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Case Report

Two Imported Cases of Babesiosis with Complication or Co-Infection with Lyme Disease in Republic of Korea
Hea Yoon Kwon, Jae Hyoung Im, Yun-Kyu Park, Areum Durey, Jin-Soo Lee, Ji Hyeon Baek
Korean J Parasitol 2018;56(6):609-613.
Published online December 31, 2018
DOI: https://doi.org/10.3347/kjp.2018.56.6.609
Babesiosis, caused by Babesia microti and B. divergens, is transmitted by Ixodid ticks. Symptoms of babesiosis vary from a mild flu-like illness to acute, severe, and sometimes fatal and fulminant disease. In Korea, 7 imported babesiosis cases and 1 endemic case have been reported. We report 2 cases of severe babesiosis initially mistaken as malaria. The first patient was complicated by shock and splenic infarction, the other co-infected with Lyme disease. As the population traveling abroad increases every year, physicians should be aware of babesiosis which mimics malaria, co-infection with other diseases, and its complications.

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
  • Splenic Infarction in Babesiosis: A Case Series
    Kaetlyn Arant, Ty Agaisse, Athanasios Vassilopoulos, Sassine Ghanem, Michael Santos
    Journal of Brown Hospital Medicine.2025;[Epub]     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
  • Current Status of Trypanosoma grosi and Babesia microti in Small Mammals in the Republic of Korea
    Hyun Jung Kim, BoGyeong Han, Hee-Il Lee, Jung-Won Ju, Hyun-Il Shin
    Animals.2024; 14(7): 989.     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 and Diseases.2023; 61(1): 72.     CrossRef
  • iSeq 100 for metagenomic pathogen screening in ticks
    Ju Yeong Kim, Myung-hee Yi, Alghurabi Areej Sabri Mahdi, Tai-Soon Yong
    Parasites & Vectors.2021;[Epub]     CrossRef
  • Molecular evidence of zoonotic Babesia species, other than B. microti, in ixodid ticks collected from small mammals in the Republic of Korea
    Tae Yun Kim, Seong Yoon Kim, Tae‐Kyu Kim, Hee IL Lee, Shin‐Hyeong Cho, Wook‐Gyo Lee, Hyunwoo Kim
    Veterinary Medicine and Science.2021; 7(6): 2427.     CrossRef
  • Interactions between Babesia microti merozoites and rat kidney cells in a short-term in vitro culture and animal model
    Marta Albertyńska, Hubert Okła, Krzysztof Jasik, Danuta Urbańska-Jasik, Przemysław Pol
    Scientific Reports.2021;[Epub]     CrossRef
  • A Review of Zoonotic Babesiosis as an Emerging Public Health Threat in Asia
    Sabir Hussain, Abrar Hussain, Muhammad Umair Aziz, Baolin Song, Jehan Zeb, David George, Jun Li, Olivier Sparagano
    Pathogens.2021; 11(1): 23.     CrossRef
  • Splenic Complications ofBabesia microtiInfection in Humans: A Systematic Review
    Igor Dumic, Cristian Madrid, Libardo Rueda Prada, Charles W. Nordstrom, Pahnwat Tonya Taweesedt, Poornima Ramanan
    Canadian Journal of Infectious Diseases and Medical Microbiology.2020; 2020: 1.     CrossRef
  • A Practical Approach to the Diagnosis of Lyme Borreliosis: From Clinical Heterogeneity to Laboratory Methods
    Giusto Trevisan, Serena Bonin, Maurizio Ruscio
    Frontiers in Medicine.2020;[Epub]     CrossRef
  • 8,816 View
  • 159 Download
  • 11 Web of Science
  • Crossref

