A large outbreak of Opisthorchis felineus in Italy suggests that opisthorchiasis develops as a febrile eosinophilic syndrome with cholestasis rather than a hepatitis-like syndrome
We describe the greatest Italian human acute opisthorchiasis outbreak acquired from eating raw tenches. Out of 52 people with suspected opisthorchiasis, 45 resulted in being infected. The most frequent symptoms and laboratory findings were fever, abdominal pain and eosinophilia. Seven tri-phasic com...
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| Veröffentlicht in: | European journal of clinical microbiology & infectious diseases 2012-06, Vol.31 (6), p.1089-1093 |
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| container_title | European journal of clinical microbiology & infectious diseases |
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| creator | Traverso, A. Repetto, E. Magnani, S. Meloni, T. Natrella, M. Marchisio, P. Giacomazzi, C. Bernardi, P. Gatti, S. Gomez Morales, M. A. Pozio, E. |
| description | We describe the greatest Italian human acute opisthorchiasis outbreak acquired from eating raw tenches. Out of 52 people with suspected opisthorchiasis, 45 resulted in being infected. The most frequent symptoms and laboratory findings were fever, abdominal pain and eosinophilia. Seven tri-phasic computed tomography (CT) scans were done, showing multiple hypodense nodules with hyper-enhancement in the arterial phase. All patients took one day of praziquantel 25 mg/kg TID without failures. Reported symptoms suggested a febrile eosinophilic syndrome with cholestasis rather than a hepatitis-like syndrome. It seems common to find hepatic imaging alterations during acute opisthorchiasis: CT scan could be the most suitable imaging examination. Even if stool test remains the diagnostic gold standard, we found earlier positivity with the serum antibody test. Without previous freezing, the consumption of raw freshwater fish should be avoided. |
| doi_str_mv | 10.1007/s10096-011-1411-y |
| format | Article |
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A. ; Pozio, E.</creator><creatorcontrib>Traverso, A. ; Repetto, E. ; Magnani, S. ; Meloni, T. ; Natrella, M. ; Marchisio, P. ; Giacomazzi, C. ; Bernardi, P. ; Gatti, S. ; Gomez Morales, M. A. ; Pozio, E.</creatorcontrib><description>We describe the greatest Italian human acute opisthorchiasis outbreak acquired from eating raw tenches. Out of 52 people with suspected opisthorchiasis, 45 resulted in being infected. The most frequent symptoms and laboratory findings were fever, abdominal pain and eosinophilia. Seven tri-phasic computed tomography (CT) scans were done, showing multiple hypodense nodules with hyper-enhancement in the arterial phase. All patients took one day of praziquantel 25 mg/kg TID without failures. Reported symptoms suggested a febrile eosinophilic syndrome with cholestasis rather than a hepatitis-like syndrome. It seems common to find hepatic imaging alterations during acute opisthorchiasis: CT scan could be the most suitable imaging examination. Even if stool test remains the diagnostic gold standard, we found earlier positivity with the serum antibody test. Without previous freezing, the consumption of raw freshwater fish should be avoided.</description><identifier>ISSN: 0934-9723</identifier><identifier>EISSN: 1435-4373</identifier><identifier>DOI: 10.1007/s10096-011-1411-y</identifier><identifier>PMID: 21938537</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Animals ; Anthelmintics - administration & dosage ; Antibodies ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Child ; Cholestasis ; Cholestasis - pathology ; Computed tomography ; Disease Outbreaks ; Diseases caused by trematodes ; Distomatoses ; Enzymes ; Eosinophilia ; Eosinophilia - pathology ; Epidemics ; Feces ; Female ; Fever ; Fever - physiopathology ; Foodborne Diseases - epidemiology ; Foodborne Diseases - pathology ; Freezing ; Freshwater environments ; Freshwater fish ; Gallbladder diseases ; Gastroenterology. Liver. Pancreas. Abdomen ; Helminthic diseases ; Hepatitis ; Hepatitis - pathology ; Humans ; Infections ; Infectious diseases ; Internal Medicine ; Italy - epidemiology ; Laboratories ; Leukocytes (eosinophilic) ; Liver ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical Microbiology ; Medical sciences ; Middle Aged ; Nodules ; Opisthorchiasis - epidemiology ; Opisthorchiasis - pathology ; Opisthorchis - isolation & purification ; Opisthorchis felineus ; Other diseases. 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A.</creatorcontrib><creatorcontrib>Pozio, E.