A 45-year-old man from rural Laos presents with a febrile illness and hepatosplenomegaly. He regularly eats raw freshwater fish. Stool microscopy show...

Question

A 45-year-old man from rural Laos presents with a febrile illness and hepatosplenomegaly. He regularly eats raw freshwater fish. Stool microscopy shows small operculated eggs approximately 26 × 16 µm. He is diagnosed with Opisthorchis viverrini infection. What is the first-line treatment?

Accepted Answer

Praziquantel 25 mg/kg TDS for 1 day (or 40 mg/kg single dose)

Answer

Albendazole 400 mg single dose

Answer

Triclabendazole 10 mg/kg single dose

Answer

Ivermectin 200 µg/kg single dose

Answer

Niclosamide 2 g single dose

uk-dtmh MCQ (SBA): Opisthorchiasis Treatment

A 45-year-old man from rural Laos presents with a febrile illness and hepatosplenomegaly. He regularly eats raw freshwater fish. Stool microscopy shows small operculated eggs approximately 26 × 16 µm. He is diagnosed with Opisthorchis viverrini infection. What is the first-line treatment?