KMID : 0425120120500020143
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Parasites, Hosts and Diseases 2012 Volume.50 No. 2 p.143 ~ p.146
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Four Human Cases of Diphyllobothrium latum Infection
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Choe Hee-Jung
Lee Jung-Hye Yang Hyun-Jong
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Abstract
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Diphyllobothrium latum infections in 4 young Korean men detected from 2008 to 2012 are presented. Three were diagnosed based on spontaneously discharged strobila of the adult worm in their feces, and 1 case was diagnosed by finding the worm at colonoscopy examination in a local clinic. The morphologic characteristics of the gravid proglottid and eggs were consistent with D. latum. All patients were treated with praziquantel 15 mg/kg, and follow-up stool examinations were done at 2 months after the medication. The main clinical complaints were intermittent gastrointestinal troubles such as indigestion, abdominal distension, and spontaneous discharge of tapeworm¡¯s segments in their feces. The most probable source of infection was the flesh of salmon or trout according to a patient¡¯s past history. These are the 45th to 48th recorded cases diagnosed by the adult worm in the Republic of Korea since 1971.
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KEYWORD
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Diphyllobothrium latum, human case, praziquantel, salmon, trout
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