Nine Human Sparganosis Cases in Thailand with Molecular Identification of Causative Parasite Species

Adhiratha Boonyasiri Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand; National Institute of Infectious Diseases, Tokyo 162-8640, Japan; Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand

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Pornsuk Cheunsuchon Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand; National Institute of Infectious Diseases, Tokyo 162-8640, Japan; Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand

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Yupin Suputtamongkol Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand; National Institute of Infectious Diseases, Tokyo 162-8640, Japan; Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand

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Hiroshi Yamasaki Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand; National Institute of Infectious Diseases, Tokyo 162-8640, Japan; Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand

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Oranuch Sanpool Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand; National Institute of Infectious Diseases, Tokyo 162-8640, Japan; Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand

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Wanchai Maleewong Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand; National Institute of Infectious Diseases, Tokyo 162-8640, Japan; Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand

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Pewpan M. Intapan Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand; National Institute of Infectious Diseases, Tokyo 162-8640, Japan; Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand

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Human sparganosis is one of the neglected diseases but important food-borne parasitic zoonoses. The disease is caused by larvae (spargana) of diphyllobothriidean tapeworm. Here, we describe nine cases of human sparganosis, caused by Spirometra erinaceieuropaei in a hospital in Thailand during 2001–2012. Clinical characteristics, treatment, and outcome of cases were revealed. Diagnosis and identification of causative parasite species was made by histopathological investigations followed by a polymerase chain reaction-based molecular method using formalin-fixed paraffin embedded tissues. The DNA samples were extracted from tissues and a partial fragment of cytochrome c oxidase subunit 1 (cox1) gene was amplified for the detection of parasitic DNA. Infection could be prevented by increasing activities on health communication by responsible public health agencies.

Author Notes

* Address correspondence to Pewpan M. Intapan, Department of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand. E-mail: pewpan@kku.ac.th

Financial support: This study was supported by TRF Senior Research Scholar Grant, Thailand Research Fund grant no. RTA5580004 to Pewpan M. Intapan and Wanchai Maleewong. This research was also funded by grants from the Higher Education Research Promotion and National Research University Project of Thailand, Office of the Higher Education Commission, Thailand through the Health Cluster (SHeP-GMS) and the Faculty of Medicine, Khon Kaen University.

Authors' addresses: Adhiratha Boonyasiri, Division of Clinical Epidemiology, Department of Research and Development, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, E-mail: adhiratha.bon@mahidol.ac.th. Pornsuk Cheunsuchon, Department of Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, E-mail: pcheunsuchon@gmail.com. Yupin Suputtamongkol, Division of Infectious Diseases and Tropical Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand, E-mail: ysupattamongkol@gmail.com. Hiroshi Yamasaki, Department of Parasitology, National Institute of Infectious Diseases, Tokyo, Japan, E-mail: hyamasak@nih.go.jp. Oranuch Sanpool, Wanchai Maleewong, and Pewpan M. Intapan, Department of Parasitology, Faculty of Medicine and Research and Diagnostic Center for Emerging Infectious Diseases, Khon Kaen University, Khon Kaen, Thailand, E-mails: sanpoolor@yahoo.com, pewpan@kku.ac.th, and wanch_ma@kku.ac.th.

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