Two rare cases of human infection with parvum (dwarf) type of Diphyllobothrium latum [syn. D parvum (Stephens,1908)], were discovered in Korea. The first case was a 46-year old houseife, from whom a kind of pseudophyllidean tapeworm eggs was detected in the feces. She was treated with praziquantel and purged, and a complete strobila with scolex, 120 cm in total length, was recovered. She recalled that she had eaten raw trouts at a raw-fish restaurant near the Chungju Lake. Another patient was a 22-year old medical student (male), who used to eat raw sea-foods. He discovered a chain of tapeworm proglottids, 15 cm in length, discharged spontaneously in his stool and brought it for identification. The worms from the two cases were compatible with D. parvum (Stephens, 1908) of which the taxonomic significance has long been questioned. After a detailed morphological study and review of literature, we designated the worms as D. latum parvum type. This is the first report on the occurrence of this rare type of D. latum infection in Korea.
parasitology-helminth-cestoda ; Diphyllobothrium latum parvum type ; sea-food ; human ; case report

The Hongcheon river system flows down through the Hongcheon area of Kangwon-do, and reaches to the Cheongpyeong Dam in Kyonggi-do. Stool specimens from the inhabitants residing along the Hongcheon river basin were examined to detect infection rate of Metagonimus sp., and the intermediate hosts were collected to detect larval stages. The results obtained were as follows: Thirty-nine (33 males and 6 females) out of 529 (314 males and 215 females) inhabitants were infected with Metagonimus sp., showing a total positive rate of 7.4 per cent. In eight areas surveyed, the specimens from Kulji-ri of Bukbang-myon at the middle part of the river showed the highest positive rate of 26.9 per cent (14 positives out of 52) (males; 38.2per cent). The specimens from Mogog-ri of Seo-myon at the downstream of the river showed a positive rate of 10.4 per cent (13 positives out of 125) (males;12.6 per cent). The positive rates in other regions were less than 10 per cent. The density of the first intermediate host, Semisulcospira sp., was the highest in Kulji-ri of Bukbang-myon (10-20 snails per m(2)), and the infection rate of Metagonimus cercariae in the snails was 10.7 per cent(13 positives out of 121 snails). The infection rate of Metagonimus metacercariae in Zacco platypus, the fresh water fish favorably eaten raw by the inhabitants, was 68.2 per cent (30 positives out of 44 fishes), and most metacercariae were detected under the scales (89.9 per cent). Adult flukes were obtained from the small intestine of a rat, 15 days after infection with the metacercariae obtained from Z. platypus. These adult flukes were identified to be the same srecies as those obtained from human hosts. By this survey, new endemic areas of Metagonimus infection were discovered along the Hongcheon river basin and the main source of infection was the fresh water fish, Z. platypus.
parasitology-helminth-termatoda ; Metagonimus sp. ; epidemiology ; metacercaria ; Zacco platypus

An epidemiological survey on Metagonimus yokogawai infection was performed in the eastern coast area of Kangwon province. Formalin-ether concentration technique and Stoll's dilution egg counting method were employed to figure out the prevalence and intensity of M. yokogawai infection and eating habits of inhabitants with raw freshwater fish. The results are summarized as follows: The prevalence rate of M. yokogawai infection was 6.6% among a total of 2,357 examinees; 8.6% (115 out of 1,345) in male and 4.0% (40 out of 1,012) in female. The prevalence rates were different by the streams where the examinees were residing: 17.8% along the area of Ohsip-cheon (stream), 11.8% along Maeup-cheon, 1.7% along Hwasang-cheon, 1.3% along Yeongok-cheon, 0.9% along Namdae-cheon, 0.9% along Sa-cheon and 0% in the other streams (Yongchon-cheon, Kangnung Namdae-cheon and Jusoo-cheon) in decreasing order. By social strata, the positive rate was 8.0% (122 out of 1,521) in general inhabitants and 3.9% (33 out of 836) in school children. By the intensity of infection by means of EPG counts in feces; the light infection (less than 400/EPG) was 74.1%, moderate infection (401-1,000/EPG) 17.3% and heavy infection (more than 1,001/EPG) 8.6%. Twelves out of 50 sweetfish (Plecoglossus altivelis) (24%) caught from the streams in eastern coast of Kangwon-Do were infected with metacercariae of M. yokogawai, and the number of larvae detected were 70.7 per fish in average. The metacercarial infection rate in fish were also different by the streams; 100% in Ohsip-cheon of Samcheok-Gun, 14.3% in Sa-cheon, 16.7% in Yeongok-cheon of Myeongju-Gun and 0% in Namdae-cheon of Yangyang-Gun, respectively. Six hundred ninety five (695) out of 1,396 inhabitants and school children (49.8%) were experienced in eating raw freshwater fishes (Plecoglossus altivelis, Tribolodon hakonensis, Coreoperca sp., Moroco sp., Carassius sp. & Cyprinus sp. and Zacco platypus). The data were assayed with the questionnaire collected from the examinees. In summarizing the above results, it is known that the Ohsip-cheon area of Samcheok-Gun is highly infected region, and the other areas of Kangnung Namdae-cheon, Yeongok-cheon and Yangyang Namdae-cheon are very lowly infected or non-infected regions for M. yokogawai infection.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; epidemiology ; Plecoglossus altivelis

