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Korean J Parasitol > Volume 14(2):1976 > Article

Case Report
Korean J Parasitol. 1976 Dec;14(2):147-152. Korean.
Published online Mar 20, 1994.  http://dx.doi.org/10.3347/kjp.1976.14.2.147
Copyright © 1976 by The Korean Society for Parasitology
A case of human fascioliasis in Korea
Seung-Yull Cho,Byong-Seol Seo,Yong-Il Kim,Chi-Kyoo Won and Sung-Kyung Cho
Department of Parasitology and Institute of Endemic Diseases, College of Medicine, Seoul National University, Korea.
Shinyoung Surgical Hospital, Seoul, Korea.
Abstract

Fascioliasis has not been confirmed as a human disease entity until now in Korea despite of sporadic discovery of ova of Fasciola sp. in human fecal materials being never traced to the confirmation of infection. Almost all of the cases with ova in their stool have been related with consumption of cattle liver whether eaten in raw or processed.

The present authors confirmed a human fascioliasis case who was a Korean housewife of 42-year-old living in Seoul, during the exploratory laparotomy. The patient had been healthy until October 1975 when abrupt onset of urticaria, dyspepsia, epigastric discomfort developed. And the fluctuation of these symptoms was followed by epigastric colicky pain attacks from December 4, 1975. A complete worm of Fasciola sp. was removed during the bile-duct exploration with stone forceps in lower half of common bile duct, on January 20, 1976.

The patient only agreed that she had eaten some raw liver of cattle on September 1975 but denied any possible sources of infection such as drinking of untreated water, handling of water flower and grass, and eating of raw watercress.

The measurements of the removed worm: 35. 61 mm in body length, 14.00 mm in maximum body width(Length/width ratio, 2.54:1), distribution of testes to body length 33.9 per cent , number of branches of ovary 22, the size of intrauterine ova 157.2 × 108. 4 µ in average.

These findings are not compatible with the classical descriptions of both Fasciola hepatica and F. gigantica, and it was concluded it is so-called Fasciola sp. which is intermediate between two species as proposed by many Japanese workers.

Figures


Figs. 1-8
Fasciola sp. collected from the presented case.

1. The whole worm stained with acetocarmine which is characterized by almost empty uterus and inconspicuous ovary. 2. Branching patterns of intestinal ceca. 3. Branching pattern of ovary. 4. Tegumental spines on the lateral margin of conical projection. 5. Region of Mehlis gland (upper portion) and congested vitelline duct (lower portion). 6. Scattered clumps of immature intrauterine ova. 7,8. Immature intrauterine ova barely seen shell contents (Scale: 100µ).


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