Haplorchis taichui, a minute intestinal fluke, is a digenean trematode widespread in Southeast Asian countries [1,2]. Metacercariae, the infective stage of the parasite, have been found in many species of freshwater fish [3][4][5]. Infection in humans occurs by eating infected fish in raw or undercooked condition. Infection with H. taichui is mostly asymptomatic unless heavily infected, therefore, haplorchiasis has been considered to be less important in public health view points. However, the precise status of H. taichui infection in humans has never been explored in detail even in heavy endemic areas.In general, the number of eggs per gram of feces (EPG) is important to speculate the worm burden and intensity of the infection, and also is an indicator to evaluate the efficacy of anthelmintic drugs and thereby to design control programs. Herein, the number of eggs per day per worm (EPDPW) of H. taichui was estimated by the EPG and the number of discharged adult worms from individual participants. In addition, the correlation of the EPG and the worm burden was examined.With the approval of the ethical committee of the Faculty of Tropical Medicine, Mahidol University (MUTM 2006-040), fecal egg examinations by the modified cellophane thick smear method were performed for 520 villagers of Ban Luang district, Nan province, north Thailand in September 2006. Fecal samples were examined by the modified cellophane thick smear method [6]. The kit used was manufactured by Department of Helminthology, Faculty of Tropical Medicine, Mahidol University. Approximately a 27.4 mg fecal sample was used for each specimen, and then the EPG was calculated by multiplying the number of eggs per slide with 37. The same fecal samples were examined also by the modified formalin detergent (mFD) method [7] to compare the sensitivity of the 2 methods. As shown in Fig. 1, the egg counts by 2 methods were correlated well with each other (P = 0.008). However, the sensitivity of the modified cellophane thick smear method was higher than the formalin method (ttest; P < 0.01). Therefore, the EPG data of the cellophane thick smear method were used for further analyses in this study.Approximately 70% of the villagers were found to be parasite-egg positive by fecal examination. All egg-positive villagers were treated with praziquantel (Opticide-FC, Medicpharma Co., Bangkok, Thailand) 40 mg/kg. Among those small trematode egg-positives, 25 villagers agreed to submit their whole stool samples after the treatment. To those participants, 60 ml of saturated magnesium sulfate solution was given as the purgative 1 hr after the drug administration. The expelled worms were collected, brought back to the laboratory, identified and counted under a stereomicroscope. The number of eggs per day (EPD) was calculated by the EPG multiplied by the average daily fecal weight
Egg Laying Capacity of Haplorchis taichui (Digenea: Heterophyidae) in HumansKorean J Parasitol. Vol. 47, No. 3: 315-318, September 2009 DOI: 10.3347/kjp.2009 315Megumi Sato, Surapol Sanguankiat, S...