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Hati-Hati Daging Kodok...

Discussion in 'Motivasi & Inspirasi' started by sanzotaroshi, Nov 17, 2008.

?

Apakah anda suka kodok? (satu bulan minimal 3x makan)

  1. Suka

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  2. Tidak suka

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  1. sanzotaroshi M V U

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    Jika
    Yang Suka Makan Daging Kodok / Swike

    Maka
    saatnya sekarang di Tinggalkan



    Kemarin saya di Tegal bertemu dengan BM Advante, ia
    bercerita. Istrinya punya saudara di
    Cirebon , dan saudaranya
    tersebut punya tetangga, kita sebut saja C.

    Si C ini awalnya hanya sakit kepala sebelah seperti
    Migran, tetapi di otaknya seperti ada yang gremet2. Lama kelamaan sakitnya
    tambah menjurus ke seperti Vertigo. Setelah diperiksakan ke Dokter di
    Cirebon dan
    Jakarta tidak ditemukan adanya penyakit.
    Karena penasaran akhirnya si C berobat ke Singapura. Setelah diperiksa
    dengan alat yang canggih di sana
    di indikasikan ada binatang hidup
    di otak nya. Dan harus dioperasi besar.
    Setelah dioperasi ditemukan sejenis cacing super kecil berwarna putih.



    Selesai operasi, si C telah istirahat +/- 2 hari dan
    telah sadar, sang dokter berkata, " Maaf ibu, penyakit ibu belum
    sembuh total, Karena di otak ibu diperkirakan masih ada telur-telur cacing
    tersebut. Yang jika telur tersebut menetas akan menjadi cacing. Dan siklus
    tersebut terus berlanjut.



    Si C bertanya ke dokter penyebab dari penyakit nya
    tersebut, kenapa bisa ada cacing di otaknya.

    Dokter memberikan penjelasan, bahwa di indikasikan
    cacing tersebut berasal dari daging kodok yang sering ibu makan ( karena
    ibu tersebut memang suka makan daging kodok ). Karena cacing tersebut tidak
    mati jika dimasak 100 derajat atau di bawah 0 derajat.



    BM Advante juga memberikan keterangan,
    bahwa si C pernah
    memasak daging kodok pada pagi hari. Dikarenakan tidak habis ( mungkin
    masaknya agak banyak ), maka disimpan di kulkas Dan sorenya di hangatkan
    lagi lalu dimakan. Di karenakan masih ada yang belum semuanya habis, maka
    disimpan kembali di kulkas.

    Besok paginya setelah mau dihangatkan, si C ini terkejut
    karena dari daging kodok tersebut keluar cacing putih kecil2 tersbut.



    Berita ini saya informasikan kepada orang yang saya
    sayangi. Agar bisa mengambil hikmah dari cerita ini.

    Boleh percaya boleh tidak. tetapi ini adalah fakta yang
    sudah terjadi.



    Periyadi G

    A surgically confirmed case of breast sparganosis showing characteristic mammography and ultrasonography findings
    Jae-Hwan Park1, Jee-Won Chai2, Nariya Cho2, Nam-Sun Paek3, Sang-Mee Guk1, Eun-Hee Shin1, Jong-Yil Chai☒1,
    1Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center, Seoul 110-799, Korea.
    2Department of Radiology, Seoul National University College of Medicine, Seoul 110-744, Korea.
    3Department of Surgery, Korea Cancer Center Hospital, Seoul 157-016, Korea.

    ☒ Corresponding author (Email: cjy@snu.ac.kr )

    Abstract


    A case of breast sparganosis was confirmed by surgical excision of a worm (fragmented into 5 pieces) in a 59-year-old Korean woman suffering from a palpable mass in the left breast. Mammography and ultrasonography characteristically revealed the presence of several well-defined, isodense and hypoechoic tubular masses, in the upper quadrant of the left breast, each mass consisting of a continuous cord- or worm-like structure. During surgery, a long segment of an actively moving sparganum of Spirometra sp. and 4 small fragments of the same worm, giving a total length of 20.3 cm, were extracted from the upper outer quadrant of the left breast and the axillary region. The infection source remains unclear, because the patient denied ingesting any snake or frog meat or drinking untreated water.

    Keywords: sparganum, sparganosis, case report, woman, breast, mammography, ultrasonography.