Original Article

Infectious diarrhea is endemic in most developing countries. We aimed to investigate the protozoan, viral, and bacterial causes of acute diarrhea in Taif, Saudi Arabia. A cross-sectional prospective 1-year study was conducted on 163 diarrheal patients of various ages. Stool samples were collected, 1 per patient, and tested for 3 protozoa, 3 viruses, and 9 bacteria with the Luminex Gastrointestinal Pathogen Panel. Overall, 53.4% (87/163) of samples were positives (20.8% protozoa, 19.6% viruses, 2.8% bacteria, and 9.8% mixed). Rotavirus (19.6%), Giardia duodenalis (16.5%), and Cryptosporidium spp. (8.5%) were the mostly detected pathogens. Adenovirus 40/41 (4.2%), Salmonella (3%), Shiga toxin-producing Escherichia coli (3%), and Entamoeba histolytica (2.4%) were also detected. Norovirus GI/II, Vibrio cholerae, Yersinia enterocolitica, and Clostridium difficile toxin A/B were not detected in any patients. All pathogens were involved in coinfections except E. histolytica. Giardia (5.5%) and rotavirus (3%) were the most commonly detected in co-infections. Enterotoxigenic E. coli (2.4%), Campylobacter spp. (2.4%), E. coli 0157 (1.8%), and Shigella spp. (1.2%) were detected in patients only as co-infections. Infections were more in children 0-4 years, less in adults <40 years, and least >40 years, with statistically significant differences in risk across age groups observed with rotavirus (P<0.001), Giardia (P=0.006), and Cryptosporidium (P=0.036) infections. Lastly, infections were not significantly more in the spring. This report demonstrates the high burden of various enteropathogens in the setting. Further studies are needed to define the impact of these findings on the clinical course of the disease.