Eggs of Echinostoma sp. were found from two patients who were hospitalized between Oct. and Dec. 1985. Single dose of 10 mg/kg of praziquantel was prescribed to each patient and after purgation with magnesium salt seven and two adult worms of Echinostoma cinetorchis in respect were recovered from patients. The first case was a 54-year-old male residing at Chungju city in Chungbuk province. He was hospitalized because of severe weight loss and frequent urination. The second case was a 71-year-old male residing at Chungsun-kun in Kangwon province, and hospitalized due to suspected lung cancer. The average size of the eggs found in the stools was 98 x 63 micrometer (the first case) and 100 x 67 micrometer (the second case) respectively, and total nine worms collected were identified as E. cinetorchis.
parasitology-helminth-trematoda ; Echinostoma cinetorchis ; case report ; praziquantel ; intestine

Recently there have been some reports on human infections of Echinostoma hortense in Korea. It was found that a few species of freshwater fishes were playing the role of the second intermediate host of E. hortense. However, molluscan intermediate host has not been identified yet in Korea. The present study aimed to establish the life cycle of E. hortense in laboratory. Experimental studies such as egg production from the rat, development of the eggs in vitro, exposure of miracidia to freshwater snails, shedding pattern of cercariae from infected snails, morphology of cercariae, cercarial infection to the second intermediate host and infection of metacercariae to the difinitive hosts were done. In addition, epidemiological surveys on the infection status in inhabitants and house rats, and on the natural infection of larval echinostomes in the snails and fishes were carried out along the South Hangang-river. The results obtained were as follows: The eggs deposited from adults in physiological saline were cultivated at room temperature (20-24C). The miracidia were firstly observed on 8 days after cultivation, and 85.5 per cent of the eggs contained the mature miracidia on 11 days after cultivation. More than 90 per cent formed the miracidia when cultivated at temperature 22-27C. Hatching of the miracidia began on 12 days after cultivation and continued for a week. The size of the miracidia was 103.0 x 51.4 micrometer in average. The motility of miracidia were active up to 8 hours after shedding, but they were all dead within 10 hours after shedding. A freshwater snail, Radix auricularia coreana was cultivated in aquaria. A hatched F1 snails from the egg masses were exposed to 20 miracidia respectively. Escape of cercariae started on 15 days after infection. Radix auricularia coreana was experimentally identified as the first intermediate host of E. hortense in Korea. Cercarial shedding started on 15-20 days after infection by snail, continued for about 10 days (8.8 days in average). Infected snails were dead within 32 days after the miracidial infection. About 1,335 cercariae (328-1,994) per snail were shed in its life, and 119 cercariae in average per snail per day were shed. The cercariae were motile for more than 24 hours, and then squirming at the bottom until death. The body and tail sizes of cercariae were 356 x 186 micrometer and 510 x 68 micrometer in average, respectively. The rediae parasitized in the snail hosts were found mainly around the pericardial regions, and their size was 1,575 x 258 micrometer in average. The numbers of developing cercariae in a mature redia were 14 in average (7-20 in range). The numbers of rediae in a snail were 102 in average on 15 days after miracidial infection and 221 in average on 28 days. Three uninfected Misgurnus anguillicaudatus, less than 6.5 cm long were used in for the cercaria1 infection. They were all exposed with 755 cercariae, and examined at 5-day intervals starting from 10 days after infection. All the fihes were infected with metacercariae of E. hortense and a total of 275 was found infected (36.4 per cent). The metacercariae were fed to rats and the adult worms were obtained on 15 days after infection. The infected rats began to deposit the eggs on 11 days after infection. The number of eggs deposited per day per worm (EPD/worm) was 400-500 on 3 weeks after infection and was increased to 1,000-1,500 on 4 to 17 weeks, then decreased to 800 on 2l weeks after infection. A total of 745 stool specimens collected from 576 male and 169 female residents of 8 different villages along South Hangang basin was examined. Out of 745 specimens, the eggs of Echinostoma sp. were found in 2 cases (0.3 per cent). Of 34 house rats one showed egg-positive (2.9 per cent). Total 971 Radix auricularia coreana collected from 7 sampling stations were examined for shedding of cercariae. Three snails (0.3 per cent) shed the cercariae of E. hortense. A total of 119 out of 542 freshwater fishes (22.0 per cent) had the metacercariae of E. hortense. The fishes parasitized with the metacercariae were 4 out of 14 examined species. The infection rate of 4 species were 34.1 per cent (106 out of 311) in Misgurnus anguillicaudatus, 30.4 per cent 7 out of 23) in Misgurnus mizolepis, 4.3 per cent (2 out of 46) in Moroco oxycephalus and 22.2 per cent (4 out of 18) in Odontobutis obscura interrupta. In summarizing the above results, the first intermediate host of E. hortense was found as Radix auricularia coreana in Korea. Also it took about 46 days for the shortest completion of a life cycle of E. hortense in summer; that is, 10 days for miracidial development in eggs, 15 days for cercarial development in the snail, about 10 days for metacercarial development in the second intermediate hosts, 11 days for the maturation as the adults in the definitive hosts. The natural infection rates of E. hortense in the intermediate hosts were relatively high but those in the definitive hosts were low in the middle areas of South Hangang basin.
parasitology-helminth-trematoda ; Echinostoma hortense ; epidemiology ; biology ; Misgurnus anguillicaudatus ; Misgurnus mizolepis ; Moroco oxycephalus ; Odontobutis obscura interrupta ; Radix auricularia

