Never seen before? Opisthorchiasis and Clonorchiasis

Area of Science:

• Medical parasitology
• Infectious diseases
• Radiology

Background:

• Parasitic diseases are uncommon in Europe, leading to unfamiliarity among clinicians regarding their presentation.
• Increased global migration necessitates improved recognition of parasitic infections by healthcare professionals.
• Previous work covered cystic echinococcosis, schistosomiasis, fascioliasis, and ascariasis.

Purpose of the Study:

• To describe the clinical and imaging features of small liver fluke infections.
• To outline current therapeutic strategies for these infections.
• To enhance diagnostic capabilities for Clonorchis sinensis, Opisthorchis viverrini, Opisthorchis felineus, and other Opisthorchis species.

Main Methods:

• Review of clinical case data.
• Analysis of radiological imaging findings.
• Compilation of current treatment guidelines and literature.

Main Results:

• Detailed descriptions of the characteristic clinical presentations of Clonorchis sinensis and Opisthorchis species infections.
• Illustrations and explanations of key imaging findings (e.g., ultrasonography, CT, MRI).
• Summary of effective antiparasitic drug choices and management protocols.

Conclusions:

• Early and accurate diagnosis of liver fluke infections is crucial for effective patient management.
• Familiarity with the specific clinical and imaging hallmarks aids in timely identification.
• This information empowers European clinicians to better manage these neglected tropical diseases.