Monday, August 19, 2013

Case of the Week 270

The following were found in a stool specimen from a 52 year old immigrant from Vietnam with pancreatitis and right upper quadrant pain.  They measure between 30 to 35 micrometers in length.  Identification?




What is a feared complication of infection?
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6 comments:

  1. PoornimaAugust 19, 2013 at 4:14 PM

    Clonorchis sinensis or Opisthorchis eggs.. Liver flukes endemic in the Far east, can cause cholangitis and cholangiocarcinoma.

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  2. AnonymousAugust 19, 2013 at 7:47 PM

    Clonorchis sinensis. Typical ova.

    Florida Fan

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  3. AnonymousAugust 20, 2013 at 7:10 AM

    clonorchis sinensis.

    ReplyDelete
  4. aspenAugust 23, 2013 at 5:05 PM

    clonorchis sinensis. stone formation.

    ReplyDelete
  5. AnonymousAugust 26, 2013 at 6:46 AM

    I had a case with Opistorchis felineus in 2011 from a woman who contracted it from a lake in Italy.
    They were undistinguishable with Clonorchis sinensis.
    We managed to identify the eggs by PCR done by Dr Pozzi in Roma.
    They made carpacio from raw fish caught in the lakes.
    45 people got ill.

    Hans Naus

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  6. AnonymousAugust 26, 2013 at 8:23 AM

    Regarding the comment of Hans Naus, please see this paper by Edoardo Pozoio and colleagues.

    Pozio, E. et al. (2013) Opisthorchis felineus, an emerging infection in Italy and its implication for the European Union. Acta Trop. 126, 54-62.

    ReplyDelete