No abstract availble.
Abdominal Pain/*diagnosis ; Aged ; Animals ; Ascariasis/*diagnosis/parasitology ; *Ascaris lumbricoides ; Duodenal Diseases/*diagnosis/*parasitology ; Duodenoscopy ; Female ; Humans

As gastroduodenoscopy performed more frequently, case reports of human echinostomiasis are increasing in Korea. A Korean woman presented at a local clinic with complaints of abdominal pain and discomfort that had persisted for 2 weeks. Under gastroduodenoscopy, two motile flukes were found attached on the duodenal bulb, and retrieved with endoscopic forceps. She had history of eating raw frog meat. The two flukes were identified as Echinostoma hortense by egg morphology, 27 collar spines with 4 end-group spines, and surface ultrastructural characters. This report may prove frogs to be a source of human echinostome infections.
Animals ; Duodenal Diseases/*parasitology ; Duodenum/*parasitology ; Echinostoma/*isolation & purification ; Echinostomiasis/*diagnosis ; Endoscopy ; Female ; Humans ; Korea ; Middle Aged

Animals ; Duodenal Diseases ; diagnosis ; Duodenum ; parasitology ; pathology ; Humans ; Intestinal Perforation ; diagnosis ; Male ; Taenia saginata ; pathogenicity

Animals ; Duodenal Diseases ; diagnosis ; parasitology ; pathology ; Duodenum ; parasitology ; pathology ; Humans ; Intestinal Perforation ; diagnosis ; parasitology ; pathology ; Male ; Middle Aged ; Taenia saginata ; pathogenicity

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 forcep. 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.
Aged ; Aged, 80 and over ; Animals ; Duodenal Diseases/*diagnosis/drug therapy/parasitology ; Echinostoma/*growth & development ; Echinostomiasis/*diagnosis/drug therapy/parasitology ; Endoscopy, Gastrointestinal ; Female ; Fishes/parasitology ; Food Parasitology ; Human ; Korea ; Male ; Praziquantel/therapeutic use