Investigation Report of A Case of Clonorchiasis Sinensis Misdiagnosed as Toxoplasmosis in Luoyang City
Clonorchiasis sinensis is a food-borne parasitic disease caused by clonorchis sinensis infects humans and animals and causes hepatobiliary diseases.Mostly caused by people and animals eating raw or semi-raw freshwater fish.In the Luoyang region,it is infrequently encountered,with clinical manifestations primarily associated with gastrointestinal disorders.This paper presents a case of a 33 year-old male patient diagnosed with clonorchiasis,who had an epidemiological history of consuming sashimi prior to symptom onset.The clinical manifestations primarily included abdominal discomfort,hepatobiliary system impairment,lymphadenopathy,and laboratory findings indicated abnormal liver function,elevated eosinophil percentage and count,as well as increased levels of C-reactive protein.The patient underwent liver fluke antibody examination,but there was antibody cross-reaction with toxoplasmosis and pneumostomiasis,resulting in misdiagnosis and mistreatment in the first hospitalization.The patient recovered after treatment with praziquantel tablets,and was re-examined 38 days after discharge,all indicators were normal.It is recommended to use diagnostic treatment for clonorchis sinensis.Praziquantel tablet is the effective drug for clonorchis sinensis.This case report reminds clinicians to improve the awareness of clonorchiasis sensitivity in order to reduce missed diagnosis and misdiagnosis.
clonorchiasis sinensisclinical signs and symptomsantibody cross reaction
万方数据
维普
