[논문]A Retrieved Sparganum of Spirometra erinaceieuropaei from a Korean Man during Mechanical Thrombectomy

Hwang, Yang-Ha; Son, Wonsoo; Kim, Yong-Won; Kang, Dong-Hun; Chang, Hyun-Ha; Goo, Youn-Kyoung; Hong, Yeonchul; Chung, Dong-Il

doi:10.3347/kjp.2020.58.3.309

A Retrieved Sparganum of Spirometra erinaceieuropaei from a Korean Man during Mechanical Thrombectomy 원문보기

The Korean journal of parasitology, v.58 no.3, 2020년, pp.309 - 313

Hwang, Yang-Ha (Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University) , Son, Wonsoo (Department of Neurosurgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University) , Kim, Yong-Won (Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University) , Kang, Dong-Hun (Department of Neurosurgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University) , Chang, Hyun-Ha (Department of Internal Medicine, School of Medicine, Kyungpook National University) , Goo, Youn-Kyoung (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University) , Hong, Yeonchul (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University) , Chung, Dong-Il (Department of Parasitology and Tropical Medicine, School of Medicine, Kyungpook National University)

Abstract ▼ AI-Helper

Human sparganosis is a zoonotic disease caused by infection and migration of the plerocercoid of Spirometra spp. Although sparganosis were reported from most parts of the body, the sparganum parasitizing inside cerebral artery is remarkably uncommon. We report a case of cerebral intravascular sparganosis in an elderly patient with acute ischemic stroke who was diagnosed by retrieving sparganum during mechanical thrombectomy. Finally, the parasites were identified as Spirometra erinaceieuropaei using multiplex PCR and cox1 gene sequencing.

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가설 설정

(C) Initial left carotid angiography for endovascular mechanical thrombectomy. (D) Partial reperfusion of occluded artery was achieved. (E) One whitish long worm with sluggish movement.

대상 데이터

An 89-year-old man was admitted to the Emergency Center, Kyungpook National University Hospital on August 17, 2018 due to right side weakness and altered consciousness after one hour of symptom onset. He had medical history of hypertension and had been taking medicines for the hypertension.
1. Findings of an 89-year-old male with acute ischemic stroke. (A) Initial supra-aortic CT angiography showing acute occlusion of left middle cerebral artery.
1E). To identify species, these retrieved materials were sent to the Department of Parasitology and Tropical medicine. At one day after index stroke, follow-up brain CT revealed hypodensities on left fronto-temporal area including left basal ganglia without any evidence of hemorrhagic conversions (Fig.

성능/효과

2). This cox1 sequence of current specimen had identity 99.4% to S. erinaceieuropaei (KJ599680) and 90.2% to S. decipiens (KJ599679). Taken together, molecular analyses on this cerebral sparganosis revealed an infection with S.

후속연구

decipiens. To clarify the transmission route and life cycle of S. erinaceieuropaei, further studies using a number of samples from humans and wild animals (possible final hosts) would be required.

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