title: Intestinal fluke infection as a result of eating sushi.
abstract: Severe diarrhea in a female outpatient was caused by an intestinal fluke, identified as Heterophyes heterophyes, a natural parasite of humans and domesticated and wild fish-eating mammals. This parasite is endemic in the Orient and the Middle East. A detailed case history revealed that the woman had never traveled outside the continental United States but became infected while eating raw fresh-water fish (sushi) that had been served at a local Japanese restaurant. The restaurant specialized in serving a great variety of fresh-water and salt-water fish that were flown in from the Orient and other parts of the world. The authors' findings indicate that a person does not have to travel to an endemic area to become infected with this organism.
mesh_terms: D003967:Diarrhea / Q000209:etiology*; D005260:Female; D006578:Heterophyidae; D006801:Humans; D007411:Intestinal Diseases, Parasitic / Q000209:etiology*; D008875:Middle Aged; D010270:Parasite Egg Count; D011223:Praziquantel / Q000627:therapeutic use; D014201:Trematode Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology
chemical_list: D011223:Praziquantel