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Case Report

A case of Diphyllobothrium latum infection with a brief review of diphyllobothriasis in the Republic of Korea

Eun Bin Lee1, Jung Hoon Song1, Nam Seon Park1, Byung Kook Kang1, Hyung Suk Lee1, Yoon Ju Han1, Hyo-Jin Kim2, Eun-Hee Shin2, Jong-Yil Chai2
The Korean Journal of Parasitology 2007;45(3):219-223.
Published online: September 20, 2007

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Corresponding author (chamos@hanmail.net)
• Received: May 31, 2007   • Accepted: July 12, 2007

Copyright © 2007 by The Korean Society for Parasitology

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A case of Diphyllobothrium latum infection with a brief review of diphyllobothriasis in the Republic of Korea
Korean J Parasitol. 2007;45(3):219-223.   Published online September 20, 2007
DOI: https://doi.org/10.3347/kjp.2007.45.3.219
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A case of Diphyllobothrium latum infection with a brief review of diphyllobothriasis in the Republic of Korea
Korean J Parasitol. 2007;45(3):219-223.   Published online September 20, 2007
DOI: https://doi.org/10.3347/kjp.2007.45.3.219
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A case of Diphyllobothrium latum infection with a brief review of diphyllobothriasis in the Republic of Korea
Image
Fig. 1 Gravid proglottids of D. latum discharged from the present patient, acetocarmine-stained. Note 4-5 uterine loops in rosette form. × 40.

