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Amebiasis caused by Entamoeba histolytica infection has been a prevalent protozoan disease in Korea since old times. For this reason, a number of scientific publications in relation to this protozoa has totaled 186 so far in the literature, as of 1989. The subjects ranged from biology to its treatment and prevention. The overall achievement by scientists and clinicians in Korea has been meritorious in elucidating some of the pending problems in the areas of pathogenesis, diagnosis, and treatment. Among them, development of a culture method applying diphasic medium, studies on virulence of the strains collected in Korea, and a combination of aspiration method and chemotherapy to treat amebic liver abscess are seen to have been contributing to the eventual goal of reducing this protozoa infection from the land.
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Since the first report on the incidence of egg positiveness of Clonorchis sinensis by Matsumoto in 1915, clonorchiasis has been recognized as one of the most important endemic diseases in Korea. Most of the works on clonorchiasis after then had been studied by Japanese workers until 1945. After the Korean War in 1950-1953, health problems of Koreans were extremely aggravated. This gave us attentions for the prevention of contagious diseases as well as parasitic infections in public health point of view. It was greatly recognized that not only ascariasis, hookworm infections, and trichuriasis, but also clonorchiasis and paragonimiasis constitute the important helminthic diseases in Korea. In the late 1950s, several Korean workers conducted studies of C. sinensis on its biology, epidemiology, pathology, clinical symptoms as well as treatment. Thereafter overall epidemiological surveys were carried out actively throughout the country since 1960s. From these surveys, it became clear that endemic areas of clonorchiasis are scattered all over the country along the Nakdong, Kum, Mankyong, Yeongsan and Han rivers. The most extensive and intensive endemic regions were found mainly along the Nakdong river. Since then, clonorchiasis has been one of the most extensively studied subjects during the past 30 years. The present review mainly deals with current results obtained by Korean investigators on the prevalence of clonorchiasis, as well as its biology, epidemiology, pathogenesis, clinical manifestations, diagnosis, treatment, prevention and control.
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Infectivity and Pathological Changes in Murine Clonorchiasis: Comparison in Immunocompetent and Immunodeficient Mice. Byung-II YOON, Yang-Kyu CHOI, Dae-Yong KIM, Byung-Hwa HYUN, Kyoung-Hwan JOO, Han-Jong RIM, Jae-Hyun LEE Journal of Veterinary Medical Science.2001; 63(4): 421. CrossRef
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Isozyme electrophoresis patterns of the liver fluke, Clonorchis sinensis from Kimhae, Korea and from Shenyang, China Gab-Man Park, Tai-Soon Yong, Kyung-il Im, Kyu-Je Lee The Korean Journal of Parasitology.2000; 38(1): 45. CrossRef
Chromosomes of the liver fluke, Clonorchis sinensis Gab-Man Park, Kyung-il Im, Sun Huh, Tai-Soon Yong The Korean Journal of Parasitology.2000; 38(3): 201. CrossRef
Usefulness of IgG4 subclass antibodies for diagnosis of human clonorchiasis Sung-Tae Hong, Mejeong Lee, Nak-Jin Sung, Sang Rock Cho, Jong-Yil Chai, Soon-Hyung Lee The Korean Journal of Parasitology.1999; 37(4): 243. CrossRef
Control of clonorchiasis by repeated praziquantel treatment and low diagnostic efficacy of sonography S T Hong, K Yoon, M Lee, M Seo, M H Choi, J S Sim, B I Choi, C K Yun, S H Lee The Korean Journal of Parasitology.1998; 36(4): 249. CrossRef
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The lung fluke, Paragonimus, and lung fluke disease, were reviewed, especially on the works performed in Korea. Among 43 species of Paragonimus recorded in the world literature, P. westermani, P. pulmonalis, and P. iloktsuenensis are known to distribute in Korea. Biological studies on P.
westermani have revealed that its snail intermediate host is Semisulcospira spp. and major second intermediate hosts are crabs such as Eriocheir japonicus and E. sinensis or crayfish such as Cambaroides similis and C. dauricus. The final hosts other than man are dogs, cats, pigs, and wild animals. Paragonimiasis has been known to distribute widely over the south Korea, however, the prevalence among people and intermediate hosts is gradually decreasing in recent years. In Korean people, the lung fluke have caused pulmonary infections in a great many of cases but as well extrapulmonary ones including cerebral, spinal, subcutaneous, hepatic, splenic, abdominal, urinary, gynecologic, and other types. The definite diagnosis of paragonimiasis can be executed by the recovery of eggs from sputum or feces of patients, however, immunological methods such as intradermal test, complement-fixation test, precipitin reactions, immunofluorescent techniques, enzyme-linked immunosorbent assay (ELISA) are greatly helpful for egg-negative or extrapulmonary cases. Various drugs have been introduced for the treatment of paragonimiasis, and among them, bithionol, niclofolan and praziquantel have shown high therapeutic efficacy. The most recommendable one is considered praziquantel. For control of this disease, mass chemotherapy of patients seems to be the most efficient and feasible measure.
