Volume 10, Number 12—December 2004
Research
Opisthorchiasis from Imported Raw Fish
Orit Yossepowitch*, Tamar Gotesman*, Mark Assous†, Esther Marva†, Reuven Zimlichman*, and Michael Dan*
Table
Main symptoms and laboratory findings in persons who ate raw fish imported from Siberiaa,b
| Relationship | Time | GI symptoms | Temp, ºC | WBC, x103/μL | Eosin, % | ALT/AST, U/L | ALP, U/L | LDH, U/L | Bili, mg/dL |
|---|---|---|---|---|---|---|---|---|---|
| Wife | Pretherapy | Vomiting, jaundice | 38.4 | 58.3 | 78 | 125/96 | 294 | 528 | 1.69 |
| Posttherapyc | None | 36.0 | 19.2 | 50 | 44/29 | 178 | 355 | 1.09 | |
| Follow-upd | None | 36.4 | 7.2 | 6.2 | 45/37 | 64.6 | ND | 0.7 | |
| Husband | Pretherapy | Nausea | 39.0 | 16.9 | 50 | 188/164 | 1147 | 531 | 3.17 |
| Posttherapy | None | 36.8 | 13.4 | 45.6 | 170/65 | 555 | 512 | 1.9 | |
| Follow-up | None | 36.6 | 6.85 | 4.5 | 48/35 | 134 | 390 | 1.17 | |
| Son | Pretherapy | None | 36.5 | 8.2 | 5.7 | 28/31 | 110 | 368 | 0.77 |
| Posttherapy | None | ND | ND | ND. | ND | ND | ND | ND | |
| Follow-up | None | 36.6 | ND | ND | ND | ND | ND | ND | |
| Daughter | Pretherapy | RUQ pain | 36.0 | 7.23 | 4.7 | 33/32 | 53 | 377 | 0.49 |
| Posttherapy | None | ND | ND | ND | ND | ND | ND | ND | |
| Follow-up | None | 36.6 | ND | ND | ND | ND | ND | ND | |
| Friend | On admission | None | 36.6 | 8.08 | 1 | 15/14 | 111 | 372 | 0.64 |
aGI, gastronintestinal; Temp., temperature; WBC, leukocyte count; eosin, eosinophils; ALT/AST, alanine aminotransferase/aspartate aminotransferase; ALP, alkaline phosphatase; LDH, lactate dehydrogenase; ND, not done; RUQ, right upper quadrant.
bAbnormal laboratory results are underlined. Normal values: WBC (leukocyte) count, 4–10 x 103/μL; eosinophils, 1%–6%; ALT, 0–41 U/L; AST, 0–38 U/L; ALP, 39–117 U/L; LDH, 240–480; bilirubin, 0.3–1.0 mg/dL.
cPosttherapy, 4 days after therapy.
dFollow-up, 2 weeks after therapy.
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