Fig. 1

A case of Diphyllobothrium latum infection with a brief review of diphyllobothriasis in the Republic of Korea
Case No Author (year) Age (Sex) Residence/ visit Complaints Suspected source of infection Size of eggs (μm) Lengh of strobila (cm) Collection ofscolex Drug (dosage) 1 Cho et al. (1971) 50(M) Seoul Passage of proglottids Raw fishes 66.5 × 41.2 198 No Atabrine (0.9 g) 2 Min et al. (1975) 37(M) Seoul Passage of proglottids Unknown N.m.a) N.m. No Niclosamide (2.0 g) 3 Jeonget al. (1980) 14(M) Seoul Fatigue, anorexia Perch 64.3 × 41.4 685 No Bithionol (40 mg/kg) 4 Kim and Lee (1981) 26(F) Seoul Dizziness, dyspnea Sea fish 63.8 × 43.6 40 No Niclosamide (2.0 g) 5 Kim and Lee (1982) 42(M) Seoul Abd. pain Sea fishes N.m. 635 Yes Bithionol (3.0 g) 6 Song and Jung (1983) 48(M) Busan Abd. pain Perch N.m. N.m. - Niclosamide (3.0 g) 7 Lee et al. (1983) 10(M) Seoul Abd. pain Perch 64 × 45 454 Yes Bithionol (40 mg/kg) 8 48(M) Seoul Passage of proglottids Sea fish 62 × 42 30 No Niclosamide (2.0 g) 9 64(M) Seoul No symptoms Sea fish 67 × 48 320 Yes Bithionol (40 mg/kg) 10 53(F) Seoul Abd. pain, vomiting Sea fish 59 × 41 680 Yes Praziquantel (20 mg/kg) 11 23(M) Seoul Abd. pain, indigestion Perch, mullet 67 × 45 565 Yes Praziquantel (15 mg/kg) 12 Joo et al. (1983) 17(M) Seoul Passage of proglottids Salmon N.m. 1250 No Bithionol (40 mg/kg) 13 17(M) Seoul Passage of proglottids Sea fishes N.m. 854 No Bithionol (40 mg/kg) 14 6(F) Seoul Anemia Sea fishes N.m. 45-50 Yes Bithionol (40 mg/kg) 15 35(M) Seoul Diarrhea Perch, salmon N.m. 830, 850 Yes Bithionol (40 mg/kg) 16 14(M) Seoul Passage of proglottids Sea fishes N.m. 620 No Bithionol (40 mg/kg) 17 17(F) Seoul Passage of proglottids Salmon N.m. 1050 Yes Bithionol (40 mg/kg) 18 10(M) Seoul Passage of proglottids Unknown N.m. 460 No Bithionol (40 mg/kg) 19 Cho et al. (1986) 29(M) Seoul Abd. pain Sea fish 64 × 44 92 No Unknown 20 41(M) Seoul Diarrhea, constipation Salmon 62 × 43 >20 No Unknown 21 Lee et al. (1987) 14(M) Seoul No symptoms Mullet, salmon, perch 62 × 46 650 Yes Praziquantel (13 mg/kg) 22 31(M) Seoul Abd. pain, diarrhea Perch, mllet 61 × 42 300 Yes Praziquantel (13.6 mg/kg) 23 Lee et al. (1989) 20(M) Ullungdo Fever, passage of proglottids Sea fish 63.0 × 44.0 152, 123, 100 Yes (n=2) Praziquantel (10 mg/kg) 24 30(M) Ullungdo Passage of proglottids Sea fish 63.0 × 44.0 240 No Praziquantel (10 mg/kg) 25 36(M) Seoul No symptoms Fishes 63.0 × 44.0 265, 423 No Praziquantel (10 mg/kg) 26 44(M) Seoul Passage of proglottids Sea foods 63.0 × 44.0 119, 114, 85 Yes (n=3) Praziquantel (10 mg/kg) 27 41(M) Seoul Passage of proglottids Sea fish 63.0 × 44.0 N.m. Yes Praziquantel (10 mg/kg) 28 25(M) Seoul Passage of proglottids Sea fish 63.0 × 44.0 100 Yes Praziquantel (600 mg) 29 31(M) Seoul Abd. pain, dyspepsia Sea fish 63.0 × 44.0 N.m. No Praziquantel (10 mg/kg) 30 Lee et al. (1994)b) 46(F) Seoul No symptoms Trout 57.5 × 37.4 120 Yes Praziquantel (13 mg/kg) 31 22(M) Seoul Passage of proglottids Sea fish N.m. 15 No Praziquantel (10 mg/kg) 32 Ahn et al. (1996) 43(M) Chuncheon Passage of proglottids Trout 62.4 × 41.5 665 No Praziquantel (15 mg/kg) 33 39(F) Chuncheon Dyspepsia, abd. pain Trout N.m. 550 No Praziquantel (15 mg/kg) 34 Ha et al. (1997) 60(F) Unknown Abd. pain Trout (cultured) 55-70 × 45-60 50 No Praziquantel (10 mg/kg) 35 Chung et al. (1997) 35(F) Bucheon Abd. pain Mullet 72.4 × 47.2 310 Yes Praziquantel (15 mg/kg) 36 39(M) Bucheon Abd. pain, dyspepsia Mullet 67 × 45 - No Praziquantel (15 mg/kg) 37 43(F) Bucheon Dizziness, abd. pain Mullet 70.4 × 46.4 340 Yes Praziquantel (15 mg/kg) 38 43(F) Bucheon Headache, abd. pain Mullet N.m. - No Praziquantel (15 mg/kg) 39 42(M) Bucheon Abd. pain Mullet N.m. 100 No Praziquantel (15 mg/kg) 40 Jang and Cho (2000) 42(M) Chuncheon Abd. pain Trout N.m. 300 Yes Praziquantel (10 mg/kg) 41 Lee et al. (2001) 7(F) Sokcho Passage of proglottids Salmon N.m. 42 - Praziquantel (15 mg/kg) 42 35(F) Sokcho Passage of proglottids Salmon N.m. - No Praziquantel (600 mg) 43 The present study (2007) 49(M) Seoul Abd. pain, diarrhea Salmon 63.5 × 42.5 95 No Praziquantel (15 mg/kg) Age No. of cases
Male Female Total (%) < 9 0 2 2 (4.7) 10 ~ 19 7 1 8 (18.6) 20 ~ 29 5 1 6 (13.9) 30 ~ 39 7 3 10 (23.2) 40 ~ 49 10 3 13 (30.2) 50 ~ 59 1 1 2 (4.7) 60 ~ 69 1 1 2 (4.7) Total 31 (72.1) 12 (27.9) 43 (100.0) Residence/place of visit No. of cases (%) Seoul 29 (67.4) Bucheon 5 (11.6) Chuncheon 3 (7.0) Ullungdo 2 (4.7) Sokcho 2 (4.7) Busan 1 (2.3) Unknown 1 (2.3) Total 43 (100.0) Source of infection No. (%) of cases Fish (undefined) 18 (37.5) Salmon 8 (16.6) Mullet 8 (16.6) Perch 7 (14.6) Trout 5 (10.4) Unknown 2 (4.2) Total 48 (100.0)a)
Table 1. Summary of 43 D. latum cases reported in the Republic of Korea (1971-2007)

Not measured.

The worms were identified as D. latum parvum type.

Table 2. Age and sex distribution of D. latum cases reported in the Republic of Korea (1971-2007)
Table 3. Residence distribution of D. latum cases (1971-2007)
Table 4. Suspected sources of infection in D. latum infection cases (1971-2007)

Five cases recalled that they had consumed more than 1 kind of fishes.

Table 1.

Table 2.

Table 3.

Table 4.

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