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Area of Science:

  • Parasitology
  • Infectious Diseases
  • Epidemiology

Background:

  • Sparganosis is a cestodiasis caused by Spirometra spp. plerocercoids.
  • Hundreds of human sparganosis cases have been documented in Korea since 1924.
  • Systematic literature reviews on Korean sparganosis are infrequent.

Purpose of the Study:

  • To conduct a systematic literature review of sparganosis cases in Korea.
  • To analyze epidemiological trends and clinical characteristics of Korean sparganosis.
  • To highlight the ongoing public health relevance of sparganosis in Korea.

Main Methods:

  • Searched major scientific databases: PubMed, Research Information Sharing Service (RISS), and Korea Medical Citation Index (KMCI).
  • Utilized relevant Medical Subject Headings (MeSH) for comprehensive literature retrieval.
  • Compiled and analyzed data from reported Korean sparganosis cases from 1924 to 2015.

Main Results:

  • A total of 438 Korean sparganosis cases were identified between 1924 and 2015.
  • Preoperative diagnosis rates increased post-1980s due to advanced diagnostics.
  • Commonly affected sites include subcutaneous tissues (49.9%) and the central nervous system (36.2%).
  • Risk factors include consuming raw frog/snake (63.4%) and drinking unfiltered water (16.9%).
  • Breast sparganosis is notable in women (34.2%).
  • Cerebral sparganosis affects younger individuals (30s-40s).

Conclusions:

  • Sparganosis remains a reported parasitic infection in Korea over 90 years, with decreasing incidence in the last two decades.
  • While often presenting as subcutaneous nodules, infections in vital organs can lead to severe health consequences.
  • Continued surveillance and awareness are essential for monitoring sparganosis and its clinical impact.