• Journal of Chest Surgery
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• 제41권4호
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• pp.527-531
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• 2008

포충증은 단방조충의 유충감염에 의한 기생충 질환으로 전세계적으로 발생하고 있으나 국내에서는 매우 드문 질환이다. 34세 몽고 남성이 기침과 흉부불쾌감을 주소로 내원하였고 흉부 전산화 단층촬영에서 우폐 상엽에 낭종이 발견되었다. 낭종은 우폐 상엽의 쐐기절제술로 제거되었고 병리학적 검사상 포충낭종으로 확진되었다. 술 후 재발 방지를 위하여 알벤다졸을 투약하였다. 유행지역에서 온 외국인의 폐포충증 1예를 수술 치험하였기에 문헌고찰과 함께 보고하는 바이다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제46권1호
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• pp.66-69
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• 2020

Hydatid disease is a zoonotic infection in humans. The disease is endemic in some parts of the world, including Africa, Australia, and Asia, where cattle grazing is common; the disease is spread by an enteric route following the consumption of food contaminated with the eggs of the parasite. Failure to identify this parasite results in delayed diagnosis and increased morbidity to the patient. Upon diagnosis, every possible step should be taken, both surgical and medical, to prevent anaphylactic reactions from the cystic fluid. Postsurgical long-term follow up along with periodical ultrasonography of the liver and computed tomography scan of the abdomen is essential to rule out possible recurrence.

• Parasites, Hosts and Diseases
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• 제55권4호
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• pp.429-431
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• 2017

Hydatid cyst is usually located in the liver and lungs, rare cases showing localization in other organs or tissues. In the unusual location, echinococcosis is an excluding diagnosis that is established only after microscopic evaluation. Our first case occurred in a 67-year-old female previously diagnosed with pulmonary tuberculosis and hospitalized with persistent pain in the hip joint. The clinical diagnosis was tuberculosis of the joint, but the presence of the specific acellular membrane indicated a hydatid cyst of the synovial membrane, without bone involvement. Fewer than 25 cases of joint hydatidosis have been reported in literature to date. In the second case, the intramural hydatid cyst was incidentally discovered at autopsy, in the left heart ventricle of a 52-year-old male hospitalized for a fatal brain hemorrhage, as a result of rupture of an anterior communicating artery aneurysm. The conclusion of our paper is that echinococcosis should be taken into account for the differential diagnosis of cystic lesions, independently from their location.

• Parasites, Hosts and Diseases
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• 제33권2호
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• pp.125-130
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• 1995

소화불량을 주소로 내원한 38세 남자의 초음파 촬영과 전산화단층촬영 소견에서 간의 낭종이 발 견되어 낭종적출술을 시행하였다. 낭종은 성공적으로 적출되었으며, 현미경 하에서 낭액 내에 살아 움직이는 단방조충(Echinococcus granulosus)의 protoscolek가 다수 관찰되었다. 그러나, 수술중 낭종이 터져 낭액의 유출이 있었다. 술후 환자는 albendazole을 투약받았으며, 아나필락시스 등 합병증은 관찰되지 않았다 환자는 1982년부터 3년간 사우디아라비아에서 근무한 적이 있었다. 이 환자는 국내에서 확진된 단방포충 낭종증의 제16례로, 수술 중 낭종이 터졌으나 아나필락시스를 일으키지 않은 1례이었다.

• Parasites, Hosts and Diseases
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• 제51권2호
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• pp.255-258
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• 2013

Spillage of cyst contents during surgical operation is the major cause of recurrence after hydatid cyst surgery. Instillation of a scolicidal agent into a hepatic hydatid cyst is the most commonly employed measure to prevent this complication. SB202190 is a pyridinyl imidazole derivative and is known to be a specific inhibitor of p38 MAPK. In the present study, the scolicidal effect of SB202190 was investigated. Freshly isolated Echinococcus granulosus protoscolices were subjected to SB202190 treatment (10, 20, 40, and $80{\mu}M$), and the effects on parasite viability were monitored by trypan blue staining. Corresponding effects were visualized by scanning and transmission electron microscopy. Dose-dependent protoscolex death within a few days of SB202190 treatment was observed. Although the in vitro scolicidal effect of SB202190 was satisfactory, the in vivo efficacy of this drug and also possible side effects remain to be further investigated.

