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Kim WC, Shin JU, Jin SS. [Hepatic Hydatid Cyst: A Case Report]. THE KOREAN JOURNAL OF GASTROENTEROLOGY 2021; 77:35-38. [PMID: 33495430 DOI: 10.4166/kjg.2020.129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 11/11/2020] [Accepted: 11/11/2020] [Indexed: 11/03/2022]
Abstract
Hydatid cysts are caused by an infestation with larval tapeworms of the genus Echinococcus. The disease is endemic in developing countries but has rarely been reported from immigrant workers in Korea. This paper reports a case of hepatic hydatid cyst in a 27-year-old female. She was referred with abdominal pain that had persisted for the past 2 months. The patient was a foreign worker from Mongolia. The physical examination was unremarkable, and blood tests showed peripheral blood eosinophilia and elevated liver enzymes. Abdominal ultrasonography showed a well-circumscribed cystic mass with septation in the liver. A surgical resection was performed for complete removal. After uncomplicated postoperative recovery, the patient was discharged with albendazole 400 mg twice daily. The hydatid cyst is an important disease that should be considered in the differential diagnosis of cystic lesions in the liver, particularly in those who have lived in endemic areas. A correct early diagnosis based on the typical image findings is important for early treatment before the rupture of the cyst, which is associated with low morbidity and mortality. A current surgical resection combined albendazole are effective treatments for hepatic hydatid cysts, associated with low recurrence rates.
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Affiliation(s)
- Wan Chul Kim
- Division of Gastroenterology, Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea
| | - Jae Uk Shin
- Division of Gastroenterology, Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea
| | - Su Sin Jin
- Division of Gastroenterology, Department of Internal Medicine, Changwon Fatima Hospital, Changwon, Korea
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Shin DH, Jo HC, Kim JH, Jun KI, Park WB, Kim NJ, Choi MH, Kang CK, Oh MD. An Imported Case of Disseminated Echinococcosis in Korea. THE KOREAN JOURNAL OF PARASITOLOGY 2019; 57:429-434. [PMID: 31533411 PMCID: PMC6753304 DOI: 10.3347/kjp.2019.57.4.429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 07/15/2019] [Indexed: 11/23/2022]
Abstract
A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old businessman who frequently traveled overseas, including China, Russia, and Kazakhstan from 2001 to 2007. The patient was first diagnosed with a large liver cyst during a screening abdomen ultrasonography in 2011, but he did not follow up on the lesion afterwards. Six years later, dizziness, dysarthria, and cough developed, and cystic lesions were found in the brain, liver and lungs. The clinical course was complicated when the patient went through multiple surgeries and inadequate treatment with a short duration of albendazole without a definite diagnosis. The patient visited our hospital for the first time in August 2018 due to worsening symptoms; he was finally diagnosed with echinococcosis using imaging and serologic criteria. He is now on prolonged albendazole treatment (400 mg twice a day) with gradual clinical and radiological improvement. A high index of suspicion is warranted to early diagnose echinococcosis in a patient with a travel history to endemic areas of echinococcosis.
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Affiliation(s)
- Dong Hoon Shin
- Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
| | - Hae Chan Jo
- Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
| | - Jeong-Han Kim
- Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
| | - Kang Il Jun
- Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
| | - Wan Beom Park
- Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
| | - Nam-Joong Kim
- Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
| | - Min-Ho Choi
- Department of Tropical Medicine and Parasitology, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center, Seoul 03080, Korea
| | - Chang Kyung Kang
- Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
| | - Myoung-Don Oh
- Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
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Ito A, Budke CM. The echinococcoses in Asia: The present situation. Acta Trop 2017; 176:11-21. [PMID: 28728830 DOI: 10.1016/j.actatropica.2017.07.013] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2017] [Revised: 07/11/2017] [Accepted: 07/12/2017] [Indexed: 12/13/2022]
Abstract
Human alveolar and cystic echinococcosis, caused by the accidental ingestion of eggs of the tapeworms Echinococcus multilocularis and Echinococcus granulosus sensu lato, respectively, are endemic in Asia. Various Echinococcus species are maintained in domesticated and/or wild mammals through predator-prey interactions. Molecular analysis is used to help differentiate infecting parasite species and genotypes, with the goal of better understanding parasite life cycles in order to aid in the planning and implementation of control programs. This paper discusses the various echinococcoses in Asia, with limited reference to neighboring areas, including parts of Central Asia, Russia, Europe and North America.
