Clonorchis sinensis Infection Presenting as Acute Cholangitis and Acute Cholecystitis
10.15279/kpba.2019.24.2.79
- Author:
Yu Mi YANG
1
;
Hanlim CHOI
;
Dong Hee RYU
;
Chang Gok WOO
;
Joung Ho HAN
;
Seon Mee PARK
Author Information
1. Department of Internal Medicine, Chungbuk National University Hospital, Cheongju, Korea. smpark@chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Clonorchis sinensis;
Cholecystitis;
Cholangitis
- MeSH:
Abdominal Pain;
Adult;
Cholangiopancreatography, Endoscopic Retrograde;
Cholangitis;
Cholecystitis;
Cholecystitis, Acute;
Clonorchis sinensis;
Cooking and Eating Utensils;
Diagnosis;
Eggs;
Female;
Fishes;
Fresh Water;
Humans;
Korea;
Methods;
Middle Aged;
Ovum
- From:Korean Journal of Pancreas and Biliary Tract
2019;24(2):79-83
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 59-year-old woman presented with abdominal pain. Abdominal computerized tomography was suggestive of biliary stones. During endoscopic retrograde cholangiopancreatography, adult worms resembling Clonorchis sinensis (C. sinensis) were drained. Eggs were detected in stool using the formalin-ether concentration method and C. sinensis-specific antibody was detected in the serum. A diagnosis of C. sinensis infection was made. The symptoms of the patient gradually resolved after treatment with anti-parasite medication. The patient lived in a non-endemic region for C. sinensis infection and had no history of intake of raw or undercooked freshwater fishes. South Korea is one of the endemic countries for C. sinensis infection and people can be infected via indirect routes of transmission such as cooking utensils. Therefore, the possibility of C. sinensis infection should be considered in patients presenting with biliary diseases in South Korea. We describe the clinical findings of this case with a review of literature.
