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논문 기본 정보

자료유형
학술저널
저자정보
Min-Ho Choi (Seoul National University College of Medicine) 최민호 (서울대학교)
저널정보
대한임상미생물학회 Annals of Clinical Microbiology Annals of Clinical Microbiology 제27권 제2호
발행연도
2024.6
수록면
81 - 91 (11page)
DOI
10.5145/ACM.2024.27.2.5

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초록· 키워드

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Although intestinal parasites are no longer considered a significant public health concernin Korea, tissue-invading parasites continue to pose clinical challenges. The diagnosisof tissue helminthiasis by recovering worms or larvae from tissues is invasive; therefore,serodiagnosis is widely used to diagnose infections caused by tissue-invading parasites. Among the serological tests, the enzyme-linked immunosorbent assay (ELISA) is the mostcommonly used, and various antigens, including crude antigens, excretory-secretoryantigens of helminths, and cystic fluid of larval tapeworms, are used to detect specific IgGsagainst parasite antigens in the sera or cerebrospinal fluid of patients. A multi-antigen ELISAwas used to diagnose four major tissue parasitic infections: clonorchiasis, paragonimiasis,cysticercosis, and sparganosis. In addition to these four parasitic infections, ELISA remainsa valuable diagnostic method for toxocariasis, trichinellosis, fascioliasis, echinococcosis,and other diseases. A comprehensive history of the mode of transmission of the suspectedparasites and the patient’s residence in or travel to an endemic area may help in making adefinitive diagnosis. For the management of patients with eosinophilia in Korea, it is essentialto perform ELISA for the differential diagnosis of toxocariasis. Serological tests have thedisadvantage of being unable to differentiate between past and current infections, and thepossibility of cross-reactivity requires careful interpretation. It is important to note that theresults of serological tests are not necessarily conclusive and should be interpreted in thecontext of other symptoms, as well as clinical and imaging findings.

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