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Identification of a Clinical Spirometra mansoni Plerocercoid Isolate Using Molecular and Morphological Data
Si Si Ru1, Chi Cheng1, Peng Jiang2
1Department of Parasitology, School of Basic Medical Sciences, Zhengzhou University, 450001, Zhengzhou, China.
Acta Parasitologica
|March 27, 2024
Summary
Sparganosis, a neglected parasitic disease, was identified in a breast cancer case in China. Spirometra mansoni was confirmed using DNA barcoding, highlighting the need for public health education on risky eating habits.
Area of Science:
- Parasitology
- Zoonosis
- Medical Entomology
Background:
- Sparganosis is a neglected parasitic zoonosis with challenges in accurate diagnosis.
- The identification of Spirometra tapeworms in clinical settings remains poorly understood.
Purpose of the Study:
- To report a case of breast sparganosis in Henan Province, China.
- To identify the causative agent of sparganosis using molecular methods.
- To review the epidemiology of sparganosis in central China.
Main Methods:
- A case of breast sparganosis was analyzed.
- A plerocercoid was collected from the patient.
- Molecular identification was performed using mitochondrial cytochrome c oxidase subunit 1 (cox1) gene sequencing.
- Epidemiological data for sparganosis in central China was reviewed.
Main Results:
- A 3.5 cm plerocercoid was recovered from the breast lesion.
- The isolate was identified as Spirometra mansoni based on cox1 barcoding sequences.
- The review highlighted the epidemiology of sparganosis in central China.
Conclusions:
- Accurate identification of Spirometra tapeworms is crucial for managing sparganosis.
- Public health education is essential to discourage risky practices, such as consuming raw tadpoles, in Henan Province.
- This case underscores the importance of recognizing and diagnosing sparganosis in endemic areas.

