Lee S H, Choi M H, Seo M, Chai J Y
Department of Parasitology, Seoul National University College of Medicine, Korea.
Korean J Parasitol. 1995 Mar;33(1):1-7. doi: 10.3347/kjp.1995.33.1.1.
Gymnophalloides seoi has drawn medical attentions since the discovery of the first human case and a highly endemic area on a southwestern coastal island of Shinangun, Korea. Marine bivalves especially oysters were strongly suspected as the source of infection. In this study the oysters, Crassostrea gigas, naturally produced from the endemic area were examined whether they contain gymnophallid metacercariae. All of 50 oysters examined were infected with the metacercariae of a gymnophallid, with the metacercarial density per oyster of 610 on average (2-4, 792 in range). Later they were identified as G. seoi by obtaining adult worms from experimental mice. The metacercariae were unencysted, and firmly attached on the mantle surface of the oysters with their oral sucker. In sectioned specimens they were equipped with the ventral pit, a peculiar organ of the genus Gymnophalloides, and non-muscular genital pore which was connected dorsally to the seminal vesicle. The seminal vesicle was in a great majority mono-sac. By this study, it has been confirmed that the oyster is a 2nd intermediate host of G. seoi as well as the major source of human infection with this fluke.
自从在韩国新安南道西南沿海岛屿发现首例人体感染病例和高流行区以来,西氏裸茎吸虫就引起了医学界的关注。海洋双壳贝类尤其是牡蛎被高度怀疑为感染源。在本研究中,对采自该流行区的太平洋牡蛎进行检查,以确定其是否含有裸茎吸虫的囊蚴。所检查的50只牡蛎均感染了一种裸茎吸虫的囊蚴,每只牡蛎的囊蚴密度平均为610个(范围为2 - 4792个)。随后通过从实验小鼠体内获取成虫,将其鉴定为西氏裸茎吸虫。囊蚴未形成包囊,通过口吸盘牢固地附着在牡蛎的外套膜表面。在切片标本中,它们具有腹凹,这是裸茎吸虫属的一个特殊器官,以及与精囊背侧相连的无肌肉生殖孔。精囊绝大多数为单囊。通过本研究,已证实牡蛎是西氏裸茎吸虫的第二中间宿主,也是人类感染这种吸虫的主要来源。