment with a short duration of albendazole without a definite diagnosis. The patient visited our hospital for the first time in August 2018 due to worsening symptoms; he was finally diagnosed with echinococcosis using imaging and serologic criteria. He is now on prolonged albendazole treatment (400 mg twice a day) with gradual clinical and radiological improvement. A high index of suspicion is warranted to early diagnose echinococcosis in a patient with a travel history to endemic areas of echinococcosis.

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Coenurosis of Yak, Bos grunniens, caused by Taenia multiceps: A Case Report with Molecular Identification in Qinghai Tibetan Plateau Area, China
Xue-Yong Zhang, Ying-Na Jian, Hong Duo, Xiu-Ying Shen, Yi-Juan Ma, Yong Fu, Zhi-Hong Guo
Korean J Parasitol 2019;57(4):423-427.
Published online August 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.4.423
Coenurosis is an important zoonotic helminthic disease caused by the larval stage of the tapeworm Taenia multiceps. This parasite typically infects the brain of the intermediate hosts, including sheep, goat, cattle and even humans. We report a case of T. multiceps infection in a yak confirmed by clinical symptoms, morphological characteristics, and molecular and phylogenetic analyses. The coenurus was thin-walled, whitish, and spherical in shape with a diameter of 10 cm. The parasite species was identified as T. multiceps by PCR amplification and sequencing of the 18S rRNA, cox1 and nad1 genes. Three gene sequences all showed high homology (all above 97%) with the reference sequences from different hosts. Moreover, phylogenetic reconstructions with the 3 published Taenia gene sequences confirmed that the Qinghai yak isolate was closely related to T. multiceps. Although there are advanced diagnosis and treatment methods for coenurosis, early infection is difficult to diagnose. Importantly, the findings of yak infection case should not be ignored due to its zoonotic potential.

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Ten Cases of Taenia saginata Infection Confirmed by Analysis of the Internal Transcribed Spacer 1 rDNA Region in the Republic of Korea
Su-Min Song, Hae Soo Yun, Dorene VanBik, Hyun-Ha Chang, Sang-Ah Lee, Shin-Woo Kim, Namhee Ryoo, Dong Yeub Eun, Nan Young Lee, Youn-Kyoung Goo, Yeonchul Hong, Meesun Ock, Hee-Jae Cha, Dong-Il Chung
Korean J Parasitol 2019;57(4):417-422.
Published online August 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.4.417
From October 2015 to August 2018, tapeworm proglottids were obtained from 10 patients who were residents of Daegu and Gyeongbuk provinces and had a history of raw beef consumption. Most of them had no overseas travel experience. The gravid proglottids obtained from the 10 cases had 15-20 lateral uterine branches. A part of internal transcribed spacer 1 (ITS1) DNA of the 10 cases, amplified by polymerase chain reaction (PCR) and digested with AleI restriction enzyme, produced the same band pattern of Taenia saginata, which differentiated from T. asiatica and T. solium. Sequences of ITS1 and cytochrome c oxidase subunit 1 (cox1) showed higher homology to T. saginata than to T. asiatica and T. solium. Collectively, these 10 cases were identified as T. saginata human infections. As taeniasis is one of the important parasitic diseases in humans, it is necessary to maintain hygienic conditions during livestock farming to avoid public health concerns.

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  • Taenia saginata Infection Misdiagnosed as Acute Cholecystitis in a Tibetan Patient, in China
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    The Korean Journal of Parasitology.2021; 59(3): 311.     CrossRef
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  • 239 Download
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Clinical and Endoscopic Features of Colonic Anisakiasis in Korea
Sae Kyung Joo, Ji Won Kim, Byeong Gwan Kim, Won Kim, Jae Kyung Lee, Kook Lae Lee
Korean J Parasitol 2019;57(4):411-416.
Published online August 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.4.411
To analyze the clinical and endoscopic features of colonic anisakiasis. A retrospective chart review of 20 patients with colonic anisakiasis, who were diagnosed by colonoscopy at 8 hospitals between January 2002 and December 2011, was performed. Patients’ mean age was 53.6±10.74 years. Seventy percent patients were men. Acute abdominal pain was a common symptom that mostly developed within 48 hr after the ingestion of raw fish, and which lasted for 1-28 days. Sixty percent patients had ingested raw fish before the diagnosis of colonic anisakiasis and 40% patients were incidentally found to have colonic anisakiasis during the screening colonoscopies. Leukocytosis and eosinophilia were each found in 20% of the patients. In all patients who underwent colonoscopy, the worms were removed with biopsy forceps, except in 1 case, and a definite diagnosis of anisakiasis was made. In some cases of colonic anisakiasis, colonoscopy may be helpful in the diagnosis and treatment to avoid surgical intervention.

Citations

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  • HOST SPECIFICITY, INFECTION DYNAMICS, AND ALLERGENICITY IN Anisakis SPP. INFESTATION: A REVIEW
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    Universiti Malaysia Terengganu Journal of Undergraduate Research.2024; 6(2): 62.     CrossRef
  • Intestinal anisakiasis: CT imaging findings—a 10-year descriptive study in a single center
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    Emergency Radiology.2023; 30(5): 621.     CrossRef
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    Journal of Laboratory Medicine and Quality Assurance.2022; 44(4): 185.     CrossRef
  • Anisakiosis colónica, un caso infrecuente caracterizado molecularmente mediante PCR-RFLP
    Belén González-Bertolín, Nerea Hernanz-Ruiz, Ramón Pérez-Tanoira, María Jesús Perteguer-Prieto
    Enfermedades Infecciosas y Microbiología Clínica.2021; 39(6): 308.     CrossRef
  • Colonic anisakiasis, an infrequent case molecularly characterized by PCR-RFLP
    Belén González-Bertolín, Nerea Hernanz-Ruiz, Ramón Pérez-Tanoira, María Jesús Perteguer-Prieto
    Enfermedades infecciosas y microbiologia clinica (English ed.).2021; 39(6): 308.     CrossRef
  • Endoscopic submucosal dissection of colonic anisakiasis
    Diego Martínez-Acitores, Amaia Arrubla Gamboa, Eduardo Albéniz Arbizu, Alba Larrea Ramírez
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
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Subcapsular Splenic Hemorrhage in Vivax Malaria
Jae Hyoung Im, Moon-Hyun Chung, Areum Durey, Jin-Soo Lee, Tong-Soo Kim, Hea Yoon Kwon, Ji Hyeon Baek
Korean J Parasitol 2019;57(4):405-409.
Published online August 31, 2019
DOI: https://doi.org/10.3347/kjp.2019.57.4.405
In malaria, splenic rupture is a serious complication potentially leading to death. Subcapsular hemorrhage of spleen is thought to be an impending sign of splenic rupture; however, the characteristics of subcapsular hemorrhage are not well known. We report 3 cases of subcapsular hemorrhage of the spleen in vivax malaria, with varying degrees of severity. Case 1 showed subcapsular hemorrhage without splenic rupture, was treated by antimalarial drug without any procedure. The healing process of the patient's spleen was monitored through 6 computed tomography follow-up examinations, over 118 days. Case 2 presented subcapsular hemorrhage with splenic rupture, treated only with an antimalarial drug. Case 3 showed subcapsular hemorrhage with splenic rupture and hypotension, treated using splenic artery embolization. They all recovered from subcapsular hemorrhage without any other complications. These 3 cases reveal the process of subcapsular hemorrhage leading to rupture and a potentially fatal outcome. The treatment plan of subcapsular hemorrhage should be determined carefully considering the vital signs, changes in hemoglobin, and bleeding tendency.
  • 5,700 View
  • 95 Download