Oriental cholangiohepatitis (clonorchiasis infestation) caused by Clonorchis sinensis.
BACKGROUND
Oriental Cholangiohepatitis (Clonorchis infestation) is caused by Clonorchis sinensis, a liver fluke endemic to China.


OBJECTIVE
To discuss the presentation of clonorchiasis and diagnosis of this condition in the emergency department (ED).


METHODS
This is a case report of a Chinese woman who recently immigrated to the United States and was evaluated in a tertiary care urban ED. The patient presented with complaints of abdominal pain and was found on imaging to have clonorchiasis infestation of the bile ducts. She was admitted and treated for cholangitis and clonorchiasis infestation with piperacillin/tazobactam and praziquantel.


CONCLUSIONS
History and imaging play an important role in diagnosis of this endemic parasitic abdominal infection.
Klemencic
Sarah
S
Department of Emergency Medicine, MetroHealth Medical Center, Cleveland, Ohio 44109, USA.
Phelan
Michael
M
Patrick
Robert
R
Vahdat
Noushin
N
D000368:Aged; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003003:Clonorchiasis / Q000175:diagnosis* / Q000188:drug therapy* / Q000469:parasitology; D003004:Clonorchis sinensis; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D000077725:Piperacillin, Tazobactam Drug Combination; D011223:Praziquantel / Q000627:therapeutic use*
D000871:Anthelmintics; D000900:Anti-Bacterial Agents; D000077725:Piperacillin, Tazobactam Drug Combination; D011223:Praziquantel; D010397:Penicillanic Acid; D010878:Piperacillin