• Parasites, Hosts and Diseases
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• 제50권1호
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• pp.53-56
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• 2012

Treatment of hydatid disease is mainly surgical, with medical treatment being reserved as a coadjuvant treatment. Use of effective scolicidal agents during surgery of cystic echinococcosis is essential to reduce the recurrence rate. The goal of this study was to evaluate the in vitro scolicidal effects of hydroalcoholic extracts of $Satureja$ $khuzestanica$ leaves and aqueous extracts of $Olea$ $europaea$ leaves on hydatid cyst protoscolices. $Echinococcus$ $granulosus$ protoscolices were collected from the liver of sheep infected with the hydatid cyst. Various concentrations of plant extracts were used in different exposure times for viability assay of protoscolices. Among the olive leaf extracts tested, 0.1% and 0.01% concentrations had strong scolicidal effects in 120 min. $S.$ $khuzestanica$ 0.1% had very strong scolicidal effects in 30, 60, and 120 min of exposure times and the mortality rate decreased with the lower concentration. The finding have shown that the scolicidal activity of $S.$ $khuzestanica$ against cystic echinococosis protoscolices were more effective, while the $O.$ $europaea$ extract showed less effects.

• Parasites, Hosts and Diseases
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• 제58권2호
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• pp.121-127
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• 2020

Pakistan is at intersection of hyperendemic regions for hydatidosis. Current study aimed to determine the prevalence of hydatid cysts and cyst characteristics in different intermediate hosts (sheep, goats, cattle and buffaloes) across the 4 provinces of Pakistan. A total of 991 sheep, 1,478 goats, 1,602 cattle and 1,343 buffaloes were examined for presence of hydatid cysts during 2 years (January 2016-December 2018). Differences in frequency of hydatidosis were observed with highest overall prevalence in buffaloes (11.9%) and sheep (11.5%). Highest prevalence and burden of infection were observed in older age animals (23.8%, 9.78±0.49) and females (26.5%, 12.53±0.67). Data for seasonal prevalence alluded to year-round presence of disease with non-significant statistical difference. Organ predilection indicated liver as the most preferred site of cyst localization followed mainly by lungs. An over-dispersion pattern was observed in all infected animals as majority of cysts belonged <10 cysts per infected host category. Highest percentage of fertile cysts was observed in liver of sheep. Interestingly, solitary form of cysts had higher fertility rate than multiple form. Amid lack of data and wide gap of knowledge, this study would try to fill up the lacunae regarding this neglected tropical disease. Extensive rearing of livestock, unregulated official slaughter and home slaughtering have played role in adaptability of E. granulosus in Pakistan.

• 대한수의학회지
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• 제14권1호
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• pp.73-76
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• 1974

A basic survey of Echinococcus infection in cattle slaughtered at seogipo abattoir, Jeju Island was carried out. The incidence of hydatid cyst was 0.4% in the native cattle, that is 4 heads out of 993 heads of the slaughtered cattle. The hydatid cysts with or without scolices were found in the liver and lung, and the speciation of them was determined as Echinococcus granulosus granulosus with the morphological and biological characters. The infection rates of bovine echinococcosis were as high as 6.8% to 27.5% from 1936 to 1940 in Jeju cattle, but it has been found greatly decreased to 0.4% in this survey. The main reason of decrease in the incidence was cleared with the fact that wild dogs were abundant at that times.

• Tuberculosis and Respiratory Diseases
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• 제70권4호
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• pp.338-341
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• 2011

Hydatid disease is caused by the larval stage of taenia $Echinococcus$, which endemic in the Mediterranean region. Recently, the prevalence of the disease has increased worldwide due to an increase in the frequency of travel and immigration. As the infested larvae migrate through the bloodstream, the final destination is most commonly the liver or lungs; direct pleural invasion is very rare. A 50-year-old diabetic Korean man presented with an incidentally noted 2 cm right pleural nodule. On follow up imaging after three months, its size had increased. To confirm the diagnosis of the lesion, surgical excision was performed. Histopathological examination showed the diagnosis of a hydatid cyst. The patient had no history of overseas travel, but lives in an urban area where many foreign workers from endemic countries reside. This is the first reported case of primary pleural hydatid disease in a non-endemic country.

• 한국동물위생학회지
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• 제32권1호
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• pp.83-85
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• 2009

In a cross-sectional abattoir survey of bovine pulmonary diseases in Mymensingh, during September 2001 to April 2002, subclinical Dictyocaulus viviparous infection was found in mesoendemic level in Bangladeshi adult zebu cattle. The number of mature lung worms varied from $1{\sim}18$ in individual lungs. One to five mature lung worms were most frequent (74.2%) followed by 6 to 10(19.3%) and $11{\sim}18$ (6.5%). Of the total 123 mature worms collected from 31 lungs, there were 50 (40.7%) male and 73 (59.3%) female worms. The female lungworms (mean length 14.41mm) were significantly (P<0.01) larger than the male lungworms (mean length 11.28mm). The number of hydatid cysts varied from $1{\sim}80$ in individual lungs. One to five ($1{\sim}5$) cysts were recorded most commonly (76.0%) followed by $11{\sim}80$ (20.0%) and $6{\sim}10$ (4%). The size (diameter) of the hydatid cysts ranged from $2{\sim}12cm$. Of the total 203 hydatid cysts collected from 31 lungs 45 (22.2%) cysts were fertile and 158 (77.8%) cyst were sterile.