Opisthorchiasis from Imported Raw Fish

Orit Yossepowitch*, Tamar Gotesman*, Mark Assous†, Esther Marva†, Reuven Zimlichman*, and Michael Dan*

Author affiliations: *E. Wolfson Hospital, Holon, Israel; †Ministry of Health, Jerusalem, Israel

Table

Main symptoms and laboratory findings in persons who ate raw fish imported from Siberia^a,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
	Posttherapy^c	None	36.0	19.2	50	44/29	178	355	1.09
	Follow-up^d	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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Page created: April 14, 2011
Page last updated: April 14, 2011
Page last reviewed: April 14, 2011
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