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Acute clonorchiasis in a child

B R Mirdha1, S Gulati, T Sarkar

  • 1Department of Microbiology, All India Institute of Medical Sciences, New Delhi.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|October 31, 1998
PubMed
Summary

Clonorchiasis, a parasitic infection, rarely causes acute illness. This case highlights an unusual presentation in a child with diarrhea and a liver abscess, differing from typical chronic symptoms.

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Pediatric Gastroenterology

Background:

  • Clonorchiasis is a foodborne parasitic trematode infection caused by Clonorchis sinensis.
  • It typically manifests with chronic gastrointestinal symptoms or complications like cholangiocarcinoma.
  • Acute presentations are uncommon, especially in pediatric populations.

Observation:

  • A pediatric patient presented with acute symptoms including diarrhea and a liver abscess.
  • This clinical picture is atypical for the usual chronic or asymptomatic course of clonorchiasis.
  • The liver abscess served as a key indicator in diagnosing the acute parasitic infection.

Findings:

  • The case demonstrates a rare acute manifestation of clonorchiasis in a child.
  • Diagnosis was confirmed despite the unusual presentation of diarrhea and liver abscess.

Related Experiment Videos

  • This highlights the importance of considering parasitic infections in unexplained pediatric liver disease.

    • Implications:

    • This case expands the known spectrum of clinical presentations for clonorchiasis.
    • It underscores the need for considering parasitic etiologies in pediatric patients with liver abscesses and gastrointestinal symptoms.
    • Early diagnosis and treatment of acute clonorchiasis can prevent severe complications.