The metacercariae of an echinostomatid fluke were detected from a freshwater fish, Odontobutis obscura interrupta caught from the Seom river system, Wonseong-gun, Kangwon-do, and experimenally infected into rats to obtain the adult worms for the species identification. A total of 32 metacercariae was detected from 10 fishes (27.8 percent) out of 36 O. obscura interrupta caught from the river. The average size of metacercariae was 153.4 x 149.0 micrometer. Also, it was uniquely specific that thickened membrane was formed around the metacercarial cyst wall. The rats orally infected with those metacercariae were sacrificed 20 days after infection to get the adult worms. The mean length and width of the adult worms were 0.75 cm and 0.13 cm, respectively. The number of collar spines on circumoral disk was 26 to 28, and the end group spines at lateral sides of the oral sucker were 4 on each side. The echinostomatid flukes observed in this study were all identified as Echinostoma hortense according to the morphologies of the cirrus sac, ovary, vitellaria and testes of the adult worms and the shape of eggs. On the other hand, O. obscura interrupta is one of the fresh-water fish that are preferably eaten raw by the rural inhabitants. Although no human case of E. hortense infection by eating O. obscura interrupta has been experienced yet, the possibility is strongly suggested in this study.
parasitology-helminth-trematoda ; Echinostoma hortense ; metacercariae ; Odontobutis obscura interrupta ; rat

Two cases of human Echinostoma hortense infection and their probable infection source were identified by praziqantel (Distocide) treatment of the patients and by examining two kinds of fresh water fish which were eaten raw by them. The result of the research can be summarized as follows: The patients, each aged 31 and 30, were residing in the same house in Wonju City, Kangwon Province. The first case was hospitalized due to epidemic hemorrhagic fever (E.H. fever) and the second case was healthy but had slight degree of abdominal pain and diarrhea from time to time. In the stool examination, eggs of E. hortense (114.3 x 71.0 micrometer average from the first case and 119.1 x 68.3 micrometer average from the second) were found. By administering single dose of praziquantel (10~15 mg/kg) and purgation with magnesium salt to them, six adults of E. hortense were collected from the diarrheal stools of the second case. By examining 84 Moroco oxycephalus and 20 Carassius carassius which were captured at the place where the two patients had captured and eaten the fresh water fish, the metacercariae of Echinostoma sp. were found from 3 (3.5 percent) M. oxycephalus. After the experimental infection of 3 isolated metacercariae to one albino rat three adults of E. hortense were recovered. By the present study, the two patients revealing the echinostomatid eggs in their stools were proven to be infected with E. hortense and to be the second and third human cases of this fluke infection in Korea. Moroco oxycephalus harboured the metacercariae of E. hortense and appeared to be a new second intermediate host.
parasitology-helminth-trematoda ; Echinostoma hortense ; case report ; intermediate host ; rat ; Moroco oxycephalus ; Carassius carassius