Citations

Citations to this article as recorded by  Crossref logo
  • Epidemiological Characteristics of Intestinal Protozoal Infections and Their Risk Factors in Malaysia: Systematic Review and Meta-Analysis Protocol
    Nor Shazlina Mizan, Hassanain Al-Talib, Seok Mui Wang
    JMIR Research Protocols.2025; 14: e66350.     CrossRef
  • Molecular Identification of Gastroenteritis Pathogens among Adults and Children in Al-Ahsa, Saudi Arabia: A Retrospective Study
    Ahmed K. Alqurayn, Hisham M. Yousef, Hameed H. Al Jawad, Abdullatif S. Al Rashed, Obeid E. Obeid, Khaled R. Alkharsah
    Saudi Journal of Medicine & Medical Sciences.2025; 13(2): 114.     CrossRef
  • The Incidence and Predictive Factors Associated with Severity of Amebiasis among Children at Kut City, Middle Iraq
    Rawaa Kamel Abd, Sana Rouis, Khalied Yassen Zakair, Boutrif Mahdi
    Medical Journal of Babylon.2025; 22(2): 615.     CrossRef
  • Burden and Distribution of Protozoan Pathogens in Diarrhea Cases Worldwide: A Systematic Review and Meta-Analysis, 1999-2024
    Joseph B Suleiman, Maryam Azlan
    Cureus.2025;[Epub]     CrossRef
  • Prevalence and risk factors of intestinal protozoal infections among patients in Malaysia: A systematic review and meta-analysis
    Nor Shazlina Mizan, Seok Mui Wang, Hasnah Ma'amor, Hassanain Al-Talib, Masoud Foroutan
    PLOS One.2025; 20(9): e0332218.     CrossRef
  • Human adenoviruses in children with gastroenteritis: a systematic review and meta-analysis
    Pegah Khales, Mohammad Hossein Razizadeh, Saied Ghorbani, Afagh Moattari, Jamal Sarvari, Hassan Saadati, Shirin Sayyahfar, Zahra Salavatiha, Morteza Haghighi Hasanabad, Vahdat Poortahmasebi, Ahmad Tavakoli
    BMC Infectious Diseases.2024;[Epub]     CrossRef
  • A Laboratory Perspective on an Epidemiological Pattern of Infectious Gastroenteritis: A Five-year Surveillance between 2016 to 2020 from Established Private Healthcare Centers within Klang Valley in Malaysia
    Fadzilah Mohd Nor, Shafiq Aazmi, Tengku Shahrul Anuar, Azdayanti Muslim, Muhammad Nazri Aziz, Nabila Ibrahim, Mohd Fakharul Zaman Raja Yahya, Siti Nabilah Zainuri, Farida Zuraina Mohd Yusof
    Journal of Pure and Applied Microbiology.2023; 17(1): 180.     CrossRef
  • Epidemiologic Changes in Over 10 Years of Community-Acquired Bacterial Enteritis in Children
    Jae Jin Yang, Kunsong Lee
    Pediatric Gastroenterology, Hepatology & Nutrition.2022; 25(1): 41.     CrossRef
  • Molecular mechanisms of Shigella effector proteins: a common pathogen among diarrheic pediatric population
    Ahmad Nasser, Mehrdad Mosadegh, Taher Azimi, Aref Shariati
    Molecular and Cellular Pediatrics.2022;[Epub]     CrossRef
  • High Rates Of Macrolide And Fluoroquinolone Resistance In Human Campylobacteriosis In The Middle East and North Africa
    Ahmad A Dabbousi, Marwan Osman, Fouad Dabboussi, Monzer Hamze
    Future Microbiology.2022; 17(12): 957.     CrossRef
  • Molecular epidemiology, genetic diversity, and vaccine availability of viral acute gastroenteritis in the middle East and North Africa (MENA) region
    Israa Elbashir, Noor F. Aldoos, Shilu Mathew, Asmaa A. Al Thani, Mohamed M. Emara, Hadi M. Yassine
    Journal of Infection and Public Health.2022; 15(11): 1193.     CrossRef
  • Epidemiological investigations of diarrhea in children in Praia city, Cape Verde
    Denise Andrade Colito, Roberto Dorta-Guerra, Hailton Spencer Da Costa Lima, Carine Pina, Deisy Gonçalves, Basilio Valladares, Pilar Foronda
    Frontiers in Microbiology.2022;[Epub]     CrossRef
  • Avian cryptosporidiosis and its zoonotic significance in Asia
    Tean Zaheer, Muhammad Imran, Rao Zahid Abbas, Iqra Zaheer, Muhammad Abdullah Malik
    World's Poultry Science Journal.2021; 77(1): 55.     CrossRef
  • Global Prevalence of Yersinia enterocolitica in Cases of Gastroenteritis: A Systematic Review and Meta-Analysis
    Seyed Mohammad Riahi, Ehsan Ahmadi, Tayebeh Zeinali, Luigi Santacroce
    International Journal of Microbiology.2021; 2021: 1.     CrossRef
  • Effect of immunoglobulin G concentration in dairy cow colostrum and calf blood serum on Cryptosporidium spp. invasion in calves
    Alīna Derbakova, Maksims Zolovs, Dace Keidāne, Žanete Šteingolde
    Veterinary World.2020; 13(1): 165.     CrossRef
  • High Prevalence of Intestinal Pathogens in Indigenous in Colombia
    Simone Kann, Daniela Bruennert, Jessica Hansen, Gustavo Andrés Concha Mendoza, José José Crespo Gonzalez, Cielo Leonor Armenta Quintero, Miriam Hanke, Ralf Matthias Hagen, Joy Backhaus, Hagen Frickmann
    Journal of Clinical Medicine.2020; 9(9): 2786.     CrossRef
  • Cryptosporidium and Cryptosporidiosis: The Perspective from the Gulf Countries
    Shahira A. Ahmed, Panagiotis Karanis
    International Journal of Environmental Research and Public Health.2020; 17(18): 6824.     CrossRef
  • Prevalence, risk factors and seasonal variations of different Enteropathogens in Lebanese hospitalized children with acute gastroenteritis
    Ali Salami, Hadi Fakih, Mohamed Chakkour, Lamis Salloum, Hisham F. Bahmad, Ghassan Ghssein
    BMC Pediatrics.2019;[Epub]     CrossRef
  • Assessing risk factors and causative organisms of acute diarrhea in children under 5 years in AL-Hindiya, Karbala, Iraq
    HaiderSahib Humady Tuky, BanAbbas Semender
    Medical Journal of Babylon.2019; 16(4): 357.     CrossRef
  • 10,089 View
  • 236 Download
  • 20 Web of Science
  • Crossref