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A case of chronic cerebral paragonimiasis westermani Shin-Yong Kang, Tae-Kwon Kim, Tae Yun Kim, Young-Il Ha, Sun-Wook Choi, Sung-Jong Hong The Korean Journal of Parasitology.2000; 38(3): 167. CrossRef
Molecular cloning and immunological characterization of phosphoglycerate kinase from Clonorchis sinensis Sung-Jong Hong, Kee-Young Seong, Woon-Mok Sohn, Kye-Yong Song Molecular and Biochemical Parasitology.2000; 108(2): 207. CrossRef
Redescription of Macroorchis spinulosus Ando, 1918 (Digenea: Nanophyetidae) encysted in the fresh water crayfish, Cambaroides similis J Y Chai, W M Sohn, S Huh, M H Choi, S H Lee The Korean Journal of Parasitology.1996; 34(1): 1. CrossRef
Serodiagnosis of human paragonimiasis by ELISA-inhibition test using monoclonal antibodies T S Yong, J H Seo, I S Yeo The Korean Journal of Parasitology.1993; 31(2): 141. CrossRef
Ten species of the trematode family Heterophyidae (Metagonimus yokogawai, M. takahashii, Heterophyes nocens, H. heterophyes, H. dispar, Heterophyopsis continua, Pygidiopsis summa, Stellantchasmus falcatus, Centrocestus armatus and Stictodora fuscatum), and 3 species of the family Echinostomatidae (Echinostoma hortense, E.
cinetorchis and Echinochasmus japonicus) have been found to infect humans in Korea. Biological and epidemiological studies on the above species have shown that Metagonimus, heterophyids and echinostomes are all prevalent indigenously in Korea except H. heterophyes and H. dispar, of which the human cases were infected when they came to the Middle East.
Various kinds of fish have been proven to be the source of human infection with these flukes. For example, fresh water fish such as the sweetfish, carp, loach, etc., were found to carry the metacercarial stage of M. yokogawai, M.
takahashii, C. armatus, E. hortense, E. cinetorchis and/or E. japonicus. Brackish water fish such as the mullet, perch and goby, were verified to be the second intermediate host of H. nocens, H. continua, P. summa, S. falcatus and/or S.
fuscatum. Among the intestinal flukes, M. yokogawai is the most prevalent species in Korea.
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PCR-RFLP pattern of three kinds of Metagonimus in Korea J R Yu, J S Chung, S Huh, S H Lee, J Y Chai The Korean Journal of Parasitology.1997; 35(4): 271. CrossRef
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One human case of natural infection by Heterophyopsis continua and three other species of intestinal trematodes S J Hong, C K Chung, D H Lee, H C Woo The Korean Journal of Parasitology.1996; 34(1): 87. CrossRef
TEM ultrastructure of the tegumental layer of Gymnophalloides seoi (Digenea: Gymnophallidae) M Seo, J Y Chai, S H Lee The Korean Journal of Parasitology.1995; 33(3): 165. CrossRef
Effects of gamma-irradiation on the survival and development of Metagonimus yokogawai metacercariae in rats J Y Chai, S J Kim, J Kook, S H Lee The Korean Journal of Parasitology.1995; 33(4): 297. CrossRef
Two cases of Gymnophalloides seoi infection accompanied by diabetes mellitus S H Lee, J Y Chai, M Seo, M H Choi, D C Kim, S K Lee The Korean Journal of Parasitology.1995; 33(1): 61. CrossRef
Invasion of Metagonimus yokogawai into the submucosal layer of the small intestine of immunosuppressed mice J Y Chai, J Kim, S H Lee The Korean Journal of Parasitology.1995; 33(4): 313. CrossRef
The first discovery of an endemic focus of Heterophyes nocens (Heterophyidae) infection in Korea J Y Chai, H K Nam, J Kook, S H Lee The Korean Journal of Parasitology.1994; 32(3): 157. CrossRef
Intestinal trematode infections in the villagers in Koje-myon, Kochang-gun, Kyongsangnam-do, Korea W Y Son, S Huh, S U Lee, H C Woo, S J Hong The Korean Journal of Parasitology.1994; 32(3): 149. CrossRef
A follow-up examination of intestinal parasitic infections of the Army soldiers in Whachon-gun, Korea S Huh, S U Lee, S C Huh The Korean Journal of Parasitology.1994; 32(1): 61. CrossRef
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Mucosal mast cell responses to experimental Metagonimus yokogawai infection in rats J Y Chai, T H Kim, W G Kho, S W Chung, S T Hong, S H Lee The Korean Journal of Parasitology.1993; 31(2): 129. CrossRef
