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Original Articles
Clinical characteristics of toxoplasmosis patients in Korea: A retrospective study using health insurance review and assessment service data and electronic medical records
Do-Won Ham, Bong-Kwang Jung, Ji-Hun Shin, Yong Joon Kim, Kyoung Yul Seo, Seung Mi Lee, Jae Hyoung Im, Jeong-Ran Kwon, Ho-Sung Lee, Kyung-Won Hwang, Eun-Hee Shin
Parasites Hosts Dis 2024;62(4):424-437.
Published online November 22, 2024
DOI: https://doi.org/10.3347/PHD.24001
This study aimed to elucidate the clinical characteristics of patients diagnosed with toxoplasmosis in Korea. We collected and analyzed the specific research data of 5,917 patients from the Health Insurance Review and Assessment (HIRA; 2007–2020) and 533 electronic medical records (EMRs; 2003–2021) of Korean patients. The HIRA data showed that toxoplasmosis is an endemic disease that occurs constantly in Korea, with a large proportion of patients complaining of ocular symptoms. Of the 533 patients for whom EMR data were available, 54.6% were diagnosed with toxoplasmosis; ocular toxoplasmosis (35.7%), congenital toxoplasmosis (4.7%), cerebral toxoplasmosis (4.1%), pulmonary toxoplasmosis (0.4%), and toxoplasma hepatitis (0.6%), in order of frequency. In ocular cases, 54.4% of the patients had diverse ocular pathologies. Toxoplasmosis in Korea is characterized by a high frequency of ocular symptoms, most patients are adults, and 51.8% of patients with seropositivity were positive for IgG, suggesting prior infection. This study highlights that patients with ocular symptoms are included in the major diagnosis group for acquired toxoplasmosis in Korea.

Citations

Citations to this article as recorded by  Crossref logo
  • Detection of intestinal parasites in leopard cat fecal samples using shotgun metagenomics
    Jun Ho Choi, Singeun Oh, Myung-hee Yi, Dongjun Kang, Du-Yeol Choi, Xavier Chavarria, Arwa Shatta, Yoon Hee Cho, Seongjun Choe, Seung-Hun Lee, Ju Yeong Kim
    Parasites, Hosts and Diseases.2025; 63(4): 349.     CrossRef
  • 3,365 View
  • 91 Download
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Spatiotemporal Clusters and Trends of Pneumocystis Pneumonia in Korea
Hwa Sun Kim, Ho-Woo Nam, Hye-Jin Ahn, Sang Haak Lee, Yeong Hoon Kim
Korean J Parasitol 2022;60(5):327-338.
Published online October 21, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.5.327
This study determined the recent status and trend of Pneumocystis jirovecii pneumonia (PcP) in the non-human immunodeficiency virus (HIV) (non-HIV-PcP) and HIV (HIV-PcP) infected populations using data from the Health Insurance Review & Assessment Service (HIRA) and the Korea Disease Control and Prevention Agency (KDCA). SaTScan and Joinpoint were used for statistical analyses. Non-HIV-PcP cases showed an upward trend during the study period from 2010 to 2021, with the largest number in 2021 (551 cases). The upward trend was similar until 2020 after adjusting for the population. Seoul had the highest number of cases (1,597) in the non-HIV-PcP group, which was the same after adjusting for the population (162 cases/1,000,000). It was followed by Jeju-do (89 cases/1,000,000). The most likely cluster (MLC) for the non-HIV-PCP group was Seoul (Relative Risk (RR)=4.59, Log Likelihood Ratio (LLR)=825.531), followed by Jeju-do (RR=1.59, LLR=5.431). An upward trend was observed among the non-HIV-PcP group in the Jeju-do/Jeollanam-do/Jeollabuk-do/Gyeongsangnam-do/Busan/Daejeon/Daegu/Ulsan joint cluster (29.02%, LLR=11.638, P<0.001) located in the southern part of Korea. Both women and men in the non-HIV groups showed an overall upward trend of PcP during the study period. Men in the 60-69 age group had the highest annual percentage change (APC 41.8) during 2014-2019. In contrast, the HIV groups showed a falling trend of PcP recently. Men in the 60-69 age group had the most decrease (APC -17.6) during 2018-2021. This study provides an analytic basis for health measures and a nationwide epidemiological surveillance system for the management of PcP.

