Clonorchis sinensis: Difference between revisions
ClaireLewis (talk | contribs) |
ClaireLewis (talk | contribs) |
||
| Line 7: | Line 7: | ||
==Clinical Features== | ==Clinical Features== | ||
*Usually asymptomatic | *Usually asymptomatic | ||
*[[Abdominal pain]], [[diarrhea]], [[constipation | *[[Abdominal pain]], [[diarrhea]], [[constipation]] | ||
*Long-term infection can result in severe illness | *Long-term infection can result in severe illness | ||
**[[Hepatomegaly]] | **[[Hepatomegaly]] | ||
Revision as of 00:55, 20 August 2019
Background
- AKA oriental liver fluke, found in Asia
- Transmitted by ingestion of infected, undercooked fish, crabs, or crayfish
- Infect liver, gallbladder, bile ducts
- Fluke can live in a person for 25-30 years if left untreated
Clinical Features
- Usually asymptomatic
- Abdominal pain, diarrhea, constipation
- Long-term infection can result in severe illness
- Hepatomegaly
- Malnutrition
- Increased risk of cholangiocarcinoma and hepatic cancers due to inflammation
Differential Diagnosis
Helminth infections
Cestodes (Tapeworms)
- Taenia saginata
- Taenia solium (Cysticercosis)
- Diphyllobothrium latum
- Hymenolepis nana
- Echinococcus granulosus
Trematodes (Flukes)
- Fasciola hepatica
- Fasciolopsis buski
- Opistorchis viverrini
- Schistosoma spp
- Chlonorchis sinensis
- Paragonimus spp.
Nematodes (Roundworms)
- Ascaris lumbricoides
- Enterobius vermicularis (Pinworm)
- Filarial worms
- Hookworm
- Necator americanus
- Ancylostoma duodenale
- Cutaneous larva migrans (Ancylostoma braziliense)
- Dracunculiasis
- Strongyloides stercoralis
- Trichuris trichiura (Whipworm)
- Anisakis
- Toxocara spp.
- Trichinosis
Evaluation
- Definitive diagnosis made by identification of eggs and flukes in stool
Management
- Praziquantel 25mg/kg PO q8h x 2 days
Disposition
- Discharge, likely