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Original Article

Haplorchis taichui as a Possible Etiologic Agent of Irritable Bowel Syndrome-Like Symptoms

Dorn Watthanakulpanich1, Jitra Waikagul1, Wanna Maipanich1, Supaporn Nuamtanong1, Surapol Sanguankiat1, Somchit Pubampen1, Rangson Praevanit2, Srisuchat Mongkhonmu2, Yukifumi Nawa1
The Korean Journal of Parasitology 2010;48(3):225-229.
Published online: September 16, 2010

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Corresponding author (tmdorn@mahidol.ac.th)
• Received: April 20, 2010   • Revised: May 31, 2010   • Accepted: July 1, 2010

Copyright © 2010 by The Korean Society for Parasitology

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Haplorchis taichui as a Possible Etiologic Agent of Irritable Bowel Syndrome-Like Symptoms
Korean J Parasitol. 2010;48(3):225-229.   Published online September 16, 2010
DOI: https://doi.org/10.3347/kjp.2010.48.3.225
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Haplorchis taichui as a Possible Etiologic Agent of Irritable Bowel Syndrome-Like Symptoms
Korean J Parasitol. 2010;48(3):225-229.   Published online September 16, 2010
DOI: https://doi.org/10.3347/kjp.2010.48.3.225
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Haplorchis taichui as a Possible Etiologic Agent of Irritable Bowel Syndrome-Like Symptoms
Haplorchis taichui as a Possible Etiologic Agent of Irritable Bowel Syndrome-Like Symptoms
Items No. of patients (%) Eating habits, past history, complaints  - Consuming under-cooked fish (Lab Pla) 180 (85.7)  - Underlying dyspepsia 105 (50.0)  - Nausea 98 (46.8)  - Vomiting 88 (41.9)  - Lassitude 181 (86.2)  - Abdominal pain 1 38 (65.7)  - Flatulence 120 (57.1)  - Loose faecal excretion 100 (47.6) Signs and symptoms  - Fever (> 37.8℃) 41 (19.5)  - Pallor 102 (48.6)  - Distended abdomen 48 (22.9)  - Generalized abdominal pain without focal tenderness 42 (20.0)  - Jaundice with enlarged liver 1 (0.5) Signs and symptoms Yes No 95% CIa Consuming improperly cooked fish (Lab Pla) 180 30 10.6b Underlying dyspepsia 105 105 0.0c Nausea 98 112 -0.9c Vomiting 88 122 -2.4d Lassitude 181 29 10.6b Complaints of abdominal pain 138 72 4.7b Flatulence 120 90 2.1b Loose fecal excretion 100 110 -0.6c Fever (> 37.8℃) 41 169 -9.0d Pallor 102 108 -0.6c Distended abdomen 48 162 -7.9d Abdominal pain with no specific point of tenderness 42 168 -8.8d Jaundice with enlarged liver 1 119 -14.6d Increased eosinophils 146 64 5.9b Laboratory findings No. of H. taichui eggs
1-9 10-99 100-999 ≥ 1,000 White blood count (cells/mm3) 6,250 (4,400-7,400) 6,180 (4,900-7,600) 5.925 (4,400-7,300) 5,685 (4,000-7,900) Eosinophils (2-3%) 6 (2-11) 7 (2-16) 8 (1-15) 9 (3-17) Hemoglobin (g%) 13.0 (11.6-14.5) 14.4 12.1-16.2 13.9 9.7-16.9 15.2 10.8-18.9 Hematocrit (%) 40.1 (38.4-44.4) 41.6 (29.7-47.3) 41.6 (35.6-48.8) 44.5 (32.7-56.7) Total protein (6.0-8.0 g/dl) 8.3 (7.8-8.7) 8.3 (7.8-8.7) 8.0 (7.1-9.2) 8.3 (7.5-9.8) Albumin (3.2-4.5 g/dl) 4.6 (4.3-4.7) 4.7 (4.3-5.0) 4.6 (4.0-5.0) 4.6 (4.3-4.9) Clinical Number of expelled worms
Total Chi-square 0.1 df 1 = 2.71 < 5.000 > 5,000 Lassitude cal = 0.36  Present 11 4 15  Absent 1 0 1  Total 12 4 16 Abdominal pain cal = 3.2  Present 6 4 10  Absent 6 0 6  Total 12 4 16 Flatulence cal = 1.33  Present 5 3 8  Absent 7 1 8  Total 12 4 16 Loose feces cal = 0.36  Present 7 3 10  Absent 5 1 6  Total 12 4 16 Eosinophils (%) cal = 0.1  > 3 8 3 11  ≤ 3 4 1 5  Total 12 4 16
Table 1. Clinical features of haplorchiasis patients
Table 2. Correlation of the signs and symptoms with infection

Confidence interval;

Patient proportion > 50.0%;

Patient proportion = 50.0%;

Patient proportion < 50.0%.

Table 3. Correlation between the laboratory data and the severity of infection
Table 4. Correlation of expelled worms with clinical features

Table 1.

Table 2.

Table 3.

Table 4.

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