Articles from Symposium on Asian Taenia (October 2011, Osong, Korea)

Current Status of Taeniasis in Thailand
Malinee Thairungroj Anantaphruti
Korean J Parasitol 2013;51(1):37-42.
Published online February 18, 2013
DOI: https://doi.org/10.3347/kjp.2013.51.1.37

Taeniasis is prevalent in all regions of Thailand, except the South. Infections were more frequently found in males than females of any age from 7-83 years. Taenia saginata is the most common species throughout the country. Taenia asiatica was reported only in the province of Kanchanaburi in the Central region. Co-infections, with Taenia solium and T. asiatica or T. solium and T. saginata, were found. Hybridization between T. asiatica and T. saginata is evidence that co-infection is never found between these 2 species. Finding more than 1 worm in a single patient was not entirely rare. Genetic variation was found without correlation to its geographic distribution in T. saginata, whereas no variation was found in T. asiatica.

Citations

Citations to this article as recorded by  Crossref logo
  • Nationwide spatial dynamics of taeniasis in Thailand: declining prevalence but shifting focus and One Health risk factors across 2008–2014
    Pornphutthachat Sota, Kefyalew Addis Alene, Thitima Wongsaroj, Sirikachorn Tangkawattana, Archie C. A. Clements, Banchob Sripa
    Parasites & Vectors.2025;[Epub]     CrossRef
  • Assessment of knowledge and practices regarding taeniasis and cysticercosis in Pak Chong, Nakhon Ratchasima, Thailand: A cross-sectional study
    Wuttipong Phumrattanaprapin, Nitima Tatiya-apiradee, Pattana Jantaban, Wiriya Mahikul, Gideon Zulu
    PLOS ONE.2024; 19(7): e0307240.     CrossRef
  • Current prevalence and geographic distribution of helminth infections in the parasitic endemic areas of rural Northeastern Thailand
    Pongsakorn Martviset, Wansika Phadungsil, Kesara Na-Bangchang, Wiwat Sungkhabut, Tanutchamon Panupornpong, Parisa Prathaphan, Nattaya Torungkitmangmi, Salisa Chaimon, Chompunoot Wangboon, Mantana Jamklang, Sirilak Chumkiew, Pichanee Watthanasiri, Amornrat
    BMC Public Health.2023;[Epub]     CrossRef
  • A retrospective study of Taenia spp. in Cuban patients: what does molecular analysis tell us?
    Luis Enrique Jerez Puebla, Fidel A. Núñez Fernández, Jorge Fraga Nodarse, Raul Cordovi Prado, Iraís Atencio Millán, Iredys Cruz Rodríguez, Rigoberto Fimia Duarte, Marina del Carmen Sánchez Romero, Sahily de la Caridad Ortega Medina, Ubaldo del Risco, Liss
    Food and Waterborne Parasitology.2021; 25: e00136.     CrossRef
  • Epidemiology of Taenia saginata taeniosis/cysticercosis: a systematic review of the distribution in East, Southeast and South Asia
    Ramon M. Eichenberger, Lian F. Thomas, Sarah Gabriël, Branco Bobić, Brecht Devleesschauwer, Lucy J. Robertson, Anastasios Saratsis, Paul R. Torgerson, Uffe C. Braae, Veronique Dermauw, Pierre Dorny
    Parasites & Vectors.2020;[Epub]     CrossRef
  • Taeniasis and cysticercosis in Asia: A review with emphasis on molecular approaches and local lifestyles
    Akira Ito, Tiaoying Li, Toni Wandra, Paron Dekumyoy, Tetsuya Yanagida, Munehiro Okamoto, Christine M Budke
    Acta Tropica.2019; 198: 105075.     CrossRef
  • Comment on “Epidemiological Survey on Porcine Cysticercosis in Nay Pyi Taw Area, Myanmar”
    Maria Teresa Galán-Puchades, Màrius Vicent Fuentes
    Journal of Veterinary Medicine.2016; 2016: 1.     CrossRef
  • Epidemiology and genetic diversity of Taenia asiatica: a systematic review
    Anita Ale, Bjorn Victor, Nicolas Praet, Sarah Gabriël, Niko Speybroeck, Pierre Dorny, Brecht Devleesschauwer
    Parasites & Vectors.2014;[Epub]     CrossRef
  • Current Status of Taeniasis in Thailand
    Malinee Thairungroj Anantaphruti
    The Korean Journal of Parasitology.2013; 51(1): 37.     CrossRef
  • Genetic Diversity of Taenia asiatica from Thailand and Other Geographical Locations as Revealed by Cytochrome c Oxidase Subunit 1 Sequences
    Malinee Thairungroj Anantaphruti, Urusa Thaenkham, Dorn Watthanakulpanich, Orawan Phuphisut, Wanna Maipanich, Tippayarat Yoonuan, Supaporn Nuamtanong, Somjit Pubampen, Surapol Sanguankiat
    The Korean Journal of Parasitology.2013; 51(1): 55.     CrossRef
  • 10,332 View
  • 83 Download
  • Crossref
Case Report
A Case of Probable Mixed-Infection with Clonorchis sinensis and Fasciola sp.: CT and Parasitological Findings
Tae Yun Kim, Yun-Sik Lee, Ji Hye Yun, Jeong Ju Kim, Won Hyung Choi, In Hwan Oh, Hyun Ouk Song, Jong Phil Chu
Korean J Parasitol 2010;48(2):157-160.
Published online June 17, 2010
DOI: https://doi.org/10.3347/kjp.2010.48.2.157

