A case of human infection with Heterophyes nocens (Heterophyidae) was incidentally found in a biopsy specimen of the Meckel's diverticulum at the upper part of the small intestine. The patient was a 58-year-old man living in a rural area of Talsong-gun, Kyongsangbuk-do. He had gastrointestinal symptoms such as epigastric pain, indigestion, and abdominal discomfort for 3 months, and severe diarrhea, abdominal pain, and vomiting for about 1 month before hospitalization. Endoscopy of the upper part of the small intestine revealed a Meckel's diverticulum, and it was excised and histopathologically examined. Three adult flukes were incidentally found sectioned in the mucosa, and they were identified as H. nocens. The patient had a history of eating raw mullets at a fish market in Pusan 6 months ago, and the mullets were presumed to be the source of infection. This case brings a considerable interest in that specific diagnosis of heterophyid infections could be done by sectional morphology of the worms.
Citations
Citations to this article as recorded by
An Endoscopic Surprise in a Child With Chronic Diarrhea Durga Prasad, Abhai Verma, Madhu Mati Goel Gastroenterology.2021; 160(4): 1037. CrossRef
Prevalence and spatial distribution of heterophyidiasis in Southern Philippines Kharleezelle J. Moendeg, Lydia R. Leonardo, Trina Galido Isorena, Francine Claire Alexandra S. Hilotina, Imelda S. Pates, Nancy O. Cacayorin Acta Tropica.2021; 220: 105940. CrossRef
Fishborne zoonotic heterophyid infections: An update Jong-Yil Chai, Bong-Kwang Jung Food and Waterborne Parasitology.2017; 8-9: 33. CrossRef
Co-infection with Opisthorchis viverrini and Haplorchis taichui detected by human fecal examination in Chomtong district, Chiang Mai Province, Thailand Chalobol Wongsawad, Anawat Phalee, Waraporn Noikong, Suksan Chuboon, Choosak Nithikathkul Parasitology International.2012; 61(1): 56. CrossRef
Haplorchis taichuias a Possible Etiologic Agent of Irritable Bowel Syndrome-Like Symptoms Dorn Watthanakulpanich, Jitra Waikagul, Wanna Maipanich, Supaporn Nuamtanong, Surapol Sanguankiat, Somchit Pubampen, Rangson Praevanit, Srisuchat Mongkhonmu, Yukifumi Nawa The Korean Journal of Parasitology.2010; 48(3): 225. CrossRef
First
Prev
