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Case Report

A Case of Fasciola hepatica Infection Mimicking Cholangiocarcinoma and ITS-1 Sequencing of the Worm

Bong Kyun Kang1,†, Bong-Kwang Jung2,†, Yoon Suk Lee1, In Kyeom Hwang1, Hyemi Lim2, Jaeeun Cho2, Jin-Hyeok Hwang1, Jong-Yil Chai2
The Korean Journal of Parasitology 2014;52(2):193-196.
Published online: April 18, 2014

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Corresponding author (jhhwang@snubh.org)
Corresponding author (cjy@snu.ac.kr)

†These authors contributed equally to this work.

• Received: December 26, 2013   • Revised: February 18, 2014   • Accepted: February 20, 2014

© 2014, Korean Society for Parasitology and Tropical Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A Case of Fasciola hepatica Infection Mimicking Cholangiocarcinoma and ITS-1 Sequencing of the Worm
Korean J Parasitol. 2014;52(2):193-196.   Published online April 18, 2014
DOI: https://doi.org/10.3347/kjp.2014.52.2.193
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A Case of Fasciola hepatica Infection Mimicking Cholangiocarcinoma and ITS-1 Sequencing of the Worm
Korean J Parasitol. 2014;52(2):193-196.   Published online April 18, 2014
DOI: https://doi.org/10.3347/kjp.2014.52.2.193
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A Case of Fasciola hepatica Infection Mimicking Cholangiocarcinoma and ITS-1 Sequencing of the Worm
Image Image Image
Fig. 1 CT and MRCP findings of intraductal lesion of the present patient. (A) CT showing the segmental common hepatic duct wall thickening (white arrow). (B) Intraductal soft tissue lesion in the common hepatic duct without definite evidence of duct obstruction (white circle). (C, D). MRCP revealing intraductal filling defect of the mid-portion of the common bile duct (white arrow and circle).
Fig. 2 ERCP findings (A, B), Fasciola hepatica adult worm (C), and eggs (D). (A) ERCP showing a linear filling defect within the mid-portion of the common bile duct (CBD). (B) After endoscopic sphincterotomy, a live F. hepatica worm could be removed. (C) An adult worm of F. hepatica recovered from this patient, damaged partially. (D) Two eggs of F. hepatica extracted from the uterus of a worm from this patient.
Fig. 3 A phylogenetic tree based on ITS-1 gene sequences exploring the relationships among our specimen (F. hepatica; Korea), F. hepatica (GenBank), and F. gigantica (GenBank). Note that our specimen and F. hepatica in GenBank have 100% homology, whereas ours and F. gigantica have 99% similarity.

Fig. 1

Fig. 2

Fig. 3

A Case of Fasciola hepatica Infection Mimicking Cholangiocarcinoma and ITS-1 Sequencing of the Worm
Species Locality (GenBank Accession no.) Nucleotide sites of ITS-1 region
92 219 309 403 481 501 F. hepatica Ireland (AB514850) T C A C T C Australia (AB514949) T C A C T C China (AB514851) T C A C T C Uruguay (AB514847) T C A C T C F. hepatica Korea T C A C T C F. gigantica Thailand (AB514853) C T T T A T Vietnam (AB514856) C T T T A T Zambia (AB514855) C T T T A T
Table 1. Nucleotide comparison at 6 variable sites of ITS-1 region of Fasciola spp. from Korea and 7 other countries

Table 1.

PHD : Parasites, Hosts and Diseases

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