    INTRODUCTION


    Spargana are the plerocercoid larvae of a pseudophyllidean tapeworm that belongs to the genus Spirometra (Beaver et al., 1984). These larval tapeworms only very rarely grow to the adult stage in the human body (Lee et al., 1984), but the larval stage can cause an infection, namely, human sparganosis (Cho et al., 1974,1975). Human sparganosis is contracted by eating raw or improperly cooked flesh of snakes or frogs infected with the plerocercoid larvae, by topically applying snake or frog skin to sore eyes, or drinking water contaminated with cyclops harboring the procercoid larvae (Beaver et al., 1984).

    Human sparganosis cases are reported worldwide, but are more common in Asia, particularly Korea, China, Japan, Taiwan, Vietnam, and Thailand (Beaver et al., 1984). In Korea, 3 human cases were reported for the first time in 1924 (Kobayashi, 1925), but more than 100 cases were subsequently documented before the end of the 1980s in the Republic of Korea (Cho et al., 1975; Min, 1990). The patients were distributed nationwide, although more cases were reported in the northern parts of the Republic of Korea (Min, 1990). Moreover, seroepidemiologic observations in the normal adult population and in epileptic patients revealed high antibody positivities of 1.9% and 2.5%, respectively (Kong et al., 1994). The major reasons why snake meat is consumed in the Republic of Korea are due to the misconception that snake meat is an aphrodisiac, and because it is viewed as field food during military survival training (Cho et al., 1974,1975; Min, 1990).

    Radiological (Chung et al., 1995; Kim et al., 2005; Koo et al., 2006) and serological (Kong et al., 1994) techniques can provide useful diagnostic clues of sparganosis. However, in the case of breast sparganosis, radiological images closely resemble those of a neoplasm or granulomatous mastitis (Jeong et al., 1995; Chung et al., 1995; Moreira et al., 1997; Kim et al., 2005). Nevertheless, if a case shows characteristic, though not specific, mammography and ultrasonography findings, these helpfully raise suspicions of breast sparganosis.

    We encountered an interesting case of breast sparganosis that showed characteristic mammography and ultrasonography findings. The diagnosis was later confirmed by surgical excision of the worm.CASE RECORD


    A 59-year-old Korean woman, a housewife residing in Seoul, with palpable masses in the left breast of 2 years duration, visited a local clinic, and was suspected as having a soft tissue tumor. She was transferred to a university hospital and then to the Korea Cancer Center Hospital. The patient had a clinical history of hormone replacement therapy some 10 years previously. Except for the palpable breast masses, physical examinations revealed no other abnormalities. She had a good consciousness and nutritive condition, and routine hematological, urinal, and chemical investigations were normal. No active lesion was observed by chest X-ray.

    Mammography showed multiple, well-defined, isodense, lobular, and continuous cord-like structures in the upper outer quadrant of the left breast (Fig. 1). Ultrasonographic findings also showed well-defined, hypoechoic, tubular masses with folded band-like tracts and a tubule-in-tubule appearance, in the parenchymal layer of the left breast (Fig. 2). A neoplastic disease could not be ruled out, and therefore, fine needle aspiration biopsy was performed on the breast mass, which showed no evidence of neoplastic diseases. Then, breast sparganosis was suspected.

    For an etiological diagnosis and treatment, left breast tissue was surgically excised. In resected tissue, a lesion with focal fibrosis, without definite mass formation, was observed and histopathologically confirmed as a fibrocystic disease. In the left side of the fibrotic cyst, a long tapeworm segment (Fig. 3), 12.0 cm × 0.7 cm in size, was found across the upper outer quadrant of the left breast toward the axillary region, and carefully extracted. The presence of a scolex was confirmed in this segment. In addition, 4 more fragments of the same worm of 3.3 × 0.8 cm, 1.7 × 0.7 cm, 1.6 × 0.8 cm, and 1.7 × 0.8 cm (Fig. 3), were collected from around the fibrotic cyst. All 5 extracted segments showed active movement, and were fixed in 10% buffered neutral formalin solution for morphological identification. The worm was identified as a sparganum of Spirometra sp., and had a total length of 20.3 cm. The patient denied ingesting snake and frog meat, and drinking untreated water.DISCUSSION


