Choi Won-Hyung, Chu Jong-Phil, Jiang Meihua, Lee Yun-Sik, Kim Bum-Shik, Kim Deog-Gon, Park Yong-Koo
Department of Medical Zoology, KyungHee University School of Medicine, Seoul, Korea.
Korean J Parasitol. 2010 Mar;48(1):85-8. doi: 10.3347/kjp.2010.48.1.85. Epub 2010 Mar 18.
We analyzed parasitic diseases diagnosed by tissue biopsy specimens at KyungHee Medical Center (KMC) from 1984 to 2005. The total number of parasite infection cases was 150 (0.07%) out of the total 211,859 biopsy specimens submitted for histopathological examinations. They consisted of 62 cysticercosis, 23 sparganosis, 16 paragonimiasis, 15 amebiasis, 11 anisakiasis, 11 clonorchiasis, 3 ascariasis, 2 scabies, 2 enterobiasis, 2 trichuriasis, 1 leishmaniasis, 1 taeniasis, and 1 thelaziasis. Out of 62 cysticercosis cases, 55 were detected in subcutaneous tissues or the central nerve system. Eighteen out of 23 sparganosis cases were involved in muscular and subcutaneous tissues. In most anisakiasis cases, the involved organ was the stomach. The lung and the pleura were the most common site of paragonimiasis. The incidence of parasitic diseases during the first 5 years (1984-1988) was the highest of all observed periods. After 1989, similar incidences were shown throughout the period. Whereas cysticercosis was diagnosed in 34 cases during 1984-1988, no case has been diagnosed since 2000. In the case of sparganosis, the chronological incidence was almost uniform throughout the period 1984-2005. Paragonimiasis showed a similar tendency to cysticercosis. In gender and age distribution of parasitic diseases, men showed higher incidence rates than females, and the age groups of the 40s or older indicated higher infection frequencies than other age groups. Therefore, these results are a significant report to appear the tendency of human parasitic disease diagnosed by tissue biopsy in association with parasitosis at KMC in Seoul.
我们分析了1984年至2005年期间在庆熙医疗中心(KMC)通过组织活检标本诊断出的寄生虫病。在提交进行组织病理学检查的211,859份活检标本中,寄生虫感染病例总数为150例(0.07%)。这些病例包括62例囊尾蚴病、23例裂头蚴病、16例肺吸虫病、15例阿米巴病、11例异尖线虫病、11例华支睾吸虫病、3例蛔虫病、2例疥疮、2例蛲虫病、2例鞭虫病、1例利什曼病、1例绦虫病和1例吸吮线虫病。在62例囊尾蚴病病例中,55例在皮下组织或中枢神经系统中被检测到。23例裂头蚴病病例中有18例累及肌肉和皮下组织。在大多数异尖线虫病病例中,受累器官是胃。肺和胸膜是肺吸虫病最常见的部位。在最初的5年(1984 - 1988年)期间,寄生虫病的发病率在所有观察期内最高。1989年以后,整个时期的发病率相似。1984 - 1988年期间诊断出34例囊尾蚴病,自2000年以来未诊断出任何病例。就裂头蚴病而言,1984 - 2005年期间的发病时间分布几乎均匀。肺吸虫病显示出与囊尾蚴病相似的趋势。在寄生虫病的性别和年龄分布方面,男性的发病率高于女性,40多岁及以上的年龄组感染频率高于其他年龄组。因此,这些结果是一份重要报告,呈现了首尔KMC通过组织活检诊断的人类寄生虫病与寄生虫感染相关的趋势。