The Hanoi man arrested in San 'of you' because eating fish with vegetable

On the ' you ' of a male patient, 42 years of age, in Hanoi suddenly appear small tumors. At first, my wife thought her husband was pirated and very nervous. The wife does not ward off the fret about husbands ' adjacency ' hand hamlet cheeks.

The couple led to hospital treatment but not from TW.

TS-BS Nguyen Thu Huong, Deputy Head of the parasite (malaria-parasite – insect TW) said: the male patients detected small penis into hard com u almost a month. Accompanied by no pain, itching, no burning urination normal urination, no pus of primary holes.

Clonorchis sinensis in small liver Fasciola gigantica. Photo: Nguyen Tam

Visit patients at private clinics are diagnosed with cysts and is indicated for cutting electrical burning. After the treatment still see itching problems, the prominent hard penis under skin.

Visit under the skin the way circumcision 0.5 cm 2 cm long, smaller animals have a thin. We diagnose parasite track under the skin. After that, patients are doing tests such as the urethra Chlamydia gram-negative bacteria, the negative equivalent computer (+ +); HIV rapid test negative, HBsAg negative.

Normal liver ultrasound. The hematological and biochemical screening perfectly normal blood. Patients were surgically the tumor.

Of tumors found in the Center has a parasite is about 2 cm 1 mm diameter, flattening the yellow in the first part, plug things hang. Around gold and fibrosis in the organization.

The sample was added to determine the species of the parasite in the faculty, Institute of malaria-parasite – insect TW. Diagnosis of the original formation is the leaf-shaped piece of furniture, pale pink, slightly crisp, size 18 mm x 1 mm x 5 mm. Figure able to think of small liver Fasciola gigantica. Using PCR techniques and gene sequencing, specimens were correctly identified is Clonorsis sinensis.

This is a species of small liver pathogenic t on people or meet at the same people have the habit of eating live fish package. Normally the disease or having hurt the liver and can cause liver cancer.

Though saw the small liver but many BS were careful. This is extremely useful when illness hy liver Fasciola gigantica small penis.

Perfume very carefully and have to question the BS requires having both spouses of the patients to ask for as thorough explanation for husband. An interesting detail is the same man you or get there to eat live fish dishes. As such, many small liver could have on his body through the digestive tract and travel down the nests ' of you. '

DR Huong said: "To know exactly and science is that minor liver Fasciola gigantica or not, the specimen was identified by molecular biology and Clonorchis sinensis results at the Faculty and the Faculty of the Institute of molecular biology of malaria-parasite – insect TW.

The contrast analysis of nucleotit samples from study Clonorchis sinensis in Nam Dinh, Vietnam are kept on the same contrast, gene bank is 99.9% and with Clonorchis sinensis China Guangdong model contrast is 98.9%. After additional surgery the tumor, the patient was cured ".

Small liver Fasciola gigantica into the body?

According to the World Health Organization (WHO, in 2011), transmission of feed costs is a cause to affect at least 56 million people around the world.

Many species of leaf food pathogen transmitted the presently popular include Opisthorchis Fasciola and Paragonimus, Clonorchis,. In particular, many small liver has three main species cause disease on Clonorchis sinensis, Opisthorchis viverrini is Opisthorchis felineus and.