    Spargana have the ability to migrate to any part of the human body (Cho et al., 1975; Min, 1990), including the brain (Anders et al., 1984) and or*l cavity (Iamaroon et al., 2002). However, predilection sites include the abdomen (38 cases; 28.1%), urogenital organs (30; 22.2%), extremities (24; 17.8%), central nervous system (16; 11.9%), chest (14; 10.4%), and the orbital region (11; 8.1%); based on an analysis of 135 cases reported before 1987 in the Republic of Korea (Min, 1990). Breast sparganosis is rare, i.e., only 2 of these 135 cases (Jung et al., 1981; Nha et al., 1987). However, since 1987, 18 breast cases have been reported (Chi et al., 1988; Choi et al., 1992; Lee et al., 1992; Park and Hwang, 1992; Jeong et al., 1995; Chung et al., 1995; Park et al., 1996; Chang et al., 2000; Sim et al., 2002; Kim et al., 2003). Therefore, the present case becomes the 21st reported case of breast sparganosis in the Republic of Korea; reported cases are briefly summarized in Table 1.

    Sparganosis cases with fragmented worm segments in tissue, as in the present case, are uncommon, though infections with multiple worms are not uncommon. Seo et al. (1964) reported a case with 3 worms in the left lower scrotal area, where spargana are frequently found. Park et al. (1986) also observed a case with 4 worms in the scrotum and inguinal region. Cho et al. (1975) reviewed 60 sparganosis cases; 44 had only one worm, 6 with 2 worms, 4 with 3 worms, and the remaining 6 had 4-12 worms. However, in cases of breast sparganosis, only 1 worm has been reported in most patients (Table 1). In our case, 5 worm segments were recovered from the upper quadrant of the left breast and axillary region. All of these segments were actively motile after excision, and thus initially we believed that there were 5 distinct worms. However, careful observation confirmed them to be worm segments from a single worm, the longest of which was equipped with the scolex and neck portion (Fig. 3).

    With regard to the source of infection, Min (1990) summarized the past histories of sparganosis patients and noted that the majority of patients had experience of eating various kinds of animal fleshes including snakes and frogs, and that some of the patients had drank untreated water. Moreover, although the likelihood of drinking untreated water is probably similar for men and women, the eating of snakes or frogs is likely to be far more common in men, which concurs with a known disease gender preference, i.e., men, 94 of 119 cases, and women, 25 of 119 cases (Min, 1990). With regard to breast sparganosis, patients reported in the Republic of Korea to date have all been females. Moreover, the majority have denied eating snake or frog meat, which leaves the source of infection in these cases obscure (Table 1). Also in the present case, the mode of infection was unclear, since the patient denied eating any snake or frog meat or drinking untreated water. Thus, the source of sparganum infection in female patients without a history of exposure to known sources should be clarified.

    Breast sparganosis presents as soft tissue nodules, as in the present case, and is confused with neoplastic masses in radiological images (Chuen-Fung and Alagaratnam, 1991; Jeong et al., 1995). For example, its mammographic features are usually multiple, lobular, marginated, amorphic, and solid masses without calcifications, which are similar to the features of the circumscribed breast cancer or benign tumor-like fibroadenoma (Chung et al., 1995; Kim et al., 2005). Thus, a confirmatory diagnosis should be established by extracting the worm responsible or by examining surgical pathology specimens. However, as shown in the present case, mammography findings can be characteristic and highly useful for a pre-operative diagnosis of breast sparganosis.

    Ultrasonographic findings may also be useful for the pre-operative diagnosis of breast or other organ sparganosis (Chung et al, 1995; Cho et al., 2000; Kim et al., 2005). In breast sparganosis, elongated, folded, band- or tunnel-like hypoechoic tubular structures in heterogenous, hyperechoic masses are characteristic (Chung et al., 1995), whereas in subcutaneous and musculoskeletal sparganosis, serpiginous, cystic, tubular tracts, with internal anechogenicity and posterior echo enhancement, are important characteristics (Cho et al., 2000). Intraluminal lesions formed by the larvae or debris and peritubular echo changes produced by chronic inflammatory reactions have been noted in a half of musculoskeletal sparganosis cases (Cho et al., 2000). However, findings of elongated, serpiginous, and tubular structures may also be obtained in other types of diseases, such as, ectatic ducts, radiation edema, superficial thrombophlebitis, and congestive heart failure (Chung et al, 1995; Kim et al., 2005). Nevertheless, such findings together with high antibody titers against sparganum, and characteristic mammography and ultrasonography findings will be very useful for a pre-operative diagnosis of sparganosis.Figures

    Panjang amit... cukup baca yang indo, klo mo lengkap baca yang inggris.
    semoga bermanfaat

    gambar lihat di thumbnail
     
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  3. Pixieboy M V U

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    Weleh, untung aja gw gak suka makan daging kodok. Jangankan makan, megang kodok aja dah jijik bgt.. Tp bukannya daging kodok ini bisa dijadiin obat..?
     
