Sparganosis is a rare parasitic disease caused by migrating plerocercoid tapeworm larva of the genus Spirometra. Infection in humans is mainly caused by the ingestion of raw or inadequately cooked flesh of infected frogs, snakes, and chickens. Here, we report a rare case of a 45-year-old man who was admitted to our hospital with left lower chest pain. The chest radiograph and computed tomography (CT) scan revealed localized pleural effusion in the left lower lobe; further, peripheral blood eosinophilia and eosinophilic pleural effusion were present. Percutaneous catheter drainage was performed, which revealed long worm-shaped material that was identified as a sparganum by DNA sequencing. The patient showed clinical improvement after drainage of the sparganum. This study demonstrates the importance of considering parasitic diseases in the differential diagnosis of eosinophilic pleural effusion.
Citations
Citations to this article as recorded by
Pleural effusion caused by Trichinella spiralis infection: two case reports Zhen-zhen Pan, Miao-juan Zhu, Yu-qiong Rong, Jiong Yang BMC Infectious Diseases.2023;[Epub] CrossRef
Epidemiology, Diagnosis, and Prevention of Sparganosis in Asia Wei Liu, Tengfang Gong, Shuyu Chen, Quan Liu, Haoying Zhou, Junlin He, Yong Wu, Fen Li, Yisong Liu Animals.2022; 12(12): 1578. CrossRef
Incidence, aetiology and clinical features of eosinophilic pleural effusion: a retrospective study Minfang Li, Yunxiang Zeng, Yaqing Li, Dan Jia, Sheng Chen, Jinlin Wang BMC Pulmonary Medicine.2021;[Epub] CrossRef
Retrospective study of pleural parasitic infestations: a practical diagnostic approach Jinlin Wang, Weizhan Luo, Panxiao Shen, Jianxing He, Yunxiang Zeng BMC Infectious Diseases.2019;[Epub] CrossRef
Eosinophilia in Pleural Effusions: a Speculative Negative Predictor for Malignancy Fang-Yeh Chu, Ching-Biau Liou, Jen-Tang Sun, Chia-Hao Bei, Tse-Hsuan Liou, N-Chi Tan, Yun-Chieh Yu, Chih-Chun Chang, Tzung-Hai Yen, Ming-Jang Su Asian Pacific Journal of Cancer Prevention.2016; 17(3): 1411. CrossRef
Clinical Features of Pulmonary Sparganosis Ning Li, Yi Xiang, Yun Feng, Min Li, Bei Li Gao, Qing Yun Li The American Journal of the Medical Sciences.2015; 350(6): 436. CrossRef
A large-scale survey was conducted to investigate the infection status of fresh water fishes with Clonorchis sinensis metacercariae (CsMc) in 3 wide regions, which were tentatively divided by latitudinal levels of the Korean peninsula. A total of 4,071 freshwater fishes were collected from 3 regions, i.e., northern (Gangwon-do: 1,543 fish), middle (Chungcheongbuk-do and Gyeongsangbuk-do: 1,167 fish), and southern areas (Jeollanam-do, Ulsan-si, and Gyeongsangnam-do: 1,361 fish). Each fish was examined by the artificial digestion method from 2003 to 2010. In northern areas, only 11 (0.7%) fish of 2 species, Pungtungia herzi and Squalidus japonicus coreanus from Hantan-gang, Cheolwon-gun, Gangwon-do were infected with av. 2.6 CsMc. In middle areas, 149 (12.8%) fish were infected with av. 164 CsMc. In southern areas, 538 (39.5%) fish were infected with av. 159 CsMc. In the analysis of endemicity in 3 regions with an index fish, P. herzi, 9 (6.2%) of 146 P. herzi from northern areas were infected with av. 2.8 CsMc. In middle areas, 34 (31.8%) of 107 P. herzi were infected with av. 215 CsMc, and in southern areas, 158 (92.9%) of 170 P. herzi were infected with av. 409 CsMc. From these results, it has been confirmed that the infection status of fish with CsMc is obviously different among the 3 latitudinal regions of the Korean peninsula with higher prevalence and burden in southern regions.
