Some difficulties of differential diagnosis of clonorchiasis
- Authors: Figurnov VA1, Dolgikh TA1, Grigorenko AA2, Dubyaga EV3, Roshchin SN2, Nitsievskaya LS4, Trynov NN3
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Affiliations:
- Amur State Medical Academy
- Amur Regional Oncology Center
- Amur Regional Clinical Hospital
- Amur Regional Infectious Diseases Hospital
- Issue: Vol 100, No 3 (2019)
- Pages: 492-494
- Section: Clinical observations
- URL: https://journals.rcsi.science/kazanmedj/article/view/13349
- DOI: https://doi.org/10.17816/10.17816/KMJ2019-492
- ID: 13349
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Abstract
Clonorchiasis is a disease caused by the parasites of the Chinese fluke (Clonorchis sinensis) characterized by damage of the liver and/or pancreas. The basis of the diagnosis of clonorchiasis is detection of parasite eggs in the feces. Despite this, it may be difficult to confirm this helminthiasis. It should be noted that in case of low-intensity invasions or in the acute period of clonorchiasis, it is not always possible to detect eggs in the feces. The article describes a case of a 38-year-old man admitted to the hospital with a preliminary diagnosis of liver tumor. The diagnosis of clonorchiasis was made after the liver biopsy and identifying of Clonorchis eggs in the duodenal contents. No eggs were found in the feces. The therapy with praziquantel (biltricide) was effective and the patient was discharged in a satisfactory condition.
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##article.viewOnOriginalSite##About the authors
V A Figurnov
Amur State Medical Academy
Email: canceromatoz1989@gmail.com
Blagoveshchensk, Russia
T A Dolgikh
Amur State Medical Academy
Author for correspondence.
Email: canceromatoz1989@gmail.com
Blagoveshchensk, Russia
A A Grigorenko
Amur Regional Oncology Center
Email: canceromatoz1989@gmail.com
Blagoveshchensk, Russia
E V Dubyaga
Amur Regional Clinical Hospital
Email: canceromatoz1989@gmail.com
Blagoveshchensk, Russia
S N Roshchin
Amur Regional Oncology Center
Email: canceromatoz1989@gmail.com
Blagoveshchensk, Russia
L S Nitsievskaya
Amur Regional Infectious Diseases Hospital
Email: canceromatoz1989@gmail.com
Blagoveshchensk, Russia
N N Trynov
Amur Regional Clinical Hospital
Email: canceromatoz1989@gmail.com
Blagoveshchensk, Russia
References
- Chelomina G.N. Clonorchiasis: global and regional epidemiology. Meditsinskaya parazitologiya. 2017; (2): 55–61. (In Russ.)
- Baykova O.A., Nikolaeva N.N., Grishchenko E.G. et al. Liver trematode infection — opisthorchiasis and clonorchiasis: actual problems and principles of diagnosis in modern clinical practice (review of literature). Bulleten’ VSNTs SO RAMN. 2016; 1 (6): 182–187. (In Russ.)
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