• Parasites, Hosts and Diseases
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• 제26권1호
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• pp.55-60
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• 1988

이형흡층류의 하나인 Centrocestus armatus의 인체감염 1례가 praziquantel 투여후 성충을 수집, 동정함으로써 확인되었다. 환자는 42세 남자로 경남 산청군에 거주하였으며 상복부 통증, 설사, 소화불량 등을 호소하였다. 환자는 간흡충, 이형흡충류 및 극구흡충 충란 양성이었다. 장흡충류 치료를 위하여 praziquantel 10mg/kg를 투여하였고 MgSO4으로 설사를 유도하고 설사변을 입체해부현미경으로 검사한 바 C. armatus 성충 1마리와 극구흡충 유충 2마리가 수집되었다. 환자는 피라미 등 민물고기를 자주 생식하였다 하며 치료 2∼3주 전에도 피라미를 회로 먹었다고 한다. 따라서 피라미를 비롯한 민물고기가 C. armatus의 감염원이 되었을 것으로 추측되었다.

• Parasites, Hosts and Diseases
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• 제57권3호
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• pp.243-248
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• 2019

The purpose of this study was 2-fold: 1) to investigate the prevalence of gastrointestinal parasite infection in cats reared in Daegu, Republic of Korea and 2) to assess the efficacy and safety of a topical emodepside/praziquantel formulation for cats with parasitic infections. The gastrointestinal parasite infections were examined microscopically using the flotation method. Of 407 cats, 162 (39.8%) were infected by at least one gastrointestinal parasite, including Toxocara cati (63.0%), Toxascaris leonina (31.5%), Taenia taeniaeformis (3.7%), and Cystoisospora felis (1.9%). None of the infected animals had multiple infections. When the data were analyzed according to sex, age, and type of cat, stray cats showed statistically higher prevalence than companion cats (P<0.05). On the 5th day after treatment, no parasitic eggs were detected using microscopic examination. In addition, no adverse effects, such as abnormal behaviors and clinical symptoms, were observed in the cats treated with the drug. These results quantify the prevalence of gastrointestinal parasites in cats in Daegu, Republic of Korea, and show that topical emodepside/praziquantel is a safe and effective choice for treating the parasitic infections in cats.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2963-2966
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• 2013

Infection with Opisthorchis viverrini (OV) due to eating certain traditional freshwater fish dishes is the principal risk factor for cholangiocarcinoma in Northeast Thailand where the infection is endemic and the incidence of this form of primary liver cancer has been the highest in the world. This paper is the second report of a prospective research project to monitor the impacts of a national liver fluke control programme in a rural community of Northeast Thailand. A sample of 684 villagers aged 20-65 years completed an interview questionnaire and were tested for infection using the Kato thick smear technique. The questionnaire was designed for the exploration of associations between OV infection, previous treatment with praziquantel, and knowledge and beliefs about the drug. The data were analysed using descriptive statistics and multiple logistic regression. The overall prevalence of OV infection was 37.2% and was highest in the 20-35 year age group, in those with a university degree and in those employed in the government sector. As many as 91.8% reported eating fish dishes known to place them at risk of infection. In the multiple regression analysis, previous use of praziquantel and lack of knowledge about whether or not the drug has a protective effect against re-infection were the only factors related to OV infection ($OR_{adj}$= 2.31, 95%CI =1.40-3.79 and $OR_{adj}$= 1.95, 95%CI= 1.24-3.05). The findings were discussed in terms of the possibly unwise dependency on praziquantel as a primary element in a control programme.

• Parasites, Hosts and Diseases
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• 제23권1호
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• pp.41-46
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• 1985

Fibricola seoulensis 감염에 대한 praziquantel의 치료효과를 횐쥐 실험감염을 통하여 관찰하였다. 피낭유충은 뱀의 내장으로부터 분리한 것을 사용하였고 총 51마리의 횐쥐에 각각 500개 또는 1,000개씩을 감염시켰다. 감염 1주 또는 4주후에 praziquantel 1,5,10 또는 20mg/kg 용량을 투여하고 3일후 및 10∼120분후에 흰쥐를 회생시킨 다음 소장으로부터 충체를 회수하였다. 투약 3일후 충체회수율은 치료하지 않은 대조군의 51.3%에 비해 매우 낮아 1mg/kg군의 경우 10.7%, 5∼20mg/kg군의 경우 0.03∼0.%로 나타났다. 따라서 횐쥐의 윤. seouEensis감염을 치료하기 위한 praziquantel의 최소 유효투여량은 5mg/kg인 것으로 생각되었다. 투약후 횐쥐 소장 부위별 충체 분포상황을 관찰함으로써 충체가 배출되는 과정의 일부를 확인하고자 한 바 투약 10분후 이미 많은 충체가 정상 기생부위인 십이지장에서 공장으로 밀려내려간 것이 관찰되었고, 60∼120분후에는 대부분의 충체가 회장 및 맹장에서 회수되었다.

