| Home | E-Submission | Sitemap | Contact us |  
Korean J Parasito Search


Parasit Host Dis > Volume 13(1):1975 > Article

Original Article
Korean J Parasitol. 1975 Jun;13(1):60-77. English.
Published online Mar 20, 1994.  http://dx.doi.org/10.3347/kjp.1975.13.1.60
Copyright © 1975 by The Korean Society for Parasitology
Some aspects of human sparganosis in Korea
Seung-Yull Cho,Jonghoa Bae,Byong-Seol Seo and Soon-Hyung Lee
Department of Parasitology and Institute of Endemic Diseases, College of Medicine, Seoul National University, Korea.

Human sparganosis in Korea was discussed on the bases of five human cases experienced by the present authors and 58 case records already reported by many previous authors, in aspects of epidemiology and clinical features.

Sparganosis is not infrequent tissue helminthiasis now in Korea and the incidence has been evidently increased during past 10 years. It might be interpreted that improved medical delivery system and health care exposed the hidden but prevalent disease.

The distribution of sparganosis in Korea is apparently subdivided into three major endemic areas; Kyunggi Do, Kyungsang Do and Hamkyung Nam Do. Although scanty in other areas of Korea, the distribution of this disease is presumably throughout the whole peninsula of Korea except Cheju Do.

The majority of human cases of sparganosis in Korea has revealed raw consuming of snakes for treatment of tuberculosis, syphilis and joint pain, for tonics and for the belief of special nutrition among very limited group of Korean population. Because of this kinds of mode of infection, comprising four fifths of all cases, the majority of cases detected were male adult consisting of about 70% of total cases.

And drinking of untreated water in rural area where no protective, sanitary measures for water sources were provided in the past, seems another important causes of infection especially in women and children in Korea. Thus it may be concluded that sparganosis in Korea is concluded by eating of infective stages per os voluntarily or involuntarily, but not through the direct invasion.

Clinically, subcutaneous mass or lump was the most frequent problem in those patients and those masses were associated with inflammatory signs. By the anatomical location of the lesion, some peculiar manifestations could be developed as in orbital, abdominal, urethral, ureteral and vertebral cases. And the lesions could be complicated by haemorrhage or abscess formations.

The larval worms hitherto collected in Korea has been identified tentatively as Sparganum mansoni because neither branched larvae nor Sparganum proliferum were ever reported.


Fig. 1
Sparganum mansoni, fractured during staining with acetocarmine from Case 1.

Fig. 2
Sparganum mansoni, actively motile in warm physiological saline, from Case 2.

Fig. 3
Sparganum mansoni, collected from Case 4. Stained with acetocarmine.

Fig. 4
2 pieces of Sparganum mansoni collected by patient(Case 5). Alcohol fixed.

Fig. 5
Geographical distribution of reported Korean cases. One dot represents one reported case.


Table 1
Decennial distribution of human sparganosis repored in Korea

Table 2
Age and sex distribution of Korean cases reported

Table 3
The occupation of Korean cases

Table 4
Eating habits of raw flesh of animals and untreated water with causal relations of sparganosis in Korea among 45 verified cases

Table 5
Reasons of eating raw flesh of frogs, snakes and other kinds of fleshes in patients of sparganosis in Korea

Table 6
Location of Sparganum found in 58 Korean cases

Table 7
Clinical manifestations of 31 subcutaneous of fascial infestaion of 31 subcutaneous of fascial infestaion of Sparganum, except scrotal cases

Table 8
Clinical manifestations of 12 cases of sparganosis with scrotal involvement

Table 9
List of manifestations of sparganosis involving other than subcutaneous tissue

