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6 Cards in this Set
- Front
- Back
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Epidemiology |
Found in China, Southeast Asia, Russia and Eastern Europe Reservoir is fish and cats and dogs Animal host infected by eating raw or undercooked fish, travel to bile duct to become adults |
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Clinical features of Chinese flukes |
Asymptomatic Biliary colic in the afternoon Chronic infection – right upper quadrant pain, biliary colic, cholangitis, pancreatitis GI upset, hepatitis, hepatomegaly O. Vivverini- Chronic infection can lead to cholangiocarcinoma. Most common form of liver cancer in North East Thailand – 70% infected. |
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Diagnosis of Chinese flukes |
Eosinophilia Eggs in faeces Serology |
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Treatment of Chinese flukes |
Praziquantel stat |
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Prevention |
Avoid raw fish Annual praziquantel Toilet facilities to avoid faecal contamination of water |
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Examples of Chinese flukes |
Opisthorchis Clonorchis C sinensis O felineus O viverrini |