</creatorcontrib><title>A large outbreak of Opisthorchis felineus in Italy suggests that opisthorchiasis develops as a febrile eosinophilic syndrome with cholestasis rather than a hepatitis-like syndrome</title><title>European journal of clinical microbiology & infectious diseases</title><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><description>We describe the greatest Italian human acute opisthorchiasis outbreak acquired from eating raw tenches. Out of 52 people with suspected opisthorchiasis, 45 resulted in being infected. The most frequent symptoms and laboratory findings were fever, abdominal pain and eosinophilia. Seven tri-phasic computed tomography (CT) scans were done, showing multiple hypodense nodules with hyper-enhancement in the arterial phase. All patients took one day of praziquantel 25 mg/kg TID without failures. Reported symptoms suggested a febrile eosinophilic syndrome with cholestasis rather than a hepatitis-like syndrome. It seems common to find hepatic imaging alterations during acute opisthorchiasis: CT scan could be the most suitable imaging examination. Even if stool test remains the diagnostic gold standard, we found earlier positivity with the serum antibody test. Without previous freezing, the consumption of raw freshwater fish should be avoided.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Animals</subject><subject>Anthelmintics - administration & dosage</subject><subject>Antibodies</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Child</subject><subject>Cholestasis</subject><subject>Cholestasis - pathology</subject><subject>Computed tomography</subject><subject>Disease Outbreaks</subject><subject>Diseases caused by trematodes</subject><subject>Distomatoses</subject><subject>Enzymes</subject><subject>Eosinophilia</subject><subject>Eosinophilia - pathology</subject><subject>Epidemics</subject><subject>Feces</subject><subject>Female</subject><subject>Fever</subject><subject>Fever - physiopathology</subject><subject>Foodborne Diseases - epidemiology</subject><subject>Foodborne Diseases - pathology</subject><subject>Freezing</subject><subject>Freshwater environments</subject><subject>Freshwater fish</subject><subject>Gallbladder diseases</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Helminthic diseases</subject><subject>Hepatitis</subject><subject>Hepatitis - pathology</subject><subject>Humans</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Internal Medicine</subject><subject>Italy - epidemiology</subject><subject>Laboratories</subject><subject>Leukocytes (eosinophilic)</subject><subject>Liver</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical Microbiology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nodules</subject><subject>Opisthorchiasis - epidemiology</subject><subject>Opisthorchiasis - pathology</subject><subject>Opisthorchis - isolation & purification</subject><subject>Opisthorchis felineus</subject><subject>Other diseases. Semiology</subject><subject>Outbreaks</subject><subject>Pain</subject><subject>Parasitic diseases</subject><subject>Phosphatase</subject><subject>Polymerase chain reaction</subject><subject>Praziquantel</subject><subject>Praziquantel - administration & dosage</subject><subject>Radiography, Abdominal</subject><subject>Serology</subject><subject>Tomography, X-Ray Computed</subject><subject>Young Adult</subject><issn>0934-9723</issn><issn>1435-4373</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU2L1TAUhoMoznX0B7iRgAhuqknTJO1yGPwYGJiNrkuantxmJrepOa3S3-UfNPVeZ0QQwskiz_PmwEvIS87eccb0e8yzUQXjvOBVHusjsuOVkEUltHhMdqwRVdHoUpyRZ4i3LDu11k_JWckbUUuhd-TnBQ0m7YHGZe4SmDsaHb2ZPM5DTHbwSB0EP8KC1I_0ajZhpbjs94Az0nkwM40PsMHM9_AdQpyQmnyy3SUfgEJEP8Zp8MFbiuvYp3gA-sPPA7VDDDnut5zMPEDagscsDzCZ2c8ei-Dv4F57Tp44ExBenO5z8vXjhy-Xn4vrm09XlxfXhRWNWAtjZa-c66WuS6mV3W5ne6Ur6EXfSCmUM00talN2TvbaZEAxbXgJle2gEufk7TF3SvHbkldsDx4thGBGiAu2nHHdKMnYhr7-B72NSxrzdhvFhSqVEJniR8qmiJjAtVPyB5PWDLVbo-2x0TYr7dZou2bn1Sl56Q7Q3xt_KszAmxNg0JrgkhmtxwdONmWl9MaVRw7z07iH9PeK__v9F2SWvbA</recordid><startdate>201206</startdate><enddate>201206</enddate><creator>Traverso, A.</creator><creator>Repetto, E.</creator><creator>Magnani, S.</creator><creator>Meloni, T.</creator><creator>Natrella, M.</creator><creator>Marchisio, P.</creator><creator>Giacomazzi, C.</creator><creator>Bernardi, P.</creator><creator>Gatti, S.</creator><creator>Gomez Morales, M. 