Citations

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  • Pneumonia incidence and determinants in South Punjab, Pakistan (2016–2020): a spatial epidemiological study at Tehsil-level
    Ömer Ünsal, Oliver Gruebner, Munazza Fatima
    International Journal of Health Geographics.2025;[Epub]     CrossRef
  • 4,152 View
  • 111 Download
  • 1 Web of Science
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Relationship between Clonorchis sinensis Infection and Cholangiocarcinoma in Korea
Hwa Sun Kim, Ho-Woo Nam, Hye-Jin Ahn, Dongjae Kim, Yeong Hoon Kim
Korean J Parasitol 2022;60(4):261-271.
Published online August 24, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.4.261
This study provides an overview of the current status of clonorchiasis and cholangiocarcinoma (CCA), and their relationship in Korea during 2012-2020. Data were obtained from the Health Insurance Review & Assessment Service of Korea. Cluster, trend, and correlation analyses were performed. Gyeongsangnam-do and Seoul had the highest average number of cases (1,026 and 4,208) and adjusted rate (306 and 424) for clonorchiasis and CCA, respectively. The most likely clusters (MLC) for clonorchiasis and CCA were Busan/Gyeongsangnam-do/Ulsan/Daegu/Gyeongsangbuk-do (Relative Risk; RR = 4.55, Likelihood Ratio; LLR = 9,131.115) joint cluster and Seoul (RR = 2.29, LLR = 7,602.472), respectively. The MLC for clonorchiasis was in the southeastern part of Korea, while that for CCA was in the southern part. Clonorchiasis showed a decreasing trend in the southeastern districts, while increased in the southwestern districts. Cities in the central region had a decreasing trend, while the western districts had an increasing trend. In most adults (30-59), infection rate of clonorchiasis showed a significant decrease until 2018, while thereafter increased, although not significant. CCA showed a sharply decreasing tendency. The incidence of clonorchiasis and CCA were positively correlated. In general, the correlation was weak (r = 0.39, P < 0.001), but it was strongly positive around the 4 river basins (r = 0.74, P < 0.001). This study might provide an analytic basis for developing an effective system against clonorchiasis and CCA.

