A human case of Echinostoma hortense (Trematoda: Echinostomatidae) infection diagnosed by gastroduodenal endoscopy in Korea.
A human Echinostoma hortense infection was diagnosed by gastroduodenoscopy. An 81-year-old Korean male, living in Yeongcheon-shi, Gyeongsangbuk-do and with epigastric discomfort of several days duration, was subjected to upper gastrointestinal endoscopy. He was in the habit of eating fresh water fish. Two live worms were found in the duodenal bulb area and were removed using an endoscopic forceps. Based on their morphological characteristics, the worms were identified as E. hortense. The patient was treated with praziquantel 10 mg/kg as a single dose. The source of the infection in this case remains unclear, but the fresh water fish consumed, including the loach, may have been the source. This is the second case of E. hortense infection diagnosed by endoscopy in Korea.
Cho
Chang-Min
CM
Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu 700-422, Korea.
Tak
Won-Young
WY
Kweon
Young-Oh
YO
Kim
Sung-Kook
SK
Choi
Yong-Hwan
YH
Kong
Hyun-Hee
HH
Chung
Dong-Il
DI
D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D004378:Duodenal Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D004449:Echinostoma / Q000254:growth & development*; D004451:Echinostomiasis / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005399:Fishes / Q000469:parasitology; D016266:Food Parasitology; D006801:Humans; D007723:Korea; D008297:Male; D011223:Praziquantel / Q000627:therapeutic use
D011223:Praziquantel