Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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A Retrieved Sparganum of Spirometra erinaceieuropaei from a Korean Man during Mechanical Thrombectomy

  • Hwang, Yang-Ha (Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University) ;
  • Son, Wonsoo (Department of Neurosurgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University) ;
  • Kim, Yong-Won (Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University) ;
  • Kang, Dong-Hun (Department of Neurosurgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University) ;
  • Chang, Hyun-Ha (Department of Internal Medicine, School of Medicine, Kyungpook National University) ;
  • Goo, Youn-Kyoung (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University) ;
  • Hong, Yeonchul (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University) ;
  • Chung, Dong-Il (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University)
  • Received : 2019.12.19
  • Accepted : 2020.05.05
  • Published : 2020.06.30
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Abstract

Human sparganosis is a zoonotic disease caused by infection and migration of the plerocercoid of Spirometra spp. Although sparganosis were reported from most parts of the body, the sparganum parasitizing inside cerebral artery is remarkably uncommon. We report a case of cerebral intravascular sparganosis in an elderly patient with acute ischemic stroke who was diagnosed by retrieving sparganum during mechanical thrombectomy. Finally, the parasites were identified as Spirometra erinaceieuropaei using multiplex PCR and cox1 gene sequencing.

Keywords

References

  1. Liu Q, Li MW, Wang ZD, Zhao GH, Zhu XQ. Human sparganosis, a neglected food borne zoonosis. Lancet Infect Dis 2015; 15: 1226-1235. https://doi.org/10.1016/S1473-3099(15)00133-4
  2. Lu G, Shi DZ, Lu YJ, Wu LX, Li LH, Rao LY, Yin FF. Retrospective epidemiological analysis of sparganosis in mainland China from 1959 to 2012. Epidemiol Infect 2014; 142: 2654-2661. https://doi.org/10.1017/S0950268814000144
  3. Kobayashi H. On the animal parasites in Chosen (Korea). Second report. Acta Med Keijo 1928; 11: 109-124.
  4. Weinstein PP, Krawczyk HJ, Peers JH. Sparganosis in Korea. Am J Trop Med Hyg 1954; 3: 112-129. https://doi.org/10.4269/ajtmh.1954.3.112
  5. Seo BS, Rim HJ, Yoon JJ, Lee DJ. A case report of sparganosis. Korean J Parasitol 1964; 2: 179-182 (in Korean). https://doi.org/10.3347/kjp.1964.2.3.179
  6. Hong D, Xie H, Zhu M, Wan H, Xu R, Wu Y. Cerebral sparganosis in mainland Chinese patients. J Clin Neurosci 2013; 20: 1514-1519. https://doi.org/10.1016/j.jocn.2012.12.018
  7. Anantaphruti MT, Nawa Y, Vanvanitchai Y. Human sparganosis in Thailand: an overview. Acta Trop 2011; 118: 171-176. https://doi.org/10.1016/j.actatropica.2011.03.011
  8. Shin EH, Guk SM, Kim HJ, Lee SH, Chai JY. Trends in parasitic diseases in the Republic of Korea. Trends Parasitol 2008; 24: 143-150. https://doi.org/10.1016/j.pt.2007.12.003
  9. Jeong SC, Bae JC, Hwang SH, Kim HC, Lee BC. Cerebral sparganosis with intracerebral hemorrhage: a case report. Neurology 1998; 50: 503-506. https://doi.org/10.1212/WNL.50.2.503
  10. Kwon JH, Kim JS. Sparganosis presenting as a conus medullaris lesion: case report and literature review of the spinal sparganosis. Arch Neurol 2004; 61: 1126-1128. https://doi.org/10.1001/archneur.61.7.1126
  11. Muller JF. Spargana in Natrix. Science 1937; 85: 519-520. https://doi.org/10.1126/science.85.2213.519
  12. Faust EC, Campbell HE, Kellogg CR. Morphological and biological studies on the species of Diphyllobothrium in China. Am J Epidemiol 1929; 9: 560-583. https://doi.org/10.1093/oxfordjournals.aje.a121670
  13. Yamaguti S. Systema Helminthum. Vol. II. The Cestodes of Vertebrates. New York, USA. Interscience Publishers. 1959, pp 358-361.
  14. Wardle RA, McLeod JA. The Zoology of Tapeworms. Minneapolis, USA: University of Minnesota Press; 1952; pp 559-615.
  15. Iwata S. Experimental and morphological studies of Manson's tapeworm, Diphyllobothrium erinacei, Rudolphi. Special reference with its scientific name and relationship with Sparganum proliferum, Ijima. Progr Med Parasitol Jpn 1972; 4: 536-590.
  16. Lee SH, Chai JY, Seo BS, Cho SY. Two cases of human infection by adult of Spirometra erinacei. Korean J Parasitol 1984; 22: 71-77.
  17. Jeon HK, Park HS, Lee DM, Choe SJ, Kim KH, Huh S, Sohn WM, Chai JY, Eom KS. Human infections with Spirometra decipiens plerocercoids identified by morphologic and genetic analyses in Korea. Korean J Parasitol 2015; 53: 299-305. https://doi.org/10.3347/kjp.2015.53.3.299
  18. Jeon HK, Park H, Lee D, Choe S, Kim KH, Sohn WM, Eom KS. Genetic Identification of Spirometra decipiens Plerocercoids in Terrestrial Snakes from Korea and China. Korean J Parasitol 2016; 54: 181-185. https://doi.org/10.3347/kjp.2016.54.2.181
  19. Feng C, Jie W, Yuqin Z. Clinical and radiological analyses of 27 cases of brain parasitic diseases. China Modern Doctor. 2014; 52: 48-50.
  20. Moon WK, Chang KH, Cho SY, Han MH, Cha SH, Chi JG, Han MC. Cerebral sparganosis: MR imaging versus CT features. Radiology 1993; 188: 751-757. https://doi.org/10.1148/radiology.188.3.8351344
  21. Wong CW, Ho YS. Intraventricular haemorrhage and hydrocephalus caused by intraventricular parasitic granuloma suggesting cerebral sparganosis. Acta Neurochir 1994; 129: 205-208. https://doi.org/10.1007/BF01406506
  22. Kuroiwa T. Plerocercoid in human brain. Fukuoka Acta Med 1951; 43: 275-278.
  23. Han SR, Park JK, Kim YI, Son BC. Posterior cerebral artery infarction caused by cerebral sparganosis-induced vasculitis. Eur Neurol 2001; 46: 105-107. https://doi.org/10.1159/000050776
  24. Deng L, Xiong P, Qian S. Diagnosis and stereotactic aspiration treatment of cerebral sparganosis: summary of 11 cases. J Neurosurg 2011; 114: 1421-1425. https://doi.org/10.3171/2010.4.jns1079
  25. Gong C, Liao W, Chineah A, Wang X, Hou BL. Cerebral sparganosis in children: epidemiological, clinical and MR imaging characteristics. BMC Pediatr 2012; 12: 155.
  26. Song T, Wang WS, Zhou BR, Mai WW, Li ZZ, Guo HC, Zhou F. CT and MR characteristics of cerebral sparganosis. AJNR Am J Neuroradiol 2007; 28: 1700-1705. https://doi.org/10.3174/ajnr.A0659
  27. Chang KH, Chi JG, Cho SY, Han MH, Han DH, Han MC. Cerebral sparganosis: analysis of 34 cases with emphasis on CT features. Neuroradiology 1992; 34: 1-8. https://doi.org/10.1007/BF00588423