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Clonorchis sinensis. Iman Diriye & Mikayla Hardy. INTRODUCTION. Common name is the oriental liver fluke or chinese liver fluke. Disease caused by infection: Clonorchiasis 10-25 mm fluke. Hermaphroditic. They mature in the bile duct of the liver.
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Clonorchissinensis ImanDiriye & Mikayla Hardy
INTRODUCTION • Common name is the oriental liver fluke or chinese liver fluke. • Disease caused by infection: Clonorchiasis • 10-25 mm fluke. • Hermaphroditic. • They mature in the bile duct of the liver. • They can produce 4,000 eggs per day for 6 months.
History • Documented in 1875 by James McConnell • Parasites dated back to 278 B.C. was found in an Asian corpse from the Han dynasty
Taxonomy • Common Name: Chinese Liver Fluke • Scientific Name: Clonorchissinensis • Kingdom: Animalia • Phylum: Platyhelminthes • Class: Trematoda • Order: Opisthorchiida • Family: Opisthorchiidae • Genus: Clonorchis • Species: C. sinensis
Hosts • Definitive host: human, pigs, and rodents. • First Intermediate host: snail • Second Intermediate host: specific freshwater fish (example: Grass Carp) or crustaceans • Reservoir host: dogs, cats
Geographic Distribution • Found in China • Japan • Korea • Taiwan • Vietnam • Can also be found be non-endemic areas from infected immigrants, or eating imported uncooked freshwater fish infected by metacercariae.
Morphology Eggs Miracidia Sporocysts Rediae Cercariae Metacercariae Adult Fluke
Transmission • Ingestion of raw or improperly cooked freshwater fish or crustaceans that contain encysted larvae • Food or drink contaminated with eggs • Not transmitted directly human to human • Infected person may pass viable eggs for up to 30 years after initial infection
Symptoms • Often asymptomatic • Fever, chills, stomach pains, digestive problems, bile obstruction, vomiting, enlargement of spleen and liver • Severe infestation-Cholangioheptitis, liver failure, cancer of bile ducts • Small number of cases experience Jaundice • No host immunity after infection
Diagnosis • Examination of stool samples • Characteristic eggs in feces • Elisa Blood test • Endoscopy • Tissue Sample • Identify Adult Liver Flukes
Video • Cannulation of bile duct. http://www.youtube.com/watch?v=g18B2rm78E4
Treatment • Praziquantel-drug of choice; increases cellular membrane permeability resulting in a loss of intra-cellular calcium, paralyzes muscles of fluke. • Albendazole-inhibits metabolism in the fluke cells causing them to become immobile
Prevention & Control • Avoid consuming raw or undercooked freshwater fish and crustaceans • Control snail population • Control and eliminate night soil usage near fish ponds. • Avoid use of contaminated water.
Review! • What are the definitive, intermediate, and reservoir hosts? • Where do the flukes mature? • What are some of the symptoms? • What are some methods of diagnosis? • What are the methods of prevention/control?
REFERENCES • http://dpd.cdc.gov/dpdx/images/ParasiteImages/A-F/Clonorchiasis/Clonorchis_LifeCycle.gif • http://www.atlas.or.kr/atlas/alphabet_view.php?my_codeName=Clonorchis%20sinensis • http://clonorchiasis.blogspot.com/ • http://pioneerunion.ca.schoolwebpages.com/education/components/scrapbook/default.php?sectiondetailid=2769&linkid=nav-menu-container-4-13026. • http://www.stanford.edu/group/parasites/ParaSites2001/clonorch/ClonorchiasisWebsite.html • http://www.antimicrobe.org/history/Clonorchis%20sinensis-Yeh.asp • Roberts,L.Janovy, J.Foundations of Parasitology, 8th ed. New York: McGraw-Hill,2009