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KMID : 0425120130510030343
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Parasites, Hosts and Diseases
2013 Volume.51 No. 3 p.343 ~ p.347
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Gnathostoma spinigerum Infection in the Upper Lip of a Korean Woman: An Autochthonous Case in Korea
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Kim Jee-Hee
Lim Hye-Mi
Hwang Young-Sang
Kim Tae-Yeon
Han Eun-Mee
Shin Eun-Hee
Chai Jong-Yil
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Abstract
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Autochthonous human gnathostomiasis had never been reported in the Republic of Korea. We report here a case of Gnathostoma spinigerum infection in a 32-year-old Korean woman, presumed to have been infected via an indigenous route. The patient had experienced a painful migratory swelling near the left nasolabial fold area of the face for a year, with movement of the swelling to the mucosal area of the upper lip 2 weeks before surgical removal of the lesion. Histopathological examinations of the extracted tissue revealed inflammation with heavy eosinophilic infiltrations and sections of a nematode suggestive of a Gnathostoma sp. larva. The larva characteristically revealed about 25 intestinal cells with multiple (3-6) nuclei in each intestinal cell consistent with the 3rd-stage larva of G. spinigerum. The patient did not have any special history of travel abroad except a recent trip, 4 months before surgery, to China where she ate only cooked food. The patient is the first recorded autochthonous case of G. spinigerum infection in Korea.
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KEYWORD
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Gnathostoma spinigerum, gnathostomiasis, case report, lip
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