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Echinochasmus caninus n. comb. (Trematoda: Echinostomatidae) Infection in Eleven Riparian People in Khammouane Province, Lao PDR

Korean Journal of Parasitology 2019년 57권 4호 p.451 ~ 456
 ( Chai Jong-Yil ) - Korea Association of Health Promotion Institute of Parasitic Diseases

 ( Chang Tae-Hee ) - Korea Association of Health Promotion Institute of Parasitic Diseases
 ( Jung Bong-Kwang ) - Korea Association of Health Promotion Institute of Parasitic Diseases
 ( Shin Hye-Joo ) - Korea Association of Health Promotion Institute of Parasitic Diseases
 ( Sohn Woon-Mok ) - Gyeongsang National University College of Medicine Department of Parasitology
 ( Eom Kee-Seon S. ) - Chungbuk National University School of Medicine Department of Parasitology
 ( Yong Tai-Soon ) - Yonsei University College of Medicine Department of Environmental Medical Biology
 ( Min Duk-Young ) - Eulji University School of Medicine Department of Microbiology and Immunology
 ( Phammasack Bounlay ) - Ministry of Health Department of Hygiene and Prevention
 ( Insisiengmay Bounnaloth ) - Ministry of Health Department of Hygiene and Prevention
 ( Rim Han-Jong ) - Korea University College of Medicine Department of Parasitology

Abstract


Adult specimens of Echinochasmus caninus n. comb. (Verma, 1935) (Trematoda: Echinostomatidae) (syn. Episthmium caninum Yamaguti, 1958) were recovered from 11 riparian people who resided along the Mekong River in Khammouane Province, Lao PDR. In fecal examinations done by the Kato-Katz technique, the cases revealed eggs of Opisthorchis viverrini/minute intestinal flukes, hookworms, and in 2 cases echinostome eggs. To recover the adult helminths, praziquantel 30-40 mg/kg and pyrantel pamoate 10-15 mg/kg in a single dose were given and purged with magnesium salts. Various species of trematodes (including O. viverrini and Haplorchis spp.), cestodes, and nematodes were recovered from their diarrheic stools. Among the trematodes, small echinostome flukes (n=42; av. 3.8 specimens per case) of 0.7-1.2 mm in length are subjected in this study. They are morphologically characterized by having 24 collar spines interrupted dorsally and anterior extension of vitellaria from the cirrus sac or genital pore level to the posterior end of the body. Particularly based on this extensive distribution of vitellaria, the specific diagnosis was made as Echinochasmus caninus. The cases were co-infected with various other helminth parasites; thus, clinical manifestations specific for this echinostome infection were difficult to determine. The present paper describes for the first time human E. caninus infections in Lao PDR. Our cases marked the 4-14th human infections with this echinostome around the world following the 3 previous cases reported from Thailand.

키워드

Echinchasmus caninus (syn. Episthmium caninum); echinostome; Khammouane Province; Lao PDR
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