Chi J G, Sung R H, Cho S Y
Department of Pathology, College of Medicine, Seoul National University, Korea.
J Korean Med Sci. 1988 Jun;3(2):51-62. doi: 10.3346/jkms.1988.3.2.51.
Parasitic disease is still important subject in the field of infectious diseases in Korea considering it's number and morbidity. Recently there was conspicuous reduction of parasitic disease in terms of soil-transmitted nematodiasis, but parasitism affecting organs other than intestinal tract is still a considerable problem. This survey covers the parasitic diseases cross-sectioned at a pathology laboratory of a referral hospital, trying to elucidate the significance of its relative frequency and also to describe some histopathological changes made by different parasites. Entire pathological materials of parasitic diseases, that were referred, examined and confirmed at the Department of Pathology, Seoul National University Hospital from 1968 to 1987, were used for the study. There was a total of 594 cases of tissue parasitic diseases. This number accounted for 0.33 per cent of total accessions of surgical pathology. There occurred average 30 cases of tissue parasitic disease each year at this Hospital. Protozoal diseases were constituted of 15 cases of amebiasis, 7 cases of leishmaniasis (imported) and 5 cases of Pneumocystis carinii infections. Among helminthic infections cysticercosis was the most common (425 cases), and was followed by paragonimiasis (35 cases), sparganosis (31 cases), clonorchiasis (32 cases) and ascariasis (16 cases). In addition there were 4 cases of anisakiasis, 2 cases of fascioliasis, 2 cases of echinococcosis (imported) and a case of strongyloidiasis and a case of metagonimiasis respectively. It is emphasized that imported parasitic diseases such as leishmaniasis and hydatid disease become steadily found nowadays. Schistosomiasis is another possible imported disease, but not found in this series. And certain cestodiasis particularly cysticercosis and sparganosis should be the subjects of epidemiologic re-evaluation in view of steady occurrence of their morbidity.
从病例数量和发病率来看，寄生虫病在韩国传染病领域仍是一个重要课题。最近，土壤传播的线虫病方面的寄生虫病有明显减少，但影响肠道以外器官的寄生虫感染仍是一个相当严重的问题。本次调查涵盖了一家转诊医院病理实验室剖检的寄生虫病，旨在阐明其相对发病率的意义，并描述不同寄生虫引起的一些组织病理学变化。研究使用了1968年至1987年期间在首尔国立大学医院病理科送检、检查并确诊的全部寄生虫病病理材料。组织寄生虫病病例共有594例。这个数字占外科病理总送检病例的0.33%。该医院每年平均发生30例组织寄生虫病。原虫病包括15例阿米巴病、7例利什曼病（输入性）和5例卡氏肺孢子虫感染。在蠕虫感染中，囊尾蚴病最常见（425例），其次是肺吸虫病（35例）、裂头蚴病（31例）、华支睾吸虫病（32例）和蛔虫病（16例）。此外，分别有4例异尖线虫病、2例肝片吸虫病、2例棘球蚴病（输入性）、1例粪类圆线虫病和1例后睾吸虫病。需要强调的是，如今利什曼病和包虫病等输入性寄生虫病越来越常见。血吸虫病是另一种可能的输入性疾病，但在本系列病例中未发现。鉴于某些绦虫病尤其是囊尾蚴病和裂头蚴病的发病率持续出现，应对其进行流行病学重新评估。
