AI Article Synopsis

  • A 46-year-old man experienced a foreign body sensation in his throat after eating raw freshwater fish, leading him to seek medical help.
  • A laryngoscopic examination revealed a motile worm, identified as Clinostomum complanatum, which was removed using biopsy forceps during a transnasal endoscopy.
  • Following the worm's removal, the patient had lingering symptoms that resolved after two weeks of treatment with anti-inflammatory and anti-reflux medication, with C. complanatum infections in humans being rare, especially in Korea.

Article Abstract

A 46-year old man visited our outpatient clinic with complaint of foreign body sensation in throat after consuming raw freshwater fish 5 days ago. Laryngoscopic examination revealed a motile worm attached on posterior pharyngeal wall. The worm was removed using biopsy forceps under transnasal endoscopy and evidently identified as Clinostomum complanatum after microscopic examination. Patient's subjective foreign body sensation of throat and hyperemia of laryngeal mucosa remained for approximately 2 weeks post-removal, which were eventually resolved after administration of non-steroidal anti-inflammatory drug and anti-refluxant drug for 2 weeks. Treatment was ended at three weeks since the first visit. C. complanatum infections in humans are rare, and only four cases have been reported in Korea. Symptoms resembling pharyngitis or laryngitis occurs by consumption of raw, infected freshwater fish and treatment is done by mechanically removing the parasite.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526217PMC
http://dx.doi.org/10.3347/kjp.2019.57.2.175DOI Listing

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