• Parasites, Hosts and Diseases
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• 제32권1호
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• pp.35-42
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• 1994

간흡충 특이 IgG 항체와 간흡충 분비배설항원간의 면역반응이 간흡충 감염과 치료에 의해 어떻게 변화되고 치료 후 소실되는 것이 있는지 관찰하였다. 간흡충 피낭유충 150, 450개씩 토끼에 감염시키고 감염대조군은 22개월. 프라지콴텔 치료군은 감염 4개월에 투약하였으나 완치되지 않아 이후 $4\frac{1}{2}$개월에 재투약하여 완치시킨 후 13개월까지 관찰하였다. 간흡충 분비배설항원은 SDS-PAGE에서 114, 102, 94, 80, 66, 63, 61, 59, 54, 52, 50, 47, 45, 42, 40, 38, 34, 33, 30, 27, 25, 23, 20, 19, 18, 17, 16, 12.5, 12, 11.5 kDa 단백질 구성이었다. 이중 항 원 단백질은 감염혈청과 치료후 혈청으로 Immunoblot할 경우 66, 63(A군) 54-38(B군) 34. 33(C군), 30-23(D군) 20-14(I군) 12, 12.5, 11.5(K군) kDa 단백질이었다. 특히 33. 27, 13. 12.5 kDa 항원은 감염기간 동안 가장 강한 면역반응을 나타낸 항원이었고 피낭유층 감염강도에 의한 차이는 없었다. 또한 투약은 했으나 완치되지 않은 4개월여 동안 면역반응의 변화는 없었다. 치료후 면역반응은 33 27 kDa 항원의 경우 환치후 13개월까지 지속되었고 치료전과 정도 차이가 없었다. 그러나 13, 12.5 kDa 항원의 면역반응은 완치후 1개월부터 약화되기 시작하여 6 개훨이면 소멸되는 양상이 뚜렷하였다. 12.5 MDa 항원은 SDS-PAGE상 단백질 함량이 많고 간흡충 감염의 강한 항원이면서 치료 후에는 특이항체와의 면역반응이 치료전에 비해 현격히 감소되므로 간흡충 현증 감염만을 혈청학적으로 진단해 줄 수 있는 항원으로 판단하고 간흡충 'K2-항원'이라 명명하였다.

• Parasites, Hosts and Diseases
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• 제27권4호
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• pp.277-280
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• 1989

Stelldntthasntus falcatrts에 의한 인체감염 1례가 프라지콴텔 투여 후 충체를 수집함으로써 확진되었다. 환자는 서울에 거주하는 33세 남자로 복부 불쾌감과 공복통이 있다고 하였다. Formalin-ether 침전법으로 실시한 대변 검사에서 이형홉충류의 충란이 검출되어 프라지콴텔 600 mg을 1회 투여하고 1시간 후 황산 마그네슘 25 g으로 설사를 유도한 바 설사변에서 S. falcatus 17 마리와 H. nocens 14마리가 검출되었다. 치료 후 1개월에 실시한 대변검사에서는 충란이 검출되지 않았고 임상증상도 없어졌다고 하였다. 환자는 평소에 여러 종류의 생선회를 즐겨 먹었다고 하며 이들이 감염원일 것으로 추측된다. 이 중례는 S. felcatus의 국내 4번째 인체감염례에 해당된다.

• Archives of Plastic Surgery
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• 제37권4호
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• pp.485-488
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• 2010

