Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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A Case of Diphyllobothrium latum Infection in Childhood

소아에서의 광절열두조충 감염 1례

  • Lee, Jin Soo (Department of Pediatrics, Yongdong Severance Hospital, College of Medicine, Yonsei University) ;
  • Kim, Baek Nam (Department of Pediatrics, Yongdong Severance Hospital, College of Medicine, Yonsei University) ;
  • Sohn, Young Mo (Department of Pediatrics, Yongdong Severance Hospital, College of Medicine, Yonsei University) ;
  • Lee, Jong Won (Department of Parasitology, College of Medicine, Yonsei University) ;
  • Im, Kyung-Il (Department of Parasitology, College of Medicine, Yonsei University)
  • 이진수 (연세대학교 의과대학 영동세브란스병원 소아과) ;
  • 김백남 (연세대학교 의과대학 영동세브란스병원 소아과) ;
  • 손영모 (연세대학교 의과대학 영동세브란스병원 소아과) ;
  • 이종원 (연세대학교 의과대학 기생충학교실) ;
  • 임경일 (연세대학교 의과대학 기생충학교실)
  • Published : 2001.05.31
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Abstract

We experienced one rare case of Diphyllobothrium latum infection in childhood. It was proved by collection of worm after praziquantel treatment. Human diphyllobothriasis is chiefly caused through eating raw or unproperly cooked fish such as trout or salmon. This case was a 5-year old girl residing in Seoul, from whom a kind of pseudophyllidean tapeworm was detected in the feces. She would often eat sushi(raw fish) and had abdominal pain, but not revealed any sign of anemia. Obtained chain of worm segments that sized $0.25{\times}1.25cm$ was compatible with D. latum. Including the present 31 cases, total number of human D. latum infections proven by worms in Korea becomes 32 cases, and total number of child D. latum infections proven by worms in Korea becomes 4 cases.

기생충 감염이 거의 없는 최근, 저자들은 5세 여아에서 소아에서는 드문 광절열두조충 감염을 경험하였기에 문헌 고찰과 함께 보고하는 바이며, 생선회의 소비가 급증하고 쉽게 사먹을 수 있는 시장의 형성으로 환자의 증가가 예상되어 전국민적인 보건교육과 함께 비특이적 소화기 증상을 가진 환아에 대한 소아과 의사들의 자세한 문진과 의심이 요구된다고 본다.

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