Five cases infected with Rhabditis sp. were detected in a survey to examine the stool specimen from rural primary school children. A large number of the larvae of Rhabditis sp. detected by the direct cellophane thick smear were cultured by the filter paper method. The examination was carried out in April through June 1980 in Tangjeong-Myon, Ahsan-Gun, and in September 1983 in Sandong-Eup, Yeongwol-Gun. The results obtained in this study were as follows: Prevalence: Out of 925 children, 5(0.54 percent) children were found to be positive. The number of the detected larvae was 110/0.1 gm of feces in case 1, 35 in case 2, 130 in case 3, 86 in case 4 and 62 in case 5. Larvae: The larvae were prepared by means of the direct fecal smear and measured by a micrometer equipped in the microscope. Twelve(12) through 15-day old larvae in culture were 197.1 micrometer long in average, and the maximum size of the matured stage larvae was 884.0 x 25.9 micrometer. However, the length variation was ranged as 173.0 to 884.0 micrometer. Adults: The size of clubbed adult female was 1,357 micrometer(1,176-1,419) in length and 80 micrometer(79-82) in width. Length of buccal cavity was 33 micrometer. A long cylindrical esophagus (273 micrometer) of the worms with a valved posterior cardiac bulb and with median bulbar swelling was morphologically indicated. Distance from mouth to vulva was occupied 58 percent of body length. Male worm was 1,006 micrometer (890-1,148) in length and 49 micrometer(48-49) wide. Caudal alae of bursa and spicules (75 micrometer in length) were well developed. Eggs: The oval shaped eggs in the female uterus, when cultured, were 66 x 56 micrometer in size, and the eggs laid by the adult could not be detected. So, reproduction might be through to be ovoviviparity. The five cases were re-examined during the period from the 1st to the 3rd week after stool examinations, but Rhabditis sp. were detected again in 4 cases in 1st week. When they were examined in 3rd week, larvae could not be detected . So, it was thought that the infection of Rhabditis sp. to humans was facultative.
parasitology-helminth-nematoda ; Rhabditis sp. ; case report

An epidemiological study on Metagonimus yokogawai infection was performed in Samcheok-gun, Kangwon province during the period from November 1983 to October 1984. Formalin-ether concentration technique and Stoll's dilution egg counting method were employed to figure out the prevalence and infection intensity of M. yokogawai infection. The results are summarized as follows: The prevalence of M. yokogawai infection was 13.3 percent among 1,172 examined ; 18.0 percent (114 out of 632) in male and 7.8 percent (42 out of 540) in female. The prevalence rates were different by stream; 15.5 percent in Ohsip-chon (stream), 11.8 percent in Maeup-chon and 1.6 percent in Gagok-chon. Along the basin of Oship-chon; 8.2 percent at the lower reaches in Samcheok-eup, 25.9 percent at the middle reaches in Miro-myon and 6.2 percent at the upper reaches in Dogeoe-eup, respectively. By age group, the highest rate (18.3-20.2 percent) was observed in 30-49 years of age (male : 24.1-28.7 percent, female 11.2-13.2 percent). By social strata, the positive rate was 15.0 percent (120 out of 799) in general inhabitants and 9.7 percent (36 out of 373) in school children. Intensity by EPG count in feces was 419 in average; the light infection (less than 400 EPG) was 70.4 percent, moderate infection (401-1,000 EPG) 19.4 percent and heavy infection (more than 1,001 EPG) 10.2 percent respectively. All the 67 sweetfish (length 10.3-18.5 cm) which were caught from Ohsip-stream were infected with metacercariae of M. yokogawai and the number of metacercariae detected were 382 per fish in average (323 in June and 382 in September). Experiences of intake of raw fresh-water fish [Plecoglossus altivelis and Leuciscus (Tribolodon) sp.] were present in 50.3 percent (354 out of 704) of the inhabitants along Ohsip-stream according to questionnaire study. The results of this survey indicated that the middle reaches of Ohsip-stream in Miro-myon, Samcheok-gun is the endemic region for M. yokogawai infection.
parasitology-helminth-trematoda ; Metagonimus yokogawai ; epidemiology ; metagonimiasis ; human ; Plecoglossus altivelis ; Leuciscus sp.

No abstract available.
Fascioliasis* ; Humans*