Table 10
Number of Sparganum mansoni recovered from 60 Korean cases

1. Ahn JW, et al. J Korean Surg Soc 1967;9(7):419–421.
2. Ahn HJ, et al. Korean J Urol 1966;7(2):57–59.
3. Ali-Khan Z, Irving RT, Wignall N, Bowmer EJ. Imported sparganosis in Canada. Can Med Assoc J 1973;108(5):590.
4. Beurup AJ. Aust Vet J 1953;29:217–224.
5. Bonne C. Am J Trop Med 1942;22:643–645.
6. Brooks TJ Jr, Hutchison WF, Safley TJ, Ross TG. Human sparganosis in Mississippi: report of two cases. Am J Trop Med Hyg 1960;9:192–194.
7. Bruijning CFA, et al. Trop Geogr Med 1960;12:356–358.
8. Campell HE, et al. China Med J Suppl 1936;1:423–433.
9. Cho SY, Hwang KI, Seo BS. On The Sparganum Mansoni Infection In Some Korean Terrestrial Snakes. Korean J Parasitol 1973;11(2):87–94.
10. Cho SY, et al. J Korean Med Ass 1974;17(5):367–371.
11. Cho WH, et al. J ROK Naval Med Corps 1960;5:177–179.
12. Choi DW, et al. New Med J 1961;4(8):1023–1025.
13. Chu SJ, et al. New Med J 1960;3(8):1051–1052.
14. Chun MH, et al. Pusan Med J 1965;5(2):175–179.
15. Corkum KC. Sparganosis in some vertebrates of Louisiana and observations on a human infection. J Parasitol 1966;52(3):444–448.
16. Doi T, et al. J Chosen Med Ass 1924;50:47–51.
17. Hachida A, et al. Tokyo Med News 1938;3091:11–13.
18. Higuchi K, et al. Jit-tsi Ika to Rinsho 1940;17(8):866–872.
19. Honda D. J Chosen Med Ass 1938;28:1792.
20. Hsu SH. Chinese Med J 1944;62A:107–108.
21. Huang CT, et al. J Trop Med Hyg 1962;65(6):133–138.
22. Im J, et al. J Res Inst Med Sci Korea 1974;6(10):528–533.
23. Ishii A. Jpn J Parasit 1973;22(2):75–78.
24. Jang DH. Korean J Vet Med 1964;8(4):3–11.
25. Khamboonruang C, Premasathian D, Little MD. A case of intra-abdominal sparganosis in Chiang Mai, Thailand. Am J Trop Med Hyg 1974;23(3):538–539.
26. Kikkawa D. J Jpn Ophthalm Soc 1924;28(3):189–193.
27. Kim CH, et al. J Korean Modern Med 1967;6:191–195.
28. Kim HW, et al. Korean J Urol 1970;11(1):23–25.
29. Kim KC, et al. Korean Central J Med 1966;9(4):499–501.
30. Kim KH, et al. J Korean Modern Med 1965;3(2):137–141.
31. Kim YS, et al. Korean J Vet Res 1973;13(1):75–77.
32. Kobayashi H. Jpn Med World 1925;5:9–16.
33. Kobayashi H. Acta Medicinalis in Keijo 1928;11:43–58.
34. Kum DP. Korean Med J 1959;4(4):507–508.
35. Lee BS. Medical World of Chosen and Manchuria 1930;115:47.
36. Lee CW, et al. J Korean Surg Soc 1965;7(3):155–158.
37. Lee HY, et al. Korean Central J Med 1974;27(4):389–391.
38. Lee KH, et al. J Korean Surg Soc 1969;11(8):545–547.
39. Lee KT. J Res Inst Med Sci Korea 1970;2(5):307–312.
40. Lee SK, et al. Pusan Med J 1967;7(2):87–92.
41. Lee YB, et al. Korean J Dermatol 1972;10:203–206.
42. Lee YH, et al. Korean Med J 1965;10(7):645–647.
43. Leon LA, Almeida R, Mueller JF. A case of ocular sparganosis in Ecuador. J Parasitol 1972;58(1):184–185.
44. Loh BH. J ROK Naval Med Corps 1959;4:184–187.
45. Miyazaki I. Fukuoka Acta Medica 1960;51(2):131–135.
46. Miyazaki M. Jpn J Dermatol Urol 1941;49(1):43.
47. Mueller JF, et al. J Parasitol 1963;49(2):294–296.
48. Mueller JF. The biology of Spirometra. J Parasitol 1974;60(1):3–14.
49. Nam JM, et al. Korean J Urol 1968;9(2):37–39.
50. Nelson GS, Pester FR, Rickman R. The significance of wild animals in the transmission of cestodes of medical importance in Kenya. Trans R Soc Trop Med Hyg 1965;59(5):507–524.
51. Okamoto T, et al. Rinsho Geka 1935;2:79–82.
52. Park KS, et al. Korean Med J 1957;2(1):109–112.
53. Park SH, et al. J Korean Neurosurg Ass 1972;1:204–207.
54. Park YS, et al. Korean J Urol 1964;5(2):121–123.
55. Pradatsundarasar A, et al. Southeast Asian J Trop Med Pub Hlth 1971;2(4):578–579.
56. Rhee CW, et al. J Korean Ophthalm Soc 1971;12(3):125–129.
57. Rim SJ, et al. Korean J Dermatol 1971;9(3):77–79.
58. Saito M. Geka 1941;5:974–975.
59. Seo BS, Rim HJ, Yoon JJ, Lee DJ. [A Case Report Of Sparganosis]. Korean J Parasitol 1964;2(3):179–182.
60. Shin JS, et al. J Korean Ophthalm Soc 1958;1(1):38–39.
61. Shin PH. J Chosen Med Ass 1933;23(10):1329–1331.
62. Short RB, Lewis AL. Sparganosis in North Florida. J Parasitol 1964;50:800.
63. Sohn DM. J Korean Med Ass 1960;3(8):62.
64. Swartzwelder JC, Beaver PC, Hood MW. Sparganosis in Southern United States. Am J Trop Med Hyg 1964;13:43–47.
65. Takamoto S. J Chosen Med Ass 1931;21(11):1451–1452.
66. Tsuyugi H. Aichi Igagai Zasshi 1928;34(7):1197–1219.
67. Uemura S. J Chosen Med Ass 1917;20:114.
68. Wang LT, et al. J Formosan Med Ass 1974;73:173–177.
69. Swartzwelder JC, Beaver PC, Hood MW. Sparganosis in Southern United States. Am J Trop Med Hyg 1964;13:43–47.
70. Wong WT, et al. Far East Med J 1970;6(4):107–109.
71. Yamada S. Tokyo Med News 1922;2271:595–607.
72. Yogore MG Jr, Tangco AF. Notes on sparganosis in a Filipino. Acta Med Philipp 1953;9(4):301–303.
73. Yokogawa S, et al. Trans 8th Congress Far East Ass Trop Med 1930;2:215–226.
74. Yoon BH. Central J Ophthalm 1935;27:1130.
Editorial Office
Department of Molecular Parasitology, Samsung Medical Center, School of Medicine, Sungkyunkwan University,
2066 Seobu-ro, Jangan-gu, Suwon 16419, Gyeonggi-do, Korea.
Tel: +82-31-299-6251   FAX: +82-1-299-6269   E-mail: kjp.editor@gmail.com
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © 2023 by The Korean Society for Parasitology and Tropical Medicine.     Developed in M2PI