Opisthorchiasis liver

One very serious parasitic diseases of the liver refers opisthorchiasis. It is caused by a parasite Fluke Siberian related to flat worms class of trematodes (flukes). The causative agent of the disease is small parasite lanceolate length 8-18 mm, width 1.2-2 mm; final and his hosts are people, cat, dog, pig, fur-bearing animals, and intermediate hosts - freshwater fish of the carp family. Human infection occurs from eating raw or half-cooked and dried fish. The main foci of the disease's dissemination are the basins of the rivers Ob and Irtysh, where and found a relatively large negative influence on the population opisthorchiasis, which is explained not completely eradicated habit of people in these areas to eat fish, raw and half-baked. In other parts of the Soviet Union opisthorchiasis occurs as sporadic cases.
Opisthorchiasis is severe chronic liver disease, accompanied by weakness, loss of appetite, weight and pain in the epigastric region and in the right hypochondrium, sometimes these pains are paroxysmal character. The liver is enlarged, heavy, painful, with a rough surface, subcarinal coloration of the skin and visible mucous membranes. When duodenal intubation in portions and a lot of mucus, leukocytes and eggs Fluke. Parasite eggs should be sought in the feces of patients. Often in the blood eosinophilia.
Treatment of opisthorchiasis liver exclusively conservative. Assigned different drugs antimony, in particular the drug windowredraw salt: within 1-2 days do 3-6 intravenous injection at the rate of 2 mg of the preparation per 1 kg of patient's weight. The total dose over the course reaches of 0.8-1.0. For the treatment of opisthorchiasis proposed new drug - hexachlorparaxylol in a daily dose of 0.15 g on 1 kg of weight of a patient inside two days in a row. In secondary infections of the biliary tract, accompanied by high temperature, and appropriate use of antibiotics. In the long course of the disease develops hyperchromic anemia. In this case illustrates campolon and vitamin B12 (P. O. Eolian, 1962).