초록 열기/닫기 버튼
Human taeniasis is presumed to have almost disappeared from Korea. Recently, weincidentally detected a Taenia saginata infection in an 8-year-old boy undergoing lymphomadiagnosis. The patient had been suffering for 4 months from intensifying snoring andobstructive sleep apnea. A neck computed tomography scan revealed a nasopharyngealmass, and malignant B-cell lymphoma was supported by punch biopsy. On day 6 of thelymphoma workup period, the patient experienced anal itching, and two proglottids weredetected in his stool. The patient had experienced four or five similar episodes within thepast 2 years. He self-reported a history of raw beef and fish consumption and no history oftraveling abroad. Laboratory findings revealed mild eosinophilia (eosinophil count: 791/μL). Two proglottids exhibited movement and possessed more than 15 branched uterinestructures. Long segments approximately 84 cm in length were expelled after praziquanteltreatment. Sequencing of the cytochrome oxidase 1 gene confirmed T. saginata, ruling outrelated Taenia species. After treatment, no proglottids or ova were detected in his stool, andthe patient finally started chemotherapy for lymphoma. This case highlights the importanceof timely diagnosis of hidden taeniasis in low-frequency endemic regions.