Citations

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  • International trends in biliary tract cancer–related mortality, 2000–2022: An observational study of the World Health Organization Mortality Database
    Quynh Thi Vu, Yoshito Nishimura, Ko Harada, Hiroki Ito, Tsukasa Higashionna, Akinari Maruo, Keisaku Harada, Tatsuaki Takeda, Hirofumi Hamano, Yoshito Zamami, Hideharu Hagiya, Toshihiro Koyama
    Hepatology.2025; 82(3): 626.     CrossRef
  • Carcinogenic parasites: insights into the epidemiology and possible mechanisms of cancer
    Shabir Ahmad Rather, Zahoor Ahmad Wani, Rashaid Ali Mustafa, Pooja Bharti, Rukhsana Kousar, Mohammad Vikas Ashraf, Shoeb Ahmad, A A Shah, M A Hannan Khan
    Mutagenesis.2025; 40(3): 465.     CrossRef
  • GalNAc-siRNA conjugates mediate the silencing of the parasite-derived lncRNA: A novel therapeutic approach for liver fluke-induced liver fibrosis
    Yangyuan Qiu, Xue Bai, Jingna Gao, Bin Tang, Mingyuan Liu, Jing Ding, Xiaolei Liu
    International Journal of Biological Macromolecules.2025; 319: 145580.     CrossRef
  • Clonorchiasis misdiagnosed as hepatic space-occupying lesion: a case report
    Peng Son, Fen Yeong Chen, Jun Er Chin Benedick, Ruiling Hui, Simin Guo
    Diagnostic Microbiology and Infectious Disease.2025; 113(4): 117027.     CrossRef
  • Ivermectin Identified Using a High-Throughput Screening System Exhibits Anti-Clonorchis sinensis Activity in Rats
    Soon-Ok Lee, Hyeryon Lee, Ki Back Chu, Jianhua Li, Sung-Jong Hong, Sung Soo Kim, Joo Hwan No, Fu-Shi Quan
    Antibiotics.2025; 14(8): 837.     CrossRef
  • Can flukes cause cancer? Insight into molecular links between parasites and carcinogenesis
    Maria Paluch, Maja Cudzik, Aleksandra Kędra, Martyna Olszyna, Agata Dziura, Paulina Jaskulska, Grzegorz Król, Wioleta Kondziołka
    Molecular and Biochemical Parasitology.2025; 264: 111707.     CrossRef
  • Genome-wide identification of histone lysine methyltransferases and their implications in the epigenetic regulation of eggshell formation-related genes in a trematode parasite Clonorchis sinensis
    Min-Ji Park, Woon-Mok Sohn, Young-An Bae
    Parasites, Hosts and Diseases.2024; 62(1): 98.     CrossRef
  • A novel kit for enrichment of fecal helminth eggs
    Eunsol Lee, Seon-Ok Back, Young-Ju Lee, Jung-Won Ju, Hee-Il Lee, Myoung-Ro Lee
    Parasites, Hosts and Diseases.2024; 62(3): 323.     CrossRef
  • Risk factors for Clonorchis sinensis infections and control measures reinforced with focused interviews
    Soon-Ok Lee, Fuhong Dai, Eun Joo Park, Yun Pyo Hong, Fu-Shi Quan, Jin-Ho Song, Sung-Jong Hong
    Parasitology Research.2024;[Epub]     CrossRef
  • 5,644 View
  • 162 Download
  • 11 Web of Science
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Spatiotemporal Clusters and Trend of Trichomonas vaginalis Infection in Korea
Yeong Hoon Kim, Hye-Jin Ahn, Dongjae Kim, Ho-Woo Nam
Korean J Parasitol 2022;60(2):97-107.
Published online April 20, 2022
DOI: https://doi.org/10.3347/kjp.2022.60.2.97
This study was done to provide an overview of the latest trichomoniasis status in Korea by finding disease clusters and analyzing temporal trends during 2012-2020. Data were obtained from the Health Insurance Review & Assessment Service (HIRA) of Korea. SaTScan and Joinpoint programs were used for statistical analyses. Gyeonggi-do had the highest average population and highest number of cases. The high incidence of T. vaginalis infections were observed among women aged 40-49 and 30-39 years (33,830/year and 33,179/year, respectively). Similarly, the 40-49 and 30-39 age group in men showed the highest average cases (1,319/year and 1,282/year, respectively). Jeollabuk-do was the most likely cluster, followed by Busan/Gyeongsangnam-do/Ulsan/Daegu and Jeju-do and Gwangju. Urban and rural differences were prominent. Trichomoniasis has decreased significantly in most clusters, except for Incheon. Trichomoniasis was decreasing in women recently after peaking around 2014. Men showed different trends according to age. Trichomoniasis was increasing in the 10-39 age groups, but decreasing in the 40-59 age groups. This study might provide an analytic basis for future health measures, policy-makers, and health authorities in developing effective system for prevention of trichomoniasis.

Citations

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  • Clinical Characteristics of Vaginal Trichomoniasis Infection and Metronidazole Resistance in Vaginitis Patients
    Guixue Lv, Xunrong Cao, Chunfeng Zheng
    Infection and Drug Resistance.2025; Volume 18: 1161.     CrossRef
  • Prevalence of Trichomonas vaginalis Among Women in the Chinese Population: A Systematic Review and Meta-Analysis
    Shuang Li, Jiahui Xu, Sisi Ru, Changjun Hu, Chongyang Liu, Xingquan Sun, Heteng Guo, Xi Zhang
    Tropical Medicine and Infectious Disease.2025; 10(4): 113.     CrossRef
  • Molecular Identification Based on β-Tubulin of Trichomonas vaginalis Infection among Women in Babylon Province
    Zainab Waddah Kermasha, Hayam Khalis Al-Masoudi, Suhaila Fadhil Mohammed
    Medical Journal of Babylon.2024; 21(4): 1009.     CrossRef
  • Prevalence and metronidazole resistance of Trichomonas vaginalis among Japanese women in 2021
    Yumiko Saito-Nakano, Yuko Umeki, Chikako Shimokawa, Koichi Kobayashi, Koichi Hashimoto, Toshio Takada, Chinami Makii, Rie Hasebe, Yuri Yoshida, Riko Nakajima, Seiki Kobayashi, Hajime Hisaeda
    IJID Regions.2023; 7: 130.     CrossRef
  • 4,708 View
  • 214 Download
  • 4 Web of Science
  • Crossref