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Four Cases of Taenia saginata Infection with an Analysis of COX1 Gene
Authors:Jaeeun Cho  Bong-Kwang Jung  Hyemi Lim  Min-Jae Kim  Thanapon Yooyen  Dongmin Lee  Keeseon S. Eom  Eun-Hee Shin  Jong-Yil Chai
Abstract:Human taeniases had been not uncommon in the Republic of Korea (=Korea) until the 1980s. The prevalence decreased and a national survey in 2004 revealed no Taenia egg positive cases. However, a subsequent national survey in 2012 showed 0.04% (10 cases) prevalence of Taenia spp. eggs suggesting its resurgence in Korea. We recently encountered 4 cases of Taenia saginata infection who had symptoms of taeniasis that included discharge of proglottids. We obtained several proglottids from each case. Because the morphological features of T. saginata are almost indistinguishable from those of Taenia asiatica, molecular analyses using the PCR-RFLP and DNA sequencing of the cytochrome c oxidase subunit 1 (cox1) were performed to identify the species. The PCR-RFLP patterns of all of the 4 specimens were consistent with T. saginata, and the cox1 gene sequence showed 99.8-100% identity with that of T. saginata reported previously from Korea, Japan, China, and Cambodia. All of the 4 patients had the history of travel abroad but its relation with contracting taeniasis was unclear. Our findings may suggest resurgence of T. saginata infection among people in Korea.
Keywords:Taenia saginata   case report   molecular diagnosis   cox1   PCR-RFLP   sequence divergence
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