Parasites, Hosts and Diseases

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Case Reports

A Case of Unexpected Clinostomum complanatum Infection Initially Presenting as Foreign Body in Pharynx: Hyunjung Kim, Sung-Weon Cho, Harim Oh, Hyung Kwon Byeon; Korean J Parasitol 2019;57(2):175-177.
Published online April 30, 2019; DOI: https://doi.org/10.3347/kjp.2019.57.2.175

Abstract
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A 46-year old man visited our outpatient clinic with complaint of foreign body sensation in throat after consuming raw freshwater fish 5 days ago. Laryngoscopic examination revealed a motile worm attached on posterior pharyngeal wall. The worm was removed using biopsy forceps under transnasal endoscopy and evidently identified as Clinostomum complanatum after microscopic examination. Patient’s subjective foreign body sensation of throat and hyperemia of laryngeal mucosa remained for approximately 2 weeks post-removal, which were eventually resolved after administration of non-steroidal anti-inflammatory drug and anti-refluxant drug for 2 weeks. Treatment was ended at three weeks since the first visit. C. complanatum infections in humans are rare, and only four cases have been reported in Korea. Symptoms resembling pharyngitis or laryngitis occurs by consumption of raw, infected freshwater fish and treatment is done by mechanically removing the parasite.

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Larisa Ermakova, Sergey Kozlov, Sergey Nagorny, Natalia Golovchenko, Victoria Telicheva, Julia Kiosova, Marina Zotova, Natalia Pshenichnaya
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Unregulated introduced fish (Perca fluviatilis Linnaeus, 1758) is host to zoonotic parasites in a small Mediterranean island
Anaïs Esposito, Gaël P. J. Denys, Vincent Haÿ, Paul-Jean Agostini, Joséphine Foata, Yann Quilichini
Parasitology Research.2024;[Epub] CrossRef
Genetic Diversity and Population Dynamics of Clinostomum spp. Using Comprehensive Bioinformatics Approaches
Sk Injamamul Islam, Mohamed H. Hamad, Wanarit Jitsamai, Channarong Rodkhum, Piyanan Taweethavonsawat, Mohammed El-Magd
Veterinary Medicine International.2024;[Epub] CrossRef
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L. Di Cesare, M. M. Montes, M. S. Vargas, C. G. Barbeito, S. E. Plaul
Parasitology Research.2024;[Epub] CrossRef
Can avian flyways reflect dispersal barriers of clinostomid parasites? First evidence from the mitogenome of Clinostomum complanatum
Marlies Monnens, Ali Halajian, D. Tim J. Littlewood, Andrew G. Briscoe, Tom Artois, Maarten P.M. Vanhove
Gene.2023; 851: 146952. CrossRef
Clinostomum complanatum: Anthelmintic potential of curcumin on the infective progenetic metacercarial stage
Lubna Rehman, Rizwan Ullah, Abdur Rehman, M.A. Hannan Khan, Mirza Ahmar Beg, Sobia Wasim, Faiza Farhat, P A Shareef Ahammed, S.M.A. Abidi
Experimental Parasitology.2023; 249: 108514. CrossRef
Case report of laryngeal infection by Clinostomum complanatum 24 days after ingestion of raw fish
Hyun-Gyu Kim, Ji-Hee Han, Ji-Yoon Kwak, Han Kyu Jeon, Sang-Soo Lee, Hyun Jin Kim, Seul Ki Song, Byoung-Kuk Na, Ra-Ri Cha
Medicine.2023; 102(22): e34000. CrossRef
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Shokoofeh Shamsi, Alice Banfield, Nidhish Francis, Diane P. Barton, Matthew McLellan
Food and Waterborne Parasitology.2023; 32: e00202. CrossRef
