Human sparganosis in Korea was discussed on the bases of five human cases experienced by the present authors and 58 case records already reported by many previous authors, in aspects of epidemiology and clinical features. Sparganosis is not infrequent tissue helminthiasis now in Korea and the incidence has been evidently increased during past 10 years. It might be interpreted that improved medical delivery system and health care exposed the hidden but prevalent disease. The distribution of sparganosis in Korea is apparently subdivided into three major endemic areas; Kyunggi Do, Kyungsang Do and Hamkyung Nam Do. Although scanty in other areas of Korea, the distribution of this disease is presumably throughout the whole peninsula of Korea except Cheju Do. The majority of human cases of sparganosis in Korea has revealed raw consuming of snakes for treatment of tuberculosis, syphilis and joint pain, for tonics and for the belief of special nutrition among very limited group of Korean population. Because of this kinds of mode of infection, comprising four fifths of all cases, the majority of cases detected were male adult consisting of about 70% of total cases. And drinking of untreated water in rural area where no protective, sanitary measures for water sources were provided in the past, seems another important causes of infection especially in women and children in Korea. Thus it may be concluded that sparganosis in Korea is concluded by eating of infective stages per os voluntarily or involuntarily, but not through the direct invasion. Clinically, subcutaneous mass or lump was the most frequent problem in those patients and those masses were associated with inflammatory signs. By the anatomical location of the lesion, some peculiar manifestations could be developed as in orbital, abdominal, urethral, ureteral and vertebral cases. And the lesions could be complicated by haemorrhage or abscess formations. The larval worms hitherto collected in Korea has been identified tentatively as Sparganum mansoni because neither branched larvae nor Sparganum proliferum were ever reported.
parasitology-helminth-trematode ; Spirometra sp. ; sparganum ; case reoprt ; epidemiology

Distribution of Sparganum mansoni in 7 species of terrestrial snakes in Wonju City was surveyed. All kinds of snakes were found to be served as intermediate hosts of this larval worm except Elaphe schrenkii which has already been recorded as important host. Authors believe that Zamenis spinalis was firstly recorded as intermediate host of Sparganum mansoni in Korea. Some aspects of infection status, host-parasite relations and sources of human infection were briefly discussed.
parasitology-helminth-cestoda-Spirometra sp. ; sparganum ; sparganosis ; human infection

To observed whether the specific IgG antibody test using ELISA was useful in diagnosis of presently ill patients of paragonimiasis, a total of 95 sera were tested. The sera were collected from 21 egg positive cases, 8 from positive reactors of intradermal test, 7 from Clonorchis infected, 9 from other parasitic diseases and 50 from apparently non-infected cases. By the result, the sensitivity of the test was 86% and the specificity was 100%. There were no cross reactions between Paragonimus antigen and other parastic infections. Specific IgG antibody test by micro-ELISA was concluded to be useful for mass screening of the presently ill paragonimiasis in the field.
parasitology-helminth-cestoda ; Spirometra sp. ; sparganum ; sparganosis ; immunology ; diagnosis ; ELISA

Prevalence of sparganum in the frog (Rana nigromaculata) was surveyed in Dae-jeon city and in suburbs of the city, Chungnam Do. 39 (3.9 per cent) out of 1,011 frogs were infected with the worm, and the highest prevalence rate of sparganum was found the frogs from Shintanjin area(11.3 per cent). Infection rates of sparganum were observed due to the body weight and sex of frogs. The highest infection rate of frogs, the body weight of 50 gms or more, showed 30.3 per cent(female: 41.7 per cent, male: none), on the other hand, no worm was found in young frogs(less than 10 gms). Distribution of sparganum in the frogs was recorded and 82.6 per cent of worms were distributed in the femoral intermuscular connective tissues of the hind legs. Among those infected frogs, number of worm burden was one to five worms, and 53.3 per cent of frogs were infected by only one worm.
parasitology-helminth-cestoda ; Spirometra sp. ; sparganum ; sparganosis ; epidemiology ; frog ; Rana nigromaculata