We report here a human case probably mixed-infected with Clonorchis sinensis and Fasciola sp. who was diagnosed by computed tomography (CT) scan, serological findings, and/or fecal examination. The patient was a 43-year-old Korean female and was admitted to Kyung Hee University Hospital with the complaints of fever and abdominal pain. On admission, marked eosinophilia was noted in her peripheral blood. CT scan showed specific lesions for clonorchiasis and fascioliasis in the liver, along with lesions suggestive of amebic abscess. Micro-ELISA revealed positive results for the 2 helminthic infections. Eggs of C. sinensis and trophozoites of Entamoeba histolytica were observed in the stool. Treatment with praziquantel followed by metronidazole and tinidazole reduced abnormalities in the liver and eosinophilia. This is the first case report of a possible co-infection with 2 kinds of liver flukes in the Republic of Korea.

Citations

Citations to this article as recorded by  Crossref logo
  • Helminth/Protozoan Coinfections in Chronic Fascioliasis Cases in Human Hyperendemic Areas: High Risk of Multiparasitism Linked to Transmission Aspects and Immunological, Environmental and Social Factors
    M. Adela Valero, M. Manuela Morales-Suarez-Varela, Davis J. Marquez-Guzman, Rene Angles, Jose R. Espinoza, Pedro Ortiz, Filippo Curtale, M. Dolores Bargues, Santiago Mas-Coma
    Tropical Medicine and Infectious Disease.2025; 10(8): 224.     CrossRef
  • Fascioliasis: Image Findings, Diagnosis, and Treatment
    Jae Seung Lee
    Clinical Ultrasound.2024; 9(1): 18.     CrossRef
  • Toxocara canis and Fasciola hepatica Co-Infection Leading to Hepatic Abscess: A Case Report
    Seung Wan Kim, Byoung Kuk Jang
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
  • Ultrasound and contrast-enhanced ultrasound (CEUS) in infective liver lesions
    Nitin Chaubal, Thomas Thomsen, Adnan Kabaalioglu, David Srivastava, Stephanie Simone Rösch, Christoph F. Dietrich
    Zeitschrift für Gastroenterologie.2021; 59(12): 1309.     CrossRef
  • Diagnosis of human fascioliasis by stool and blood techniques: update for the present global scenario
    S. MAS-COMA, M. D. BARGUES, M. A. VALERO
    Parasitology.2014; 141(14): 1918.     CrossRef
  • 12,471 View
  • 92 Download
  • Crossref