A Case of Probable Mixed-Infection with Clonorchis sinensis and Fasciola sp.: CT and Parasitological Findings.
10.3347/kjp.2010.48.2.157
- Author:
Tae Yun KIM
1
;
Yun Sik LEE
;
Ji Hye YUN
;
Jeong Ju KIM
;
Won Hyung CHOI
;
In Hwan OH
;
Hyun Ouk SONG
;
Jong Phil CHU
Author Information
1. Department of Medical Zoology, College of Medicine, Kyung Hee University, Seoul 130-701, Korea. depara@khu.ac.kr
- Publication Type:Case Reports
- Keywords:
Clonorchis sinensis;
Fasciola sp.;
Entamoeba histolytica;
co-infection;
computed tomography
- From:The Korean Journal of Parasitology
2010;48(2):157-160
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report here a human case probably mixed-infected with Clonorchis sinensis and Fasciola sp. who was diagnosed by computed tomography (CT) scan, serological findings, and/or fecal examination. The patient was a 43-year-old Korean female and was admitted to Kyung Hee University Hospital with the complaints of fever and abdominal pain. On admission, marked eosinophilia was noted in her peripheral blood. CT scan showed specific lesions for clonorchiasis and fascioliasis in the liver, along with lesions suggestive of amebic abscess. Micro-ELISA revealed positive results for the 2 helminthic infections. Eggs of C. sinensis and trophozoites of Entamoeba histolytica were observed in the stool. Treatment with praziquantel followed by metronidazole and tinidazole reduced abnormalities in the liver and eosinophilia. This is the first case report of a possible co-infection with 2 kinds of liver flukes in the Republic of Korea.