In May 1974, authors encountered a 37 year old Korean male who was suffering from very serious condition of acute abdomen. On exploratory laparotomy, a ruptured granulomatous mass in the proximal portion of the ileum showing extensive inflammatory and gangrenous changes was found and about 4 ft. long of the bowel was resected. From the honey-combed fibrous capsules in the mass, four plerocercoid larvae, spargana, measuring about 3 to 7 cm in lengths were extirpated. The patient had a past history of having eaten the raw flesh of a snake as a tonic about 7 months prior to admission. Four cases of intra-abdominal sparganosis reported previously in Korea and the present case were discussed briefly. Snakes and frogs in Korea are very important second intermediate hosts for the 1arva, Sparganum stage. It is most preferable that the habitual ingestion of the raw fleshes of them should be avoided in this country.
parasitology-helminth-nematoda ; Spirometra sp. ; sparganum ; sparganosis ; laparatomy ; intestine ; perforation ; case report

Based on 16 cases of human sparganosis, a histopathological study was made. There was a striking similarity among histological features of sparganosis involving different tissues. The histological change of the affected tissues was characterized by a necrotizing and granulomatous inflammation with or without worm parasite in the lesions. There was also a remarkable polymorphonuclear leukocytic mobilization, predominantly of eosinophils, plasma cells and lymphocytes in and near the lesions. Tunnel formation lined by palisading histiocytes was another charateristic feature of the host tissue reaction. These findings were quite distinguishable from those of cysticercosis which were more localized and self-limited. Several features that were prominent in section slides of sparganum worm parasite were also noted. Laminated calcospherules found in the cytoplasm of the proliferating macrophages and giant cells were of diagnostic value of sparganosis in the absence of the worm, particularly when these were accompanied with tunnel-like lesion in the host tissue.
parasitology-helminth-cestoda ; Spirometra sp. ; sparganum ; spaganosis ; histology ; pathology ; case ; cytoplasm ; macrophages ; giant cell

Efficacy of praziquantel (Cesocide injection) by intramuscular (I.M.) route against cestode infections was evaluated. Total 93 domestic or laboratory animals such as dogs, cats, rats, mice, goats, deers and chickens were used. Animals were infected with Dipylidium caninum, Spirometra sp., Taenia pisiformis, Taenia taeniaeformis, Hymenolepis nana, Moniezia expansa, Moniezia sp. or Raillietina sp. A single dose of praziquantel, 6 mg/kg of body weight, was highly effective (97.9%) against cestodes of various kinds disregarding the host species or their intensity of infection. At high dose above 6 mg/kg, the cure rate was 100%. All the cestodes treated were expelled from the host within 48 hours. The discharged proglottids were damaged severely except Hymenolepis nana and Moniezia expansa. Intramuscular injection of this drug evoked a brief pain response in a dog, but no other side reactions were observed.
parasitology-helminth-cestoda ; Dipylidium caninum ; Spirometra sp. ; Taenia pisiformis ; Taenia taeniaeformis ; Hymenolepis nana ; Moniezia expansa ; Moniezia sp. ; Raillietina sp. ; dog ; cat ; rat ; mouse ; goat ; deer ; chicken ; chemotherapy ; praziquantel ; intramuscular injection ; animals ; tapeworms ; cestodes

