CLONORCHIASIS SINENSIS: CLINICAL MANIFESTATIONS AND DIAGNOSIS

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Abstract
Eight case reports on patients infested with the Chinese liver fluke, Clonorchis sinensis, are presented, demonstrating the broad clinical spectrum of disease manifestations, as seen in 2 large teaching hospitals in the eastern United States. The background of residence in an endemic area associated with right-upper-quadrant abdominal pain, anorexia weight loss and eosinophilia, should raise clinical suspicion and stimulate prompt diagnostic studies. Diagnosis of human clonorchiasis is made by finding the operculated ova of C. sinensis in the stool or drainage of duodenal contents. A case associated with primary hepatic carcinoma and another with obstructive jaundice and acute pancreatitis are reported.

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