Ryang Y S
Department of Medical Technology, Yonsei University College of Health Sciences, Korea.
Kisaengchunghak Chapchi. 1990 Dec;28(4):221-33. doi: 10.3347/kjp.1990.28.4.221.
The present study was performed to know the epidemiological status of echinostomiasis in the Chungju Reservoir and upper streams of Namhan River, together with an experimental study on the life history of Echinostoma hortense. The stool specimens of 169 inhabitants and 473 junior high school students from 5 different villages revealed 3 (0.5%) echinostomatid egg positive cases. E. hortense adult worms were recovered from one patient after a treatment and purgation. For the other two patients, it was presumed that one had E. hortense and another E. cinetorchis infection, based on the morphology of eggs. Five kinds of freshwater snails (168 Radix auricularia coreana, 534 Physa acuta, 144 Hippeutis cantori, 56 Cipangopaludina chinensis malleata and 125 Semisulcospira nodifila globus) examined for the cercariae of echinostomes showed negative results. Ten kinds of freshwater fishes examined for E. hortense metacercariae revealed positive rates as Misgurnus anguillicaudatus 40.5%, Odontobutis obscura interrupta 20.3%, Moroco oxycephalus 3.9%, and Coreoperca kawamebari 2.0%. In the experimental study, the metacercariae of E. hortense were infected to rats, eggs were collected from adult worms and cultivated, and miracidia were obtained. The miracidia were artificially infected to freshwater snails (R. auricularia), and cercarial shedding was studied. It was revealed that, when the snails were kept at a low temperature (24 degrees C), only 523 cercariae (on average) were produced during 24 hrs, while they were at a high temperature (30 degrees C), as many as 9,990 cercariae (on average) were shed during the same time. The experimental infection of E. hortense cercariae to freshwater fishes was successful in O. obscura interrupta 52.0%, M. anguillicaudatus 30.3%, C. kawamebari 27.0%, Cobitis lutheri 15.0%, M. oxycephalus 7.3%, Pseudogobio esocinus 4.3%, Squalidus coreanus 2.0%, Zacco platypus 1.3%, and Pungtungia herzi 1.3%. However, infection was not successful to snails, C. chinensis. It has been proved that the Chungju Reservoir and upper streams of Namhan river are endemic areas of echinostomiasis, especially of E. hortense, and snails such as R. auricularia coreana and fishes such as O. obscura interrupta, M. anguillicaudatus, and others are taking the role of first and second intermediate hosts, respectively.
本研究旨在了解忠州水库和南汉江上游棘口吸虫病的流行状况,并对霍氏棘口吸虫的生活史进行实验研究。对来自5个不同村庄的169名居民和473名初中生的粪便标本进行检测,发现3例(0.5%)棘口吸虫卵阳性病例。经治疗和泻下后,从1例患者体内检出霍氏棘口吸虫成虫。对于另外2例患者,根据虫卵形态推测其中1例感染霍氏棘口吸虫,另1例感染猫后睾吸虫。对5种淡水螺(168只梨形环棱螺、534只尖膀胱螺、144只半球多脉扁螺、56只中华圆田螺和125只结节蜷)进行棘口吸虫尾蚴检测,结果均为阴性。对10种淡水鱼进行霍氏棘口吸虫囊蚴检测,阳性率分别为:泥鳅40.5%、间体沙塘鳢20.3%、尖头塘鳢3.9%、河鲈塘鳢2.0%。在实验研究中,将霍氏棘口吸虫囊蚴感染大鼠,收集成虫虫卵并进行培养,获得毛蚴。将毛蚴人工感染淡水螺(梨形环棱螺),观察尾蚴逸出情况。结果显示,当螺处于低温(24℃)时,24小时内平均仅产生523条尾蚴;而处于高温(30℃)时,同一时间内平均可逸出多达9990条尾蚴。霍氏棘口吸虫尾蚴对淡水鱼的实验感染成功率分别为:间体沙塘鳢52.0%、泥鳅30.3%、河鲈塘鳢27.0%、东北花鳅15.0%、尖头塘鳢7.3%、似鱎4.3%、韩国小鳔鮈2.0%、宽鳍鱲1.3%、赫氏黄黝鱼1.3%。然而,对中华圆田螺未成功感染。已证实忠州水库和南汉江上游是棘口吸虫病的流行区,尤其是霍氏棘口吸虫病的流行区,梨形环棱螺等螺类和间体沙塘鳢、泥鳅等鱼类分别充当第一和第二中间宿主。