Cases reported "Trematode Infections"

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1/19. An incidental case of human Heterophyes nocens infection diagnosed by sectional morphology in a biopsy specimen of the small intestine.

    A case of human infection with Heterophyes nocens (heterophyidae) was incidentally found in a biopsy specimen of the Meckel's diverticulum at the upper part of the small intestine. The patient was a 58-year-old man living in a rural area of Talsonggun, Kyongsangbuk-do. He had gastrointestinal symptoms such as epigastric pain, indigestion, and abdominal discomfort for 3 months, and severe diarrhea, abdominal pain, and vomiting for about 1 month before hospitalization. endoscopy of the upper part of the small intestine revealed a Meckel's diverticulum, and it was excised and histopathologically examined. Three adult flukes were incidentally found sectioned in the mucosa, and they were identified as H. nocens. The patient had a history of eating raw mullets at a fish market in Pusan 6 months ago, and the mullets were presumed to be the source of infection. This case brings a considerable interest in that specific diagnosis of heterophyid infections could be done by sectional morphology of the worms.
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2/19. Clinostomum trematode from human eye.

    The first human case of Clinostomum lacramalitis in thailand is reported. A 38-year-old man visited an ophthalmology clinic after having itchy pain in the right eye for two days. Ophthalmological examination revealed a living worm adhered to the lacramal opening and after removal, it was identified as Clinostomum sp. The patient admitted that he used to eat raw freshwater fish, he caught in Prachin Buri Province where he lives.
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keywords = pain
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3/19. Fasciolopsis buski (giant intestinal fluke)--a case report.

    A girl, aged 20 years presented with diarrhoea, vomiting, pain abdomen and loss of weight, the routine Stool examination revealed Fasciolopsis buski (giant intestinal fluke) in large numbers. Despite treatment with praziquantel, she died after three days.
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4/19. Case report: unusual presentation of Fasciolopsis buski in a Vietnamese child.

    A Vietnamese child presented with a history of abdominal pain. Shortly afterwards, he vomited eight live trematode flukes that were collected and morphologically identified as Fasciolopsis buski. The identification was confirmed by dna analysis. adult worms of F. buski from humans are very rarely seen except at autopsy, and this is the first such report from vietnam.
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keywords = abdominal pain, pain
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5/19. A case of colonic lymphoid tissue invasion by Gymnophalloides seoi in a Korean man.

    A 65-year old Korean man, living in Mokpo-city, Jeollanam-do, republic of korea, visited a local clinic complaining of right upper quadrant pain and indigestion. At colonoscopy, he was diagnosed as having a carcinoma of the ascending colon, and thus, a palliative right hemicolectomy was performed. Subsequently, an adult fluke of Gymnophalloides seoi was incidentally found in a surgical pathology specimen of the lymph node around the colon. The worm was found to have invaded gut lymphoid tissue, with characteristic morphologies of a large oral sucker, a small ventral sucker, and a ventral pit surrounded by strong muscle fibers. This is the first reported case of mucosal tissue invasion by G. seoi in the human intestinal tract.
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keywords = pain, upper
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6/19. Human parasitism by Phagicola sp (trematoda, heterophyidae) in Cananeia, Sao Paulo state, brazil.

    We report one case of parasitism by Phagicola sp. (trematoda, heterophyidae) in a 31 year-old woman who, in 1987, travelled and stayed several months in the municipality of Cananeia (SP), where she ingested, in various occasions, raw mullet (Mugil sp.). The patient referred mild intestinal pain and laboratory examinations showed eggs of Phagicola sp. in the stools and a slight increase in eosinophil blood levels (8%). After treatment with praziquantel (75 mg/kg per day for three days) all the symptoms and signs disappeared. This is, certainly, the first record of human infection by Phagicola sp. in brazil and, perhaps, in countries other than the U.S.A. where unclear references to a few human cases were reported in the South-eastern region.
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7/19. Human nanophyetiasis: transmission by handling naturally infected coho salmon (oncorhynchus kisutch).

    The first US case of human nanophyetiasis that does not involve ingestion of raw or undercooked salmonid fishes is reported. The patient worked with highly infected fish. hand contamination with the infectious metacercariae of the digenetic trematode Nanophyetus salmincola (family troglotrematidae) occurred during the handling of fresh-killed, juvenile coho salmon, oncorhynchus kisutch. Diagnosis of nanophyetiasis was based on the clinical findings of chronic diarrhea, nausea, abdominal discomfort, and a peripheral blood eosinophilia of 43% and was confirmed on finding characteristic bipolar eggs in a stool specimen. The patient rarely ate seafood products and never ate raw or cold smoked fish. He responded favorably to praziquantel and was asymptomatic after therapy.
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8/19. A human case of Stellantchasmus falcatus infection.

    A human case infected with Stellantchasmus falcatus(heterophyidae) is reported based on the adult worms collected after praziquantel treatment. The patient is a 33-year old male residing in Seoul. For several months he experienced vague abdominal discomfort and hunger pain. praziquantel at a single dose of 600 mg was given followed by purgation with magnesium salt, and 17 adult S. falcatus specimens were collected from the diarrheal stools. He recalled he had eaten raw flesh of several kinds of brackish water fishes. This is the 4th human case of S. falcatus infection in Korea.
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9/19. Cytologic diagnosis of liver fluke infestation in a patient with subsequently documented cholangiocarcinoma.

    In a 32-year-old Laotian immigrant who presented with a two-day history of vomiting, abdominal pain and jaundice, ultrasound examination revealed a posthepatic obstruction. Characteristic parasitic ova were present in bile fluid submitted for cytologic evaluation. Subsequent biopsy of the patient's bile duct lesion revealed a coexistent cholangiocarcinoma. The life cycles of clonorchis sinensis and Ospisthorchis viverrini are reviewed along with the clinical and pathologic complications of infestation by these parasites in humans. The cytologic features of liver fluke infestation are characteristic and should be appreciated, as should the importance of its early diagnosis in the prevention of bile duct neoplasms.
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ranking = 0.014399652066413
keywords = abdominal pain, pain
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10/19. Human intestinal infection with Nanophyetus salmincola from salmonid fishes.

    Between 1974 and 1985, 10 patients were studied who presented with either gastrointestinal complaints or unexplained peripheral blood eosinophilia, and had eggs typical for N. salmincola recovered from their stools. Clinical findings in 8 of the 10 included increased frequency of bowel movements or diarrhea (6), peripheral blood eosinophilia (6), abdominal discomfort (5), nausea and vomiting (3), weight loss (2), and fatigue (2). Two were asymptomatic. Eight recalled eating fish prior to the onset of symptoms. Anthelminthic treatment consisting of three 2-g doses of niclosamide (2 patients) or two 50 mg/kg doses of bithionol (1 patient) proved effective. In the remaining individuals symptoms resolved slowly over several months.
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