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A. ; Pozio, E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393y-ac5d6ffd5782576c5782fcd674ed3d95536fa9838a2bf5d7a578607a12e4cbe43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Animals</topic><topic>Anthelmintics - administration & dosage</topic><topic>Antibodies</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Child</topic><topic>Cholestasis</topic><topic>Cholestasis - pathology</topic><topic>Computed tomography</topic><topic>Disease Outbreaks</topic><topic>Diseases caused by trematodes</topic><topic>Distomatoses</topic><topic>Enzymes</topic><topic>Eosinophilia</topic><topic>Eosinophilia - pathology</topic><topic>Epidemics</topic><topic>Feces</topic><topic>Female</topic><topic>Fever</topic><topic>Fever - physiopathology</topic><topic>Foodborne Diseases - epidemiology</topic><topic>Foodborne Diseases - pathology</topic><topic>Freezing</topic><topic>Freshwater environments</topic><topic>Freshwater fish</topic><topic>Gallbladder diseases</topic><topic>Gastroenterology. 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Semiology</topic><topic>Outbreaks</topic><topic>Pain</topic><topic>Parasitic diseases</topic><topic>Phosphatase</topic><topic>Polymerase chain reaction</topic><topic>Praziquantel</topic><topic>Praziquantel - administration & dosage</topic><topic>Radiography, Abdominal</topic><topic>Serology</topic><topic>Tomography, X-Ray Computed</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Traverso, A.</creatorcontrib><creatorcontrib>Repetto, E.</creatorcontrib><creatorcontrib>Magnani, S.</creatorcontrib><creatorcontrib>Meloni, T.</creatorcontrib><creatorcontrib>Natrella, M.</creatorcontrib><creatorcontrib>Marchisio, P.</creatorcontrib><creatorcontrib>Giacomazzi, C.</creatorcontrib><creatorcontrib>Bernardi, P.</creatorcontrib><creatorcontrib>Gatti, S.</creatorcontrib><creatorcontrib>Gomez Morales, M. 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A.</au><au>Pozio, E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A large outbreak of Opisthorchis felineus in Italy suggests that opisthorchiasis develops as a febrile eosinophilic syndrome with cholestasis rather than a hepatitis-like syndrome</atitle><jtitle>European journal of clinical microbiology & infectious diseases</jtitle><stitle>Eur J Clin Microbiol Infect Dis</stitle><addtitle>Eur J Clin Microbiol Infect Dis</addtitle><date>2012-06</date><risdate>2012</risdate><volume>31</volume><issue>6</issue><spage>1089</spage><epage>1093</epage><pages>1089-1093</pages><issn>0934-9723</issn><eissn>1435-4373</eissn><abstract>We describe the greatest Italian human acute opisthorchiasis outbreak acquired from eating raw tenches. Out of 52 people with suspected opisthorchiasis, 45 resulted in being infected. The most frequent symptoms and laboratory findings were fever, abdominal pain and eosinophilia. Seven tri-phasic computed tomography (CT) scans were done, showing multiple hypodense nodules with hyper-enhancement in the arterial phase. All patients took one day of praziquantel 25 mg/kg TID without failures. Reported symptoms suggested a febrile eosinophilic syndrome with cholestasis rather than a hepatitis-like syndrome. It seems common to find hepatic imaging alterations during acute opisthorchiasis: CT scan could be the most suitable imaging examination. Even if stool test remains the diagnostic gold standard, we found earlier positivity with the serum antibody test. Without previous freezing, the consumption of raw freshwater fish should be avoided.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21938537</pmid><doi>10.1007/s10096-011-1411-y</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of clinical microbiology & infectious diseases, 2012-06, Vol.31 (6), p.1089-1093 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Animals Anthelmintics - administration & dosage Antibodies Biological and medical sciences Biomedical and Life Sciences Biomedicine Child Cholestasis Cholestasis - pathology Computed tomography Disease Outbreaks Diseases caused by trematodes Distomatoses Enzymes Eosinophilia Eosinophilia - pathology Epidemics Feces Female Fever Fever - physiopathology Foodborne Diseases - epidemiology Foodborne Diseases - pathology Freezing Freshwater environments Freshwater fish Gallbladder diseases Gastroenterology. Liver. Pancreas. Abdomen Helminthic diseases Hepatitis Hepatitis - pathology Humans Infections Infectious diseases Internal Medicine Italy - epidemiology Laboratories Leukocytes (eosinophilic) Liver Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical Microbiology Medical sciences Middle Aged Nodules Opisthorchiasis - epidemiology Opisthorchiasis - pathology Opisthorchis - isolation & purification Opisthorchis felineus Other diseases. Semiology Outbreaks Pain Parasitic diseases Phosphatase Polymerase chain reaction Praziquantel Praziquantel - administration & dosage Radiography, Abdominal Serology Tomography, X-Ray Computed Young Adult |
| title | A large outbreak of Opisthorchis felineus in Italy suggests that opisthorchiasis develops as a febrile eosinophilic syndrome with cholestasis rather than a hepatitis-like syndrome |
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