Integrative analysis of new Clinostomum metacercariae (Digenea, Clinostomidae) using COI mtDNA and morphology rises the number of lineages found in South American freshwater fishes
M.M. Montes, I. García, J.M. Paredes del Puerto, J.A. Barneche, M. Ibañez Shimabukuro, G.F. Reig Cardarella, S.R. Martorelli, G. Pérez Ponce de León
Journal of Helminthology.2023;[Epub] CrossRef
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Vasco Menconi, Elena Lazzaro, Michela Bertola, Lisa Guardone, Matteo Mazzucato, Marino Prearo, Ewa Bilska-Zajac, Luana Cortinovis, Amedeo Manfrin, Giuseppe Arcangeli, Giorgia Angeloni
Animals.2023; 13(24): 3793. CrossRef
A case of tonsillitis caused by parasitization of Clinostomum complanatum
Sergei S. Kozlov, Larisa A. Ermakova, Vladimir S. Turitsin, Marina A. Zotova
Epidemiology and Infectious Diseases.2023; 28(6): 401. CrossRef
Development of real-time and lateral flow recombinase polymerase amplification assays for rapid detection of Schistosoma mansoni
Silvia Gonçalves Mesquita, Elena Birgitta Lugli, Giovanni Matera, Cristina Toscano Fonseca, Roberta Lima Caldeira, Bonnie Webster
Frontiers in Microbiology.2022;[Epub] CrossRef
Molecular data reveal hidden diversity of the genus Clinostomum (Digenea, Clinostomidae) in Argentina, with the description of a new species from Ardea cocoi (Ardeidae)
Martin Miguel Montes, Jorge Barneche, Luis Pagano, Walter Ferrari, Sergio Roberto Martorelli, Gerardo Pérez-Ponce de León
Parasitology Research.2021; 120(8): 2779. CrossRef
Pathology associated with three newClinostomummetacercariae from Argentina with morphological and DNA barcode identification
M.M. Montes, S.E. Plaul, Y. Croci, M. Waldbillig, W. Ferrari, E. Topa, S.R. Martorelli
Journal of Helminthology.2020;[Epub] CrossRef
A multiplex PCR protocol for rapid differential identification of four families of trematodes with medical and veterinary importance transmitted by Biomphalaria Preston, 1910 snails
Silvia Gonçalves Mesquita, Gabriela Flávia Rodrigues-Luiz, João Luís Reis-Cunha, Mariana Santos Cardoso, Cristiane Lafetá Furtado De Mendonça, Lilian Lacerda Bueno, Ricardo Toshio Fujiwara, Hudson Alves Pinto, Roberta Lima Caldeira, Daniella Castanheira B
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Digestive tract trematodiases (invasions caused by intestinal flukes)
S. B. Chuyelov, A. L. Rossina
CHILDREN INFECTIONS.2020; 19(4): 38. CrossRef
Morphological and Molecular Characteristics of Clinostomid Metacercariae from Korea and Myanmar
Eun Jeong Won, Yu Jeong Lee, Moon-Ju Kim, Jong-Yil Chai, Byoung-Kuk Na, Woon-Mok Sohn
The Korean Journal of Parasitology.2020; 58(6): 635. CrossRef
Infection Status with Clinostomum complanatum Metacercariae in Fish from Water Systems of Nakdong-gang (River) in Korea
Woon-Mok Sohn, Byoung-Kuk Na, Shin-Hyeong Cho
The Korean Journal of Parasitology.2019; 57(4): 389. CrossRef
A study of the endohelminths of the European perch Perca fluviatilis L. from the central region of the Danube river basin in Slovakia
Ľudmila Juhásová, Alžbeta Radačovská, Eva Bazsalovicsova, Dana Miklisová, Marcela Bindzárová-Gereľová, Ivica Králová-Hromadová
ZooKeys.2019; 899: 47. CrossRef

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A Human Case of Zoonotic Dog Tapeworm, Dipylidium caninum (Eucestoda: Dilepidiidae), in China: Peng Jiang, Xi Zhang, Ruo Dan Liu, Zhong Quan Wang, Jing Cui; Korean J Parasitol 2017;55(1):61-64.
Published online February 28, 2017; DOI: https://doi.org/10.3347/kjp.2017.55.1.61