Purpose: Paragonimiasis is infectious disease occurred by Paragonimus Westermani, which invades into human body as a final host. Habitual eating the freshwater crab or crawfish unboiled is one of the reason of infection. Paragonimiasis raged in 1970s in Korea, Japan, China and other Asian countries but the incidence decreased rapidly. Once people eat infected second host, parasite penetrates the duodenal wall and migrates to the lung. During this migration period, the parasite can migrate to other organ, such as brain, spinal cord, liver and subcutaneous tissue, but the cases are rarely reported. The objective of our study is to present our experience of the ectopic migration of parasite to the subcutaneous tissue of the abdomen, which was easily treated with excision and Praziquantel medication. Methods: A 59-year-old woman who likes eating unboiled freshwater crab was diagnosed as Paragonimiasis 15 months ago. Her symptoms were fever and cough, and she was treated with Praziquantel medication. 3 months after discharge, she visited our hospital with left pleuritic chest pain, cough with fever, and palpable mass formation on left lower quadrant of the abdomen. Wedge resection of the left lung and Praziquantel medication was maintained for a week. Nevertheless, fever persisted after the treatment. The patient received total excision of the abdominal soft tissue mass, and the fever was relieved. Results: Pathologic findings of the mass showed multiple cyst and abscess formation with crystal structure which is suspicious parts of the parasite or calcified egg shells. Uncontrolled fever was relieved after the operation, and there was no evidence of recurrent Paragonimiasis and ectopic migration for 1 year follow up period. Conclusion: Ectopic migration of Paragonimus is rare, but multiple organ can be involved. Patient with Paragominiasis who was refractory in fever control after Praziquantel medication or surgical evaluation of the lung should be considered as ectopic migration of the Paragonimiasis.

• Parasites, Hosts and Diseases
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• 제22권1호
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• pp.43-50
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• 1984

이형흡충류의 하나인 Stellantchasmus falcatu에 의한 인체기생 2례가 praziquantel투약후 성충을 수집함으로써 화인되었다. 환자는 서울에 거주하는 24세 (제 1례) 및 55세 (제 2례) 남여로 제 1페는 설사, 복통 등 소화기증상과 불정맥(arrhythmia) 등 심식증상을 호소하면서 대편내에 광절렬류조충란이 양성이었고 제 2례는 소화불량과 조충류 편절 배출을 호소하였다. 조충감염 치료를 위해 praziquantel 15∼20mg/kg를 투여하고 MgSO4 30g으로 충체배출을 유도한 바 배출된 조충을 각각 확인하였다. 그러나 나머지 설사편을 입체해부현미경으로 세밀히 조사한 결과 제 1례에서는 188마리의 S. falcatus와 다른 3종의 이형흡충류가, 제 2례에서는 5마리의 S. falcatus가 수집되었다. 환자들은 숭어(Mugil cephalus) 등 반염수9을 회로 먹었다고 하며 이들이 감염원일 것으로 추측되었다.

• Parasites, Hosts and Diseases
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• 제50권4호
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• pp.349-352
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• 2012

A 94-year-old female with end-stage renal disease presents with fever, fatigue, and hematochezia. She had previously resided in Hunan Province, China, and Myanmar, and she immigrated to Taiwan 30 years ago. Colonoscopy revealed a colonic ulcer. Biopsy of the colonic ulcer showed ulceration of the colonic mucosa, and many Paragonimus westermani-like eggs were noted. Serum IgG antibody levels showed strong reactivity with P. westermani excretory-secretory antigens by ELISA. Intestinal paragonimiasis was thus diagnosed according to the morphology of the eggs and serologic finding. After treatment with praziquantel, hematochezia resolved. The present case illustrates the extreme manifestations encountered in severe intestinal paragonimiasis.

• Parasites, Hosts and Diseases
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• 제47권1호
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• pp.19-23
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• 2009

We measured changes in sonographic findings of patients with clonorchiasis after a treatment in a highly endemic area. A total of 347 residents showed positive stool results for Clonorchis sinensis eggs in a village in northeastern China, and were treated with praziquantel. Of them, 132 patients underwent abdominal sonography both before and 1 year after treatment, and the changes in sonographic findings of 83 cured subjects were compared. Diffuse dilatation of intrahepatic bile ducts (DDIHD) was found in 82 patients (98.2%) before and 80 (96.4%) after treatment, which was improved in 3, aggravated in 1, and unchanged in 79 patients. Increased periductal echogenicity (IPDE) as observed in 42 patients (50.6%) before and 45 (54.2%) after treatment, which was improved in 5, aggravated in 8, and unchanged in 70 patients. Floating echogenic foci in the gallbladder (FEFGB) was detected in 32 patients (38.6%) before and 17 (20.5%) after treatment, which was improved in 20, aggravated in 5, and unchanged in 58 patients. Improvement of FEFGB only was statistically significantly (P = 0.004). The present results confirm that DDIHD and IPDE persist but FEFGB decreases significantly at 1 year after treatment. In a heavy endemic area, the sonographic finding of FEFGB may suggest active clonorchiasis 1 year after treatment.