The authors present the first human case of Clinostomum pharyngitis in Taegu, Korea. The patient was a 56-year old male who visited an otolaryngology clinic due to foreign body sensation and pain of the pharyngeal region for 3-4 days. He used to eat raw fresh-water fish. Otolaryngological examinations revealed a living worm adhered to the right posterior pharyngeal wall. The worm removed was identified as C. complanatum after morphological observations. It is likely that more attention should be paid to eating raw fresh-water fish in Korea with regards to Clinostomum pharyngitis.
A species of metacercariae recovered from the fresh-water fish, collected from Kaumji (Pond), Kaechonji (Pond) and Ssanggyechon (River). Uisong-gun, Kyongsangbuk-do, Korea, was identified as Clinostomum complanatum by morphological observation and experimental infection to chicks. The excysted metacercariae, tongue-shaped and progenetic, were 3.28-4.27 mm in length and 0.94-1.46 mm in width. The adult flukes recovered from the chicks four days after infection were 4.20-4.86 mm long and 1.14-1.49 mm wide. Twelve species of the fresh-water fish were found to be infected with the metacercariae. The infection rate ranged from 1.6% (Zacco temminkii) to 88.9% (Acheilognathus rhombea and Microphysogobio yaluensis). The intensity was highest in Carassius auratus (13.0/fish infected) and the abundance (relative density) was highest in A. rhombea (7.8/fish examined). This survey demonstrated for the first time the source of human infection by C. complanatum in Korea.
The first human case of Diplogonoporus balaenopterae infection is reported in Korea. The patient was a 41-year old male who passed a part of cestode strobila, about 1 m long, spontaneously in his stool. He used to eat raw marine fish when he drank alcohol. The worm was identified as D. balaenopterae after morhological observations and literature review. Results of laboratory examination were within normal limits except for slight eosinophilia (6%) and extraordinarily high serum Ig E level (10,182 IU/ml).
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