Abstract
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We described a human case of zoonotic dog tapeworm, Dipylidium caninum (Eucestoda: Dilepidiidae), rarely occurring in China. The mother of a 17 month-old boy noted the appearance of small white and active worms over a month period in her son’s feces, but the boy was asymptomatic except mild diarrhea. We observed 3 tapeworm proglottids resembling cucumber seeds in his stool sample. Microscopically, each proglottid had 2 genital pores, 1 on each lateral edge, and numerous egg capsules in the uterus. The patient was successfully treated with a single oral dose of praziquantel. Adult worms were recovered in the diarrheic stool after praziquantel treatment and purgation. His family had household pet dogs for several years, and he might have acquired the infection by ingestion of infected fleas of his pet dogs. A history of dog or cat pets and flea bites may be important clues to diagnosis of D. caninum infection. The infected pets should also be treated.

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Mahdi Soroushianfar, Soheil Sadr, Alireza Sazmand, Shiva Dianaty, Javad Khedri, Rolf Karl Schuster, Hassan Borji
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Human Cases of Fascioliasis in Fujian Province, China: Lin Ai, Yu-Chun Cai, Yan Lu, Jia-Xu Chen, Shao-Hong Chen; Korean J Parasitol 2017;55(1):55-60.
Published online February 28, 2017; DOI: https://doi.org/10.3347/kjp.2017.55.1.55

Abstract
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Fascioliasis is a foodborne zoonotic parasitic disease. We report 4 cases occurring in the same family, in whom diagnosis of acute fascioliasis was established after series of tests. One case was hospitalized with fever, eosinophilia, and hepatic lesions. MRI showed hypodense changes in both liver lobes. The remaining 3 cases presented with the symptom of stomachache only. Stool analysis was positive for Fasciola eggs in 2 adult patients. The immunological test and molecular identification of eggs were confirmed at the National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, China. The results of serological detection were positive in all the 4 patients. DNA sequencing of PCR products of the eggs demonstrated 100% homology with ITS and cox1 of Fasciola hepatica. The conditions of the patients were not improved by broad-spectrum anti-parasitic drugs until administration of triclabendazole.

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Phylogenetic Characteristics of Fasciola hepatica Isolated from a Korean Patient
Mi Jin Jeong, Jae Kyun Park, Hak Sun Yu
The Korean Journal of Parasitology.2022; 60(5): 367. CrossRef
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Extracellular vesicles from Fasciola gigantica induce cellular response to stress of host cells
Aijiang Guo, Li Wang, Xuelian Meng, Shaohua Zhang, Zhaoan Sheng, Xuenong Luo, Weiyi Huang, Shuai Wang, Xuepeng Cai
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Two Human Cases of Diphyllobothrium nihonkaiense Infection in Korea: Su-Min Song, Hye-Won Yang, Min Kyu Jung, Jun Heo, Chang Min Cho, Youn-Kyoung Goo, Yeonchul Hong, Dong-Il Chung; Korean J Parasitol 2014;52(2):197-199.
Published online April 18, 2014; DOI: https://doi.org/10.3347/kjp.2014.52.2.197

Abstract
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Diphyllobothrium latum and Diphyllobothrium nihonkaiense are the 2 reported main causes of human diphyllobothriasis in the Republic of Korea. However, the differentiation of these 2 species based on morphologic features alone is difficult. The authors used nucleotide sequencing of the mitochondrial cytochrome c oxidase subunit 1 (cox1) gene to diagnose Diphyllobothrium spp. Two patients visited the emergency room at Kyungpook National University Hospital on 3 April and 12 April 2013, respectively, with fragments of parasites found while defecating. The parasites were identified as Diphyllobothrium spp. based on morphologic characteristics, and subsequent cox1 gene sequencing showed 99.9% similarity (1,478/1,480 bp) with D. nihonkaiense. Our findings support the hypothesis that D. nihonkaiense is a dominant species in Korea.