An epidemiological study of metagonimiasis along the upper reaches of the Namhan River J Y Chai, S Huh, J R Yu, J Kook, K C Jung, E C Park, W M Sohn, S T Hong, S H Lee The Korean Journal of Parasitology.1993; 31(2): 99. CrossRef
Surface ultrastructure of Heterophyes nocens (Trematoda: Heterophyidae) J Y Chai, H L Chung, M H Choi, W M Sohn, S J Hong, S H Lee The Korean Journal of Parasitology.1992; 30(2): 75. CrossRef
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Epidemiological surveys concerning cestodes of medical importance in Korea have been sporadically reported by many workers. Among various parasitic infections, cestode infections occur less frequently than other helminthiases, but they often cause serious clinical complications.
Cestodes reported so far in Korea belong to the Order Pseudophyllidea or Cyclophyllidea (Subclass Cestoda), i.e., Diphyllobothrium latum, D. yonagoense, Spirometra erinacei, sparganum, Hymenolepis diminuta, H. nana, Mesocestoides lineatus, Taenia saginata, T. solium, metacestode of T.
solium (cysticercus), and Echinococcus granulosus. The present paper is a brief review of the literature concerning these cestode infections in Korea. Taeniases by T. saginata or T. solium are prevalent cestode infections in Korea, and cysticercosis by T. solium often reveals serious clinical manifestations. H. nana infection is relatively rare, showing 0.22% egg positive rate in a nationwide survey in 1986. Sparganosis by the plerocercoid larva of Spirometra is not an uncommon cestode infection in man, and 16 kinds of animal hosts including the snakes and frogs have been reported. D. latum infection has been an uncommon intestinal parasitosis, but it tends to increase nowadays. Most of human hydatidosis cases have been recognized as imported ones from outside Korea, but one case was proven indigenous.
Other 4 kinds of cestodiases are extremely rare in Korea and only a few cases have been recorded.
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Five human cases of Diphyllobothrium latum infection through eating raw flesh of redlip mullet, Liza haematocheila: Article in Korean P R Chung, W M Sohn, Y Jung, S H Pai, M S Nam The Korean Journal of Parasitology.1997; 35(4): 283. CrossRef
The first human case of Diplogonoporus balaenopterae (Cestoda: Diphyllobothriidae) infection in Korea D I Chung, H H Kong, C H Moon, D W Choi, T H Kim, D W Lee, J J Park The Korean Journal of Parasitology.1995; 33(3): 225. CrossRef
Intestinal parasite and Clonorchis sinensis infection among the inhabitants in the upper stream of Taechong Dam, Kumgang (River) C H Kim, Y E Na, N M Kim, D W Shin, D Y Chang The Korean Journal of Parasitology.1994; 32(4): 207. CrossRef
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Research activities of medical entomology in Korea can briefly be divided into three periods. During the first period (1910-1959), medical entomology research was initiated by Japanese workers, and then by U.S. Army Medical Unit personnels and a few Korean pioneers, who greatly contributed to establishing a foundation for medical entomology in Korea. During the second period (1960-1979), research activities were intensively carried out by the entomology team of the Central Malaria Eradication Service and staffs of the Division of Medical Entomology, National Institute of Health, who collaborated with WHO-Vector Ecology and Control Research Unit. During the third period (1980-present), studies were expanded to different research laboratories, such as Departments of Biology in College of Natural Sciences and Departments of Parasitology or others in Medical Schools, and study topics also became diverse.
Out of 313 papers on Korean arthropods of medical importance, the majority were on mosquitoes (142 papers, 45.4%) and, next, on flies (53 papers, 16.9%). It is hard to see the future prospect of medical entomology research in Korea, since it looks pessimistic in some respects but optimistic in others. Korean medical entomologists may be quantitatively lacking, but not qualitatively behind.
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