The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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A Case of Sparganosis by Ingestion of Undercooked Snakes That Mimicked Peritoneal Carcinomatosis

복막암종증으로 오인된 뱀 생식에 의한 스파르가눔증

  • Kim, Yun-Ku (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Myung-Hwan (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Han-Seoung (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jang, Ji-Woong (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hyun, Yil-Sik (Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Ji-Hun (Department of Diagnostic Pathology, Asan Medical Center, University of Ulsan College of Medicine)
  • 김윤구 (울산대학교 의과대학 서울아산병원 내과) ;
  • 김명환 (울산대학교 의과대학 서울아산병원 내과) ;
  • 박한승 (울산대학교 의과대학 서울아산병원 내과) ;
  • 장지웅 (울산대학교 의과대학 서울아산병원 내과) ;
  • 현일식 (울산대학교 의과대학 서울아산병원 내과) ;
  • 김지훈 (울산대학교 의과대학 서울아산병원 병리과)
  • Published : 2012.03.01
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Abstract

Sparganosis is a zoonosis caused by sparganum. Humans can be exposed to sparganum by ingesting undercooked snakes or drinking infected copepods harboring sparganum. Sparganosis commonly manifests as migrating subcutaneous masses and may involve multiple organ systems such as the musculoskeletal system, central nervous system, the eyes, and the genitourinary system. We report here a case of laparoscopically confirmed sparganosis caused by ingestion of undercooked snakes. The sparganosis involved the liver and peritoneum and was initially difficult to differentiate from peritoneal carcinomatosis.

스파르가눔증은 스파르가눔에 의한 인수 공통 감염증으로 주로 뱀이나 개구리 생식에 의해 감염되며 피하조직을 포함한 인체의 모든 장기를 침범할 수 있다. 스파르가눔증의 진단은 혈청학적 항체검사가 유용하나 효과적인 항기생충약제가 없어 조직 절제가 진단과 치료에 필수적이다. 저자들은 영상의학적 검사상 복막암종증이 의심되었으나 복강경검사를 시행하여 뱀 생식에 의한 간실질 및 복막의 스파르가눔증을 진단 및 치료한 증례를 경험하여 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Lee JS, Kim KJ, Shin EK, et al. A case of sparganosis mimicking a skin metastasis in a patient with stomach cancer. Korean J Med 2009;77:755-758
  2. Song CS, Moon WK, Kang PJ, et al. A case of sparganosis combined with liver abscess. Korean J Med 1990;39:686-689.
  3. Park YH, Jung HY, Park JS, et al. A case of intraabdominal sparganosis presenting as submucosal tumor on gastroscopy. Korean J Gastrointest Endosc 1999;19:783-788.
  4. Kim CH, Park JH, Kim WT, et al. A case report of intracerebral sparganosis diagnosed by micro-ELISA test for sparganosis and brain C-T scan. Korean J Med 1989;37:715-720.
  5. Lee YJ, Jang JY, Dong SH, et al. A case of sparganosis presenting as hematochezia. Korean J Med 2009;77:616-619.
  6. Choi WJ. Migration and distribution of spargana in body of experimentally infected mice. Korean J Parasitol 1984;22:229-237. https://doi.org/10.3347/kjp.1984.22.2.229
  7. Lee KJ, Bae YT, Kim DH, Deung YK, Ryang YS. A seroepidemiologic survey for human sparganosis in Gangweon-do. Korean J Parasitol 2002;40:177-180. https://doi.org/10.3347/kjp.2002.40.4.177
  8. Park HY, Lee SU, Huh S, Kong Y, Magnaval JF. A seroepidemiological survey for toxocariasis in apparently healthy residents in Gangwon-do, Korea. Korean J Parasitol 2002;40:113-117. https://doi.org/10.3347/kjp.2002.40.3.113
  9. Pilsczek FH. Helminthic infections mimicking malignancy: a review of published case reports. J Infect Dev Ctries 2010;4:425-429.
  10. Chi JG, Chi HS, Lee SH. Histopathologic study on human sparganosis. Korean J Parasitol 1980;18:15-23. https://doi.org/10.3347/kjp.1980.18.1.15
  11. Adjobimey T, Hoerauf A. Induction of immunoglobulin G4 in human filariasis: an indicator of immunoregulation. Ann Trop Med Parasitol 2010;104:455-464. https://doi.org/10.1179/136485910X12786389891407
  12. Chung YB, Kong Y, Yang HJ, Cho SY. IgG antibody responses in early experimental sparganosis and IgG subclass responses in human sparganosis. Korean J Parasitol 2000;38:145-150. https://doi.org/10.3347/kjp.2000.38.3.145

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