AN OUTBREAK OF GNATHOSTOMIASIS AMONG KOREAN EMIGRANTS IN MYANMAR
Abstract
Thirty-eight (designated as cases) of 60 Korean emigrants who consumed raw fresh water fish in Yangon, Myanmar developed migratory swellings and creeping eruptions on the back, abdomen, flank, and other cutaneous areas 1–10 weeks later. The symptoms included itching, nodule formation, fatigue, urticaria, fever, pain on the skin, and erythematous plaques. Skin biopsies of two cases revealed no parasites. However, the mean ± SD peripheral blood eosinophilia among the cases was 6.3 ± 6.5% (n = 29) and 9.0 ± 9.8% (n = 26) in two examinations. An enzyme-linked immunosorbent assay of their serum samples, using Gnathostoma doloresi adult worms as the antigen, showed mean ± SD optical densities of 0.47 ± 0.29 (n = 28) and 0.32 ± 0.20 (n = 30) in two examinations and 0.12 ± 0.09 (n = 50) in healthy controls. Two advanced third-stage larvae of G. spinigerum were found in two of six catfish purchased at a local market in Yangon. The outbreak of the human infection is suggested to have been due to G. spinigerum, which is known to live out its life cycle in the Yangon area of Myanmar.
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Albendazole (1,200 mg daily for 21 days) in combination with ivermectin (0.2 mg/kg single dose) produced satisfactory results in 38 Korean patients with gnathostomiasis who immigrated to Myanmar.
“Chai et al. [138] used albendazole (1,200 mg daily for 21 days) in combination with ivermectin (0.2 mg/kg single doe) in 38 Korean patients who immigrated to Myanmar with satisfactory results.”
From Albendazole and Mebendazole as Anti-Parasitic and Anti-Cancer Agents: an Update (2021) · cites this paper as [138]
Cites
Addiss, D. G., Beach, M. J., Streit, T. G., Lutwick, S., LeConte, F. H., Lafontant, J. G., Hightower, A. W., & Lammie, P. J. (1997) · The Lancet · doi:10.1016/s0140-6736(97)02231-9 · Cited by 116 · see citing works
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Albendazole and Mebendazole as Anti-Parasitic and Anti-Cancer Agents: an Update
Chai, J.-Y., Jung, B.-K., & Hong, S.-J. (2021) · The Korean Journal of Parasitology · doi:10.3347/kjp.2021.59.3.189 · Cited by 286 · see citing works
Self-citationRecent Advances in the Use of Anthelmintics for Treating Nematode Infections
Chai, J.-Y. (2011) · Infection and Chemotherapy · doi:10.3947/ic.2011.43.1.26 · Cited by 5 · see citing works
Self-citation
- Authors
- CHAI, J.-Y., HAN, E.-T., SHIN, E.-H., PARK, J.-H., CHU, J.-P., HIROTA, M., NAKAMURA-UCHIYAMA, F., & NAWA, Y.
- Affiliations
- Seoul National University (KR)
- Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center, Seoul, Republic of Korea; Department of Parasitology, Kangwon National University College of Medicine, Chunchon, Republic of Korea; Department of Parasitology, College of Medicine, Kyunghee University, Seoul, Republic of Korea; Embassy of Japan, Washington, District of Columbia; Department of Parasitology...
- Venue
- The American Journal of Tropical Medicine and Hygiene
- Published
- 2003-07
- Volume
- 69
- Issue
- 1
- Pages
- 67-73
- ISSN
- 0002-9637 (ISSN-L)
- OpenAlex
- W2119906040
- Cited by
- 59
- References
- 1
- Citations by year
- 2025: 2 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 1 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Immunology and Microbiology › Parasitology › Parasites and Host Interactions
- Health Sciences › Medicine › Pathology and Forensic Medicine › Parasitic infections in humans and animals
- Life Sciences › Agricultural and Biological Sciences › Insect Science › Mollusks and Parasites Studies
- Keywords
- gnathostomiasis, Gnathostoma spinigerum, Korean emigrants, outbreak, raw fish consumption, catfish, eosinophilia, ELISA serodiagnosis, cutaneous larva migrans, Yangon, parasite life cycle
- MeSH terms
- Adult, Animals, Myanmar, Child, Child, Preschool, Disease Outbreaks, Emigration and Immigration, Eosinophilia, Female, Fishes, Gnathostoma, Humans, Infant, Korea, Male, Middle Aged, Recurrence, Food Parasitology, Spirurida Infections
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