Oriental Cholangiohepatitis (Clonorchiasis Infestation) Caused by Clonorchis Sinensis

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• 作者：Sarah Klemencic ; Michael Phelan ; Robert Patrick ; Noushin Vahdat
• 关键词：Clonorchis sinensis ; cholangiohepatitis ; clonorchiasis ; liver fluke
• 刊名：Journal of Emergency Medicine
• 出版年：2012
• 出版时间：August, 2012
• 年：2012
• 卷：43
• 期：2
• 页码：e107-e109
• 全文大小：150 K

文摘

Background: Oriental Cholangiohepatitis (Clonorchis infestation) is caused by Clonorchis sinensis, a liver fluke endemic to China. Objective: To discuss the presentation of clonorchiasis and diagnosis of this condition in the emergency department (ED). Case Report: This is a case report of a Chinese woman who recently immigrated to the United States and was evaluated in a tertiary care urban ED. The patient presented with complaints of abdominal pain and was found on imaging to have clonorchiasis infestation of the bile ducts. She was admitted and treated for cholangitis and clonorchiasis infestation with piperacillin/tazobactam and praziquantel. Conclusion: History and imaging play an important role in diagnosis of this endemic parasitic abdominal infection.