Opisthorchis viverrini

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Background

  • a.k.a. "southeast asian liver fluke" (endemic)
  • Trematode
  • Also within genus: opisthorchis felineus (Europe/Asia incl Russia)[1]

Life Cycle

Risk Factors

  • Raw/undercooked fish

Clinical significance

Clinical Presentation

Differential Diagnosis

Management

  • Praziquantel, 75mg/kg/day orally for 2 days (adults/pediatric) with meal[1]

or

  • Albendazole, 10mg/kg/day orally for 7 days (adults/pediatric) with meal [non-FDA alternative][1]
  • Identical to treatment for Clonorchis [2]
  • In cases of clonorchis in China, Trebindamine 400 mg once has less side effects and equal efficacy (not available in U.S.) [3] [4]

Diagnostic Evaluation

References