Citations
Citations to this article as recorded by
Infection Characteristics of Clonorchis sinensis Metacercariae in Fish from Republic of Korea Woon-Mok Sohn The Korean Journal of Parasitology.2022; 60(2): 79. CrossRef
Current status of Clonorchis sinensis and clonorchiasis in Korea: epidemiological perspectives integrating the data from human and intermediate hosts Won Gi Yoo, Woon-Mok Sohn, Byoung-Kuk Na Parasitology.2022; 149(10): 1296. CrossRef
Survey of Zoonotic Trematode Metacercariae in Fish from Water Systems of Geum-gang (River) in Republic of Korea Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Cheon-Hyeon Kim, Min-Ah Hwang, Kyeong-Woo No, Jai-Dong Kim The Korean Journal of Parasitology.2021; 59(1): 23. CrossRef
High Endemicity with Clonorchis sinensis Metacercariae in Fish from Yongjeon-cheon (Stream) in Cheongsong-gun, Gyeongsangbuk-do, Korea Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Hee Il Lee, Myoung-Ro Lee, Jung-Won Ju, Gou Ok Kim The Korean Journal of Parasitology.2021; 59(1): 97. CrossRef
Prevalence and Infection Intensity of Zoonotic Trematode Metacercariae in Fish from Soyang-cheon (Stream), in Wanju-gun, Jeollabuk-do, Korea Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Jung-Won Ju, Cheon-Hyeon Kim, Min-Ah Hwang, Kyeong-Woo No, Jong-Ho Park The Korean Journal of Parasitology.2021; 59(3): 265. CrossRef
Survey of Zoonotic Trematode Metacercariae in Fish from Irrigation Canal of Togyo-jeosuji (Reservoir) in Cheorwon-gun, Gangwon-do, Republic of Korea Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Hee Il Lee, Jung-Won Ju, Myoung-Ro Lee, Eun-Joo Lim, Sung Yong Son, Eunmi Ko, Jaeseok Choi The Korean Journal of Parasitology.2021; 59(4): 427. CrossRef
Endemicity of Zoonotic Trematode Metacercariae in Fish from Deokcheon-gang (River) in Sancheong-gun, Gyeongsangnam-do, Republic of Korea Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Hee Il Lee, Jung-Won Ju, Myoung-Ro Lee, Jeong-Gil Park, Jihee Ahn The Korean Journal of Parasitology.2021; 59(5): 523. CrossRef
Prevalence of Clonorchis sinensis infection in fish in South‐East Asia: A systematic review and meta‐analysis Ying Zhang, Qing‐Long Gong, Qing‐Bo Lv, Yang‐Yuan Qiu, Yan‐Chun Wang, Hong‐Yu Qiu, Xin‐Rui Guo, Jun‐Feng Gao, Qiao‐Cheng Chang, Chun‐Ren Wang Journal of Fish Diseases.2020; 43(11): 1409. CrossRef
Infection Status with Clonorchis sinensis Metacercariae in Fish from Yangcheon (Stream) in Sancheong-gun, Gyeongsangnam-do, Korea Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Jung-Won Ju The Korean Journal of Parasitology.2019; 57(2): 145. CrossRef
Infection Status with Digenetic Trematode Metacercariae in Fishes from Coastal Lakes in Gangwon-do, Republic of Korea Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Soon-Won Lee The Korean Journal of Parasitology.2019; 57(6): 681. CrossRef
Prevalence and Intensity of Clonorchis sinensis Metacercariae in Freshwater Fish from Wicheon Stream in Gunwi-gun, Gyeongsangbuk-do, Korea
Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Jung-Won Ju, Dong-Chul Son The Korean Journal of Parasitology.2018; 56(1): 41. CrossRef
Infection Status with Clonorchis sinensis Metacercariae in Fish from Tamjin-gang (River) in Jeollanam-do, Republic of Korea Ki-Bok Yoon, Hyun-Cheol Lim, Doo Young Jeon, Sook Park, Shin-Hyeong Cho, Jung-Won Ju, Sung-Shik Shin, Byoung-Kuk Na, Woon-Mok Sohn The Korean Journal of Parasitology.2018; 56(2): 183. CrossRef
Infections with Digenean Trematode Metacercariae in Two Invasive Alien Fish, Micropterus salmoides and Lepomis macrochirus, in Two Rivers in Chungcheongbuk-do, Republic of Korea Seongjun Choe, Hansol Park, Dongmin Lee, Yeseul Kang, Hyeong-Kyu Jeon, Keeseon S. Eom The Korean Journal of Parasitology.2018; 56(5): 509. CrossRef
A new method for estimating the prevalence of clonorchiasis in Korea Jin-Young Jeong, Jin Yong Lee, Byung-Suk Chung, Younghyun Choi, Allison Baer Alley, Hyun Joo Kim Medicine.2017; 96(13): e6536. CrossRef
Prevalence of Clonorchis sinensis Metacercariae in Fish from Water Systems of Seomjin-gang (River) Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Mi-Yeoun Park, Cheon-Hyeon Kim, Min-Ah Hwang, Kyeong-Woo No, Ki-Bok Yoon, Hyun-Cheol Lim The Korean Journal of Parasitology.2017; 55(3): 305. CrossRef
Trematode Metacercariae in Freshwater Fish from Water Systems of Hantangang and Imjingang in Republic of Korea Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho, Soon-Won Lee, Seung-Bong Choi, Won-Seok Seok The Korean Journal of Parasitology.2015; 53(3): 289. CrossRef
Prevalence of Zoonotic Trematode Metacercariae in Freshwater Fish from Gangwon-do, Korea Shin-Hyeong Cho, Won-Ja Lee, Tong-Soo Kim, Won-Seok Seok, Taejoon Lee, Kyungjin Jeong, Byoung-Kuk Na, Woon-Mok Sohn The Korean Journal of Parasitology.2014; 52(4): 399. CrossRef
Prevalence and Risk Factors of Clonorchiasis among Residents of Riverside Areas in Muju-gun, Jeollabuk-do, Korea Do-Soon Park, Sung-Jin Na, Shin Hyeong Cho, Kyung Ja June, Young-Chae Cho, Young-Ha Lee The Korean Journal of Parasitology.2014; 52(4): 391. CrossRef
First
Prev