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Diphyllobothrium nihonkaiense: wide egg size variation in 32 molecularly confirmed adult specimens from Korea
Seoyun Choi, Jaeeun Cho, Bong-Kwang Jung, Deok-Gyu Kim, Sarah Jiyoun Jeon, Hyeong-Kyu Jeon, Keeseon S. Eom, Jong-Yil Chai
Parasitology Research.2015; 114(6): 2129. CrossRef
Three Cases of Diphyllobothrium nihonkaiense Infection in Korea
Hong-Ja Kim, Keeseon S. Eom, Min Seo
The Korean Journal of Parasitology.2014; 52(6): 673. CrossRef
Extracorporeal Worm Extraction of Diphyllobothrium nihonkaiense with Amidotrizoic Acid in a Child
Hye Kyung Shin, Joo-Hyung Roh, Jae-Won Oh, Jae-Sook Ryu, Youn-Kyoung Goo, Dong-Il Chung, Yong Joo Kim
The Korean Journal of Parasitology.2014; 52(6): 677. CrossRef

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The First Human Case of Thelazia callipaeda Infection in Vietnam: Nguyen Van De, Thanh Hoa Le, Jong-Yil Chai; Korean J Parasitol 2012;50(3):221-223.
Published online August 13, 2012; DOI: https://doi.org/10.3347/kjp.2012.50.3.221

Abstract
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A 26-year-old man residing in a village of Thai Nguyen Province, North Vietnam, visited the Thai Nguyen Provincial Hospital in July 2008. He felt a bulge-sticking pain in his left eye and extracted 5 small nematode worms by himself half a day before visiting the hospital. Two more worms were extracted from his left eye by a medical doctor, and they were morphologically observed and genetically analyzed on the mitochondrial cytochrome c oxidase 1 gene. The worms were 1 male and 1 female, and genetically identical with those of Thelazia callipaeda. By the present study, the presence of human T. callipaeda infection is first reported in Vietnam.

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Four Human Cases of Diphyllobothrium latum Infection: Hee-Jung Choi, Junghye Lee, Hyun-Jong Yang; Korean J Parasitol 2012;50(2):143-146.
Published online May 24, 2012; DOI: https://doi.org/10.3347/kjp.2012.50.2.143

Abstract
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Diphyllobothrium latum infections in 4 young Korean men detected from 2008 to 2012 are presented. Three were diagnosed based on spontaneously discharged strobila of the adult worm in their feces, and 1 case was diagnosed by finding the worm at colonoscopy examination in a local clinic. The morphologic characteristics of the gravid proglottid and eggs were consistent with D. latum. All patients were treated with praziquantel 15 mg/kg, and follow-up stool examinations were done at 2 months after the medication. The main clinical complaints were intermittent gastrointestinal troubles such as indigestion, abdominal distension, and spontaneous discharge of tapeworm's segments in their feces. The most probable source of infection was the flesh of salmon or trout according to a patient's past history. These are the 45th to 48th recorded cases diagnosed by the adult worm in the Republic of Korea since 1971.

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A Human Case of Clinostomum complanatum Infection in Korea: Chan-Woong Park, Jong-Soon Kim, Hyun-Soo Joo, Jin Kim; Korean J Parasitol 2009;47(4):401-404.
Published online December 2, 2009; DOI: https://doi.org/10.3347/kjp.2009.47.4.401

Abstract
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A 33-year-old Korean man visited a medical clinic with complaints of throat discomfort and pain for one week. The symptoms occurred one day after eating raw brackish water fish, perch. Endoscopy revealed a fluke, about 5 mm in length, attaching to and peristaltically moving on the surface of the mucosa at the arytenoid region of the larynx. Microscopically, the testes were triangular, tandem, and separated by the uterus. The ovary and cirrus pouch were placed apart from median line between testes. Numerous blood cells were observed in the ceca. The worm was identified to be Clinostomum complanatum. This is the second human case of clinostomiasis in Korea.

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