Helminthic zoonoses are of significant importance to the public health and to the socioeconomic consequences especially in lost-meat, animal products and animal labor. For past several decades in Korea, it has been recognized that endoparasitic infections among domestic animals are extremely common and many of the helminth parasites of man have been acquired from, or are shared with domestic animals. However, there was no survey of a nationwide scale on the prevalence of animal helminthiasis; and control measures are also not satisfactory. Furthermore, because of the remarkable increase in the demand, number of domestic animals and pets is rapidly increasing in these days. Therefore, an extensive study on zoonotic helminths was carried out from July 1980 throughout August 1981 to understand the present status and parasite-host relationship from the epidemiological viewpoont. A total of 13,685 fecal specimens of cattles, sheeps, pigs, dogs and cats was collected from 26 localities in the country. The specimens were examined by formalin-ether centrifugal sedimentation technique. The results are summarized as follows: Of 13,685 specimens examined, 9,808(71.7 percent) were positive for helminth parasites. The positive rates were 99.0 percent in cattles, 86.5 percent on sheeps, 85.4 percent in pigs, 35.4 percent in dogs, 15.1 percent in cats. Single infection showed the highest rate (60.0 percent), and double infection(27.5 percent), triple(8.1 percent), quadruple(2.8 percent), quintuple(1.5 percent) and hexad(0.1 percent) were in decreasing order. In the present study, 18 species zoonotic helminths were found: 11 nematodes, 6 trematodes and 1 cestode. According to province, Cheju revealed the highest rate 84.8 percent, then Kyungnam 77.5 percent, Jeonnam 75.6 percent, Jeonpuk 75.4 percent, Kyonggi 75.2 percent, Chungnam 71.7 percent, Chungpuk 70.6 percent and Kangwon 64.2 percent were in decreasing order and Busan and Seoul showed 70.4 percent and 58.1 percent, respectively. Rural area showed slightly higher rate (74.7 percent) than urban area (68.5 percent), and rates of mountainous area (70.4 percent) and plain area (71.1 percent) are very similar. According to animal, helminths species and positive rates appeared in: Cattles: 6 nematodes and 3 trematodes; Strongyles 26.4 percent, Neoascaris vitulorum 24.1 percent, Trichuris ovis 12.0 percent, Nematodirus sp. 6.3 percent, Srongyloides papillosus 5.1 percent, Capillaria bovis 0.02 percent, Paramphistomum sp. 41.5 percent, Fasciola hepatica 33.2 percent and Eurytrema pancreaticum 29.7 percent. Sheeps: 3 nematodes and 2 trematodes: Strongyles 33.0 percent, S. papillosus 26.9 percent, Nematodirus sp. 14.6 percent, F. hepatica 31.7 percent and E. pancreaticum 19.6 percent. Pigs: 5 nematodes and 2 trematodes: Strongyles 43.1 percent, Ascaris suum 29.0 percent, Metastrongylus apri 20.3 percent, Trichuris suis 14.0 percent, Strongyloides ransomi 12.1 percent, Clonorchis sinensis 1.4 percent and Paragonimus westermani 0.9 percent, Dogs: 4 nematodes and 3 trematodes and 1 cestode: Toxocara canis 14.4 percent, Trichuris vulpis 9.5 percent, Ancylostoma caninum 8.0 percent, Toxascaris leonina 4.0 percent, C. sinensis 2.4 percent, Metagonimus yokogawai 1.3 percent, P. westermani 0.8 percent and Spirometra sp. 0.9 percent, Cats: 2 nematodes, and 3 trematodes and 1 cestode: Toxocara cati 7.7 percent, Ancylostoma tubaeforme 3.1 percent, C. sinensis 1.9 percent, P. westermani 1.4 percent, M. yokogawai 1.2 percent and Spirometra sp. 0.7 percent.
parasitology-helminth-nematoda-trematoda-cestoda ; cattle ; sheep ; pig ; dog ; cat ; epidemiology ; zoonosis ; Fasciola hepatica ; Eurytrema pancreaticum ; Paramphsitomum sp. ; Neoascaris vitulorum ; Trichuris ovis ; Strongyloides papillosus ; Nematodirus sp. ; Capillaria bovis ; Clonorchis sinensis ; Paragonimus westermani ; Ascaris suum ; Trichuris suis ; Strongyloides ransomi ; Metastrongylus apri ; Spirometra sp. ; Metagonimus yokogawai ; Toxocara canis ; Toxocara leonina ; Ancylostoma caninum ; Trichuris vulpis ; Ancylostoma tubaeforme ; Strongyles