Gnathostomiasis Caused by <I>Gnathostoma spinigerum</I> Etiologically Diagnosed upon Extraction of the Worm from the Skin

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  • SAKAMOTO Mitsuo
    The Jikei University School of Medicine, Division of Infection Control
  • SATO Fumiya
    The Jikei University School of Medicine, Division of Infection Control
  • MIZUNO Yasutaka
    The Jikei University School of Medicine, Division of Infection Control
  • KOMATSUZAKI Makoto
    The Jikei University School of Medicine, Division of Infection Control
  • YOSHIKAWA Koji
    The Jikei University School of Medicine, Division of Infection Control
  • YOSHIDA Masaki
    The Jikei University School of Medicine, Division of Infection Control
  • SHIBA Kohya
    The Jikei University School of Medicine, Division of Infection Control
  • ONODERA Shoichi
    The Jikei University School of Medicine, Division of Infection Control
  • HOSOYA Tatsuo
    The Jikei University School of Medicine, Division of Nephrology and Hypertension, Department of Internal Medicine
  • KUMAGAI Masahiro
    The Jikei University School of Medicine, Department of Tropical Medicine

Bibliographic Information

Other Title
  • 患者自身が虫体を摘出しえた有棘顎口虫症の1例
  • 症例 患者自身が虫体を摘出しえた有棘顎口虫症の1例
  • ショウレイ カンジャ ジシン ガ チュウタイ オ テキシュツ シエタ ユウキョクガクコウチュウショウ ノ 1レイ
  • Gnathostomiasis Caused by Gnathostoma spinigerum Etiologically Diagnosed upon Extraction of the Worm from the Skin

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Abstract

We report a patient with gnathostomiasis in whom a specific diagnosis of Gnathostoma spinigerum infestation was made morphologically upon removal of the worm. A 47-Year-old Japanese male on a business trip to Vietnam ate fried frog with a Vietnamese friend in January 2002, the friend was diagnosed with gnathostomiasis in June 2002. The patient noted swelling of the right leg with migration to the right arm, prompting him to our hospital in February 2003. Hematologic examination showed eosinophilia, and specific anti-gnathostome antibody was detected by a dot enzyme-linked immunosorbent assay (Dot ELISA) in the serum. He was diagnosed as gnathostomiasis, and was given albendazole 400mg b. i. d. On day 11 of therapy the patient removed a larval worm from the right palmar lesion by pinching with his nails. The worm was identified as G. spinigerum based on morphologic characteristics including number of hooklets on its head-bulb. When gnathostomiasis is suspected, albendazole should be administered before incision of the skin lesion.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 78 (5), 442-445, 2004

    The Japanese Association for Infectious Diseases

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