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Yeom JS, Kong Y. Medical treatment of tropical parasitic diseases. JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 2016. [DOI: 10.5124/jkma.2016.59.9.721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Joon Sup Yeom
- Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
| | - Yoon Kong
- Department of Molecular Parasitology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
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Jung SY, Ahn MJ, Oh JY, Nam HS, Hong ST, Yun YH, Seo M. Infection status of endoparasites in foreigner workers living in Cheonan City, Chungnam Province, Korea. THE KOREAN JOURNAL OF PARASITOLOGY 2015; 53:243-6. [PMID: 25925187 PMCID: PMC4416380 DOI: 10.3347/kjp.2015.53.2.243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 03/10/2015] [Accepted: 03/14/2015] [Indexed: 11/23/2022]
Abstract
At present, more than 500,000 foreigner workers, most of them from Asian countries with high parasitic infection rates, are working in Korea. Since investigation into the prevalence of parasitic infections in foreigner workers has not yet been conducted in Korea, the present study was performed to determine the parasitic infection status of foreigner workers living in Cheonan City, Chungcheongnam-do (Chungnam Province) and to plan, on that basis, effective control measures. From October to December 2013, the parasitic infection status of 231 foreigner workers employed at selected Cheonan-si small businesses was investigated by both stool examination and ELISA. A total of 60 individuals (26.0%) were found to be infected with parasites. The stool examination detected 14 positive cases (6.1%), and ELISA revealed 50 positive people (21.6%), for at least a kind of parasitic disease. The most common infection was cysticercosis (8.7%), followed by toxocariasis (7.8%) and clonorchiasis (7.4%). Since it was proved that parasitic infections were prevalent among foreigner workers living in Cheonan City, more comprehensive study is urgently needed in order to understand the nationwide status of parasitic infections in foreigner workers.
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Affiliation(s)
- Suk-Yul Jung
- Department of Biomedical Laboratory Science, Namseoul University, Cheonan 331-707, Korea
| | - Mi-Jung Ahn
- Department of Biomedical Laboratory Science, Namseoul University, Cheonan 331-707, Korea
| | - Joo-Yeon Oh
- Department of Biomedical Laboratory Science, Namseoul University, Cheonan 331-707, Korea
| | - Hae-Seon Nam
- Department of Clinical Parasitology, School of Medicine, Soonchunhyang University, Cheonan 330-090, Korea
| | - Sung-Tae Hong
- Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, Seoul 110-799, Korea
| | - Yeon-Han Yun
- Cheonansi Multicultural Support Center, Cheonan 331-979, Korea
| | - Min Seo
- Department of Parasitology and Research Center for Mummy, College of Medicine, Dankook University, Cheonan 330-714, Korea
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Khalilpour A, Sadjjadi SM, Moghadam ZK, Yunus MH, Zakaria ND, Osman S, Noordin R. Lateral flow test using Echinococcus granulosus native antigen B and comparison of IgG and IgG4 dipsticks for detection of human cystic echinococcosis. Am J Trop Med Hyg 2014; 91:994-9. [PMID: 25200268 DOI: 10.4269/ajtmh.14-0170] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Cystic echinococcosis (CE) caused by infection with Echinococcus granulosus is of major concern for humans in many parts of the world. Antigen B was prepared from E. granulosus hydatid fluid, and Western blots confirmed eight batches showing a band corresponding to the 8-/12-kDa subunit with positive serum and no low-molecular mass band (< 15 kDa) with negative serum. The batches were pooled and used to prepare lateral flow immunoglobulin G4 (IgG4) and IgG dipsticks. Diagnostic sensitivity was determined using serum samples from 21 hydatidosis patients, and diagnostic specificity was established using sera from 17 individuals infected with other parasites and 15 healthy people. IgG4 dipstick had a diagnostic sensitivity of 95% (20 of 21) and a specificity of 100% (32 of 32). The IgG dipstick had a sensitivity of 100% (21 of 21) and a specificity of 87.5% (28 of 32). Thus, both IgG and IgG4 dipsticks had high sensitivities, but IgG4 had greater specificity for the diagnosis of human CE.
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Affiliation(s)
- Akbar Khalilpour
- Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Penang, Malaysia; Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Seyed Mahmoud Sadjjadi
- Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Penang, Malaysia; Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zohreh Kazemi Moghadam
- Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Penang, Malaysia; Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Muhammad Hafiznur Yunus
- Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Penang, Malaysia; Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nor Dyana Zakaria
- Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Penang, Malaysia; Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Sabariah Osman
- Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Penang, Malaysia; Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Rahmah Noordin
- Institute for Research in Molecular Medicine, Universiti Sains Malaysia, Penang, Malaysia; Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
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Choi H, Park JY, Kim JH, Moon DG, Lee JG, Bae JH. Primary renal hydatid cyst: mis-interpretation as a renal malignancy. THE KOREAN JOURNAL OF PARASITOLOGY 2014; 52:295-8. [PMID: 25031471 PMCID: PMC4096642 DOI: 10.3347/kjp.2014.52.3.295] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2014] [Revised: 04/07/2014] [Accepted: 04/07/2014] [Indexed: 11/23/2022]
Abstract
Primary renal echinococcosis, a rare disease involving the kidney, accounts for 2-3% of human echinococcosis. A 64-year-old female patient from Uzbekistan presented with complaints of left flank pain. A CT scan revealed a cystic mass in the upper to midpole of the left kidney. We regarded this lesion as a renal malignancy and hand-assisted laparoscopic radical nephrectomy was performed to remove the renal mass. The mass consisted of a large unilocular cyst and multiple smaller cysts without any grossly visible renal tissue. The final pathologic diagnosis was a renal hydatid cyst. For patients from endemic areas, hydatid cyst should be included in the differential diagnosis. Here, we present a case of renal hydatid cyst in a female patient who relocated from Uzbekistan to Korea.