  4. tomiero Veteran

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    bused
    boro2 makan kodok
    ngliatnya aja udah eneg :muntah:
     
  5. kurama013 Veteran

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    mampuz,gw rada suka,
    kalo gw sekitar 1/2 tahun pasti makan sekali..
    :haha:hahah.
    swt la..:swt:
    jd merinding sendiri..tapi kalo dimasak saus mentega emang enak siy :swt:
    yah, gak jadi makan lagi deh..
    nice info bro..
    thanks :top: demi kesehatan lebih baik dijauhin..:D

    oya 1 lagi nih sanzotaroshi..
    sala masukkin forum, harusnya di lifestyle keep your health..
    :haha:
     
    Last edited: Nov 17, 2008
  6. anonymus M V U

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    Ehh, link sumber donk
    Gimana ya setahu gw seh tapeworm itu cacing pita yang secara tinggalnya di lambung
    Ntar deh gw cek kebenarannya dulu di google
     
  7. bignooze M V U

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    suka banget pa lagi yang masak tauco hahahhaha..........


    ya itu tergantung dimana cara memasaknya koq hehehe ^o^

    untung perutku isinya yakult semua jadi gpp hahahaha
     
  8. granzchesta M V U

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    pernah makan kodok tapi cuma sekali aja tapi setelah itu sampe sekarang ga pernah makan lagi soalnya ga ada yang belikan:P
     
  9. underbon M V U

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    untung gw ga pernah makan daging kodok
     
  10. Kerfirou M V U

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    pernah sekali dua kali, tp kurang gitu suka.
     
  11. CottonBud Veteran

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    WHoaaaaa I love swike tepung :lol:

    tapi kalo baca tuh artikel jadi illfeel dah :swt:

    masa sih cacingnya gk mati, cacing super kali :lol:
     
  12. ddesta Veteran

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    waduh cacing nya ga mati:onion-97: tapi untung w ga suka makan kodok:onion-84:
     
  13. xiaomao13 M V U

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    Suka sih....masak kecap....tapi ga sering....sekali-sekali aja...kasih sambel....tambah keceran jeruk sedikit.......
    Aa~ tambah laper.........

    --====--
    Tapi....apa ga aneh?
    Kodok dimakan, masuk perut, gimana cacingnya bisa ke otak? :???:
    Lewat saluran mana? :???:

    --====--
    Oow~
    --====--
    Masaknya kurang bener kali yaa~

    --====--
    Move the thread please~
    http://www.indowebster.web.id/f53/
     
  14. sanzotaroshi M V U

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    eh salah masuk yah thread gw...
    maaf, g kira ini termasuk story of other people life hehehehehe...
    yah makan asal ga kebanyakan yah ga papa... (mungkin)
    klo semua takut makan kodok, ntar restoran kodok bangkrut semua dong
     
  15. --S-- M V U

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    Nice info bro...
    Untung gw ga pernah suka makan daging kodok hehehe
     
  16. One_D M V U

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    ky na salah thread neh..
    harus na di bagia keep your health..no offense
     
  17. kurama013 Veteran

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    sante, kalo ada momod pasti di move..
    :haha:
    akhir2 ini momodnya kliatannya sibuk2 semua
    :onion-08: huehueheue..
    banyak juga threads2 yg harus dipindahin..

    Back to the topic..
    katanya juga yg makan "tulang muda" kodok bisa nyebabin penyakit yg membuat tulang kita keropos ya ???
    gw si denger2 dr temen gw...

    :onion-52:
    hmm..bener gak yah itu ?? :???:
     
  18. kagemusha Members

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    cacing ini juga ditemukan di daging babi...yang sudah dimasak secara sempurna....
    tapi jangan takut...para peneliti di negri kita sendiri telah menemukan cara ampuh untuk mencegah adanya cacing2 tersebut di binatang yang akan kita makan...caranya ialah dengan memberi binatang tersebut combantrin sebelum dikonsumsi
     
  20. plankton_ngorok Members

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    gak haram kah??
     
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