A case of echinostomiasis with ulcerative lesions in the duodenum.
Echinostomiasis is an endemic intestinal trematodiasis of humans in Korea. We observed a human case of Echinostoma hortense infection who had ulcerations on the duodenal mucosa. A 55-year old man living in Hamyang-gun, Kyongnam, complained of epigastric pain with hematemesis in April 1994. Endoscopy revealed lesions of early gastric cancer and duodenal ulcerations. A penetrating parasite into the duodenal mucosa was picked out, and identified as E. hortense. As the patient was treated with praziquantel 10 mg/kg single dose, 3 more E. hortense and 7 Metagonimus worms were recovered. This case demonstrates that echinostomiasis causes gross ulcerations in the duodenum.
Department of Parasitology and Institute of Endemic Diseases, Seoul National University College of Medicine, Korea.
J Y
JY
Chai
S T
ST
Hong
S H
SH
Lee
G C
GC
Lee
Y I
YI
Min
D004381:Duodenal Ulcer / Q000209:etiology*; D004451:Echinostomiasis / Q000150:complications*; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000150:complications*; D008297:Male; D008875:Middle Aged