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Affiliation(s)
- Hoon Choi
- Department of Urology, Korea University Hospital, Korea University College of Medicine, Seoul 136-705, Korea
| | - Jae Young Park
- Department of Urology, Korea University Hospital, Korea University College of Medicine, Seoul 136-705, Korea
| | - Jae-Heon Kim
- Department of Urology, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Seoul 140-743, Korea
| | - Du Geon Moon
- Department of Urology, Korea University Hospital, Korea University College of Medicine, Seoul 136-705, Korea
| | - Jeong-Gu Lee
- Department of Urology, Korea University Hospital, Korea University College of Medicine, Seoul 136-705, Korea
| | - Jae Hyun Bae
- Department of Urology, Korea University Hospital, Korea University College of Medicine, Seoul 136-705, Korea
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Hong ST, Jin Y, Anvarov K, Khadjibaev A, Hong S, Ahmedov Y, Otaboev U. Infection status of hydatid cysts in humans and sheep in Uzbekistan. THE KOREAN JOURNAL OF PARASITOLOGY 2013; 51:383-5. [PMID: 23864754 PMCID: PMC3712117 DOI: 10.3347/kjp.2013.51.3.383] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2013] [Revised: 04/18/2013] [Accepted: 04/22/2013] [Indexed: 12/28/2022]
Abstract
Uzbekistan is endemic of cystic echinococcosis (CE). In order to estimate endemicity of CE, we collected data from emergency surgery due to CE in 2002-2010 and also investigated the prevalence of hydatid cysts in the liver and lungs of sheep at an abattoir in Uzbekistan from July 2009 to June 2010. In 14 emergency hospitals, 8,014 patients received surgical removal or drainage of CE during 2002-2010, and 2,966 patients were found in 2010. A total of 22,959 sheep were grossly examined of their liver and lungs, and 479 (2.1%) and 340 (1.5%) of them were positive for the cyst in the liver and lungs, respectively. Echinococcus granulosus is actively transmitted both to humans and sheep, and CE is a zoonotic disease of public health priority in Uzbekistan.
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Affiliation(s)
- Sung-Tae Hong
- Department of Parasitology and Tropical Medicine, Institute of Endemic Diseases, Seoul National University, College of Medicine, Seoul 110-799, Korea.
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Jin Y, Anvarov K, Khajibaev A, Hong S, Hong ST. Serodiagnosis of echinococcosis by ELISA using cystic fluid from Uzbekistan sheep. THE KOREAN JOURNAL OF PARASITOLOGY 2013; 51:313-7. [PMID: 23864742 PMCID: PMC3712105 DOI: 10.3347/kjp.2013.51.3.313] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Revised: 05/01/2013] [Accepted: 05/09/2013] [Indexed: 12/13/2022]
Abstract
According to increase of travel, the cases of imported echinococcosis have been increasing in Korea. The present study was undertaken to develop a serodiagnostic system for echinococcosis in Korea. For diagnosis of echinococcosis, the fluid of Echinococcus granulosus hydatid cysts was collected from naturally infected sheep in Uzbekistan. Also serum samples of infected patients who were surgically confirmed were collected in a hospital in Tashkent, Uzbekistan. According to the absorbance of 59 echinococcosis positive and 39 negative control serum samples, the cut-off value was determined as 0.27. The sensitivity and specificity of ELISA with hydatid fluid antigen were 91.5% and 96%, respectively. The antigen cross-reacted with the serum of some cysticercosis or clonorchiasis patients. However, immunoblot analysis on the cystic fluid recognized antigenic proteins of 7-, 16-, and 24-kDa bands in their dominant protein quantity and strong blotting reactivity. In conclusion, the present ELISA system using hydatid cyst fluid antigen from Uzbekistan sheep is sensitive and specific for diagnosis of echinococcosis cases.
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Affiliation(s)
- Yan Jin
- Department of Parasitology and Tropical Medicine, Institute of Endemic Diseases, Seoul National University, College of Medicine, Seoul 110-799, Korea
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