Evidence map›Paper›PMID 42134874›Full record

ArticleOsong public health and research perspectives2026

Molecular and genetic characterization of Kudoa septempunctata from foodborne outbreaks in the Republic of Korea, 2016-2024: a retrospective public-health surveillance investigation.

Jong-Hoon Choi, Sung-Hee Hong, Cha-Yoon Kim, Ji-Young Kwon, Ji Ye Seo, Se-Jin Jeong, Tae Yun Kim, Jung-Won Ju, Hee-Il Lee

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Article in Osong public health and research perspectives, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jong-Hoon ChoiDivision of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Sung-Hee HongDivision of Antimicrobial Resistance Control, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Cha-Yoon KimDivision of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Ji-Young KwonDivision of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Ji Ye SeoDivision of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Se-Jin JeongDivision of Disease Control Research Planning, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Tae Yun KimDivision of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Jung-Won JuDivision of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.
Hee-Il LeeDivision of Vectors and Parasitic Diseases, Korea Disease Control and Prevention Agency, Cheongju, Republic of Korea.

Funding

Korea Disease Control and Prevention Agency KDCA; 6331-311-210-13
6 · The paper itself

Abstract

backgroundKudoa septempunctata is a marine myxosporean parasite implicated in seafood-borne acute gastroenteritis, predominantly associated with the consumption of raw olive flounder. This study aimed to characterize the molecular and genetic features of K. septempunctata-associated with foodborne outbreaks in the Republic of Korea from 2016 to 2024.

methodsWe reviewed 415 suspected foodborne outbreaks reported through national surveillance between 2016 and 2024. Among these, 37 outbreaks with complete clinical, epidemiological, and laboratory data from 2020 to 2024-including K. septempunctata testing and genotyping-were analyzed in detail.

resultsDiarrhea (88.8%) and vomiting (61.2%) were the most common symptoms. The detection rate of K. septempunctata was significantly higher in specimens collected ≤24 hours after raw fish consumption (69.8%) than in those collected > 24 hours after consumption (35.9%). Outbreak occurrence was higher during warmer months (May-October) than during other periods, although this difference was not statistically significant. All sequences obtained from patient specimens belonged to sequence type 3 (ST3) of K. septempunctata.

conclusionSince 2020, the proportion of reported outbreaks associated with Kudoa has increased, indicating its continued public health relevance. The timing of specimen collection is a key determinant of K. septempunctata detection, as diagnostic yield declines significantly when specimens are collected more than 24 hours after exposure. These findings highlight the need for standardized rapid investigation protocols and an integrated surveillance system linking clinical data with seafood supply-chain information.

Indexed as

Disease outbreaksGastroenteritisGenotypeKudoa septempunctataRepublic of KoreaSeafood

Identifiers

PMID42134874
PMCPMC13575314

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