Korean J Parasitol.  1994 Sep;32(3):201-204. 10.3347/kjp.1994.32.3.201.

A case of echinostomiasis with ulcerative lesions in the duodenum

Affiliations
  • 1Department of Parasitology and Institute of Endemic Diseases, Seoul National University College of Medicine, Korea.

Abstract

Echinostomiasis is an endemic intestinal trematodiasis of humans in Korea. We observed a human case of Echinostoma hortense infection who had ulcerations on the duodenal mucosa. A 55-year old man living in Hamyang-gun, Kyongnam, complained of epigastric pain with hematemesis in April 1994. Endoscopy revealed lesions of early gastric cancer and duodenal ulcerations. A penetrating parasite into the duodenal mucosa was picked out, and identified as E. hortense. As the patient was treated with praziquantel 10 mg/kg single dose, 3 more E. hortense and 7 Metagonimus worms were recovered. This case demonstrates that echinostomiasis causes gross ulcerations in the duodenum.


MeSH Terms

Middle-Age
*Duodenal-Ulcer-etiology
*Echinostomiasis-complications
*Intestinal-Diseases,-Parasitic-complications
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