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A Case of Diphyllobothrium nihonkaiense Infection as Confirmed by Mitochondrial COX1 Gene Sequence Analysis

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Diphyllobothrium nihonkaiense has been reported in Korea as Diphyllobothrium latum because of their close morphologic resemblance. We have identified a human case of D. nihonkaiense infection using the mitochondrial cytochrome c oxidase subunit I (cox1) gene sequence analysis. On 18 February 2012, a patient who had consumed raw fish a month earlier visited our outpatient clinic with a long tapeworm parasite excreted in the feces. The body of the segmented worm was 2 m long and divided into the scolex (head) and proglottids. It was morphologically close to D. nihonkaiense and D. latum. The cox1 gene analysis showed 99.4% (340/342 bp) homology with D. nihonkaiense but only 91.8% (314/342 bp) homology with D. latum. The present study suggested that the Diphyllobothrium spp. infection in Korea should be analyzed with specific DNA sequence for an accurate species identification.

Abstract

Diphyllobothrium nihonkaiense has been reported in Korea as Diphyllobothrium latum because of their close morphologic resemblance. We have identified a human case of D. nihonkaiense infection using the mitochondrial cytochrome c oxidase subunit I (cox1) gene sequence analysis. On 18 February 2012, a patient who had consumed raw fish a month earlier visited our outpatient clinic with a long tapeworm parasite excreted in the feces. The body of the segmented worm was 2 m long and divided into the scolex (head) and proglottids. It was morphologically close to D. nihonkaiense and D. latum. The cox1 gene analysis showed 99.4% (340/342 bp) homology with D. nihonkaiense but only 91.8% (314/342 bp) homology with D. latum. The present study suggested that the Diphyllobothrium spp. infection in Korea should be analyzed with specific DNA sequence for an accurate species identification.

참고문헌 (6)

  1. 이은빈, "A case of Diphyllobothrium latum infection with a brief review of diphyllobothriasis in the Republic of Korea", The Korean Journal of Parasitology, 45(3), pp.219~223 (2007), 대한기생충학ㆍ열대의학회
  2. Wicht B, "Diphyllobothrium nihonkaiense (Yamane et al., 1986) in Switzerland: first molecular evidence and case reports", Parasitol Int, 56, pp.195~199 (2007)
  3. 전형규, "Morphologic and Genetic Identification of Diphyllobothrium nihonkaiense in Korea", The Korean Journal of Parasitology, 47(4), pp.369~375 (2009), 대한기생충학ㆍ열대의학회
  4. 최희정, "Four Human Cases of Diphyllobothrium latum Infection", The Korean Journal of Parasitology, 50(2), pp.143~146 (2012), 대한기생충학ㆍ열대의학회[DOI]
  5. Lee SH, "Seven cases of Diphyllobothrium latum infection", Korean J Parasitol, 27, pp.213~216 (1989)
  6. Scholz T, "Update on the human broad tapeworm(genus Diphyllobothrium), including clinical relevance", Clin Microbiol Rev, 22, pp.146~160 (2009)

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