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Author Response
 Analysis of Kudoa septempunctata as a cause of foodborne illness and its associated differential diagnosis
Sung Uk Leeorcid
Epidemiol Health 2017;39:e2017037r.
DOI: https://doi.org/10.4178/epih.e2017037r
Published online: August 21, 2017

Jeju Special Self-Governing Provincial Office, Jeju, Korea

Correspondence: Sung Uk Lee  Jeju Special Self-Governing Provincial Office, 6 Munyeon-ro, Jeju 63122, Korea  E-mail: sulee86rad@gmail.com

©2017, Korean Society of Epidemiology

This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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See the letter "Letter to the Editor: Analysis of Kudoa septempunctata as a cause of foodborne illness and its associated differential diagnosis" on page e2017037.
The difference between South Korea and Japan in terms of animal experiments on the pathogenicity of Kudoa septempunctata has not been explored in previous studies. More in-depth discussion among experts is necessary to explain this discrepancy.
Moreover, as you have mentioned, credible case-control studies and retrospective cohort studies have not yet been conducted on K. septempunctata. Only animal experiments and case series have been published, which leads me to believe that additional studies are still needed to officially designate K. septempunctata as a causative agent of foodborne illness.
As discussed in the paper, the case series study that was presented to argue for a causal link between K. septempuncatata and foodborne illness is open to counterargument since the study detected other pathogens as well.
I agree with your opinion that additional epidemiological and pathological investigations are necessary.

The author has no conflicts of interest to declare for this study.

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    Analysis of Kudoa septempunctata as a cause of foodborne illness and its associated differential diagnosis
    Analysis of Kudoa septempunctata as a cause of foodborne illness and its associated differential diagnosis
    Epidemiol Health : Epidemiology and Health
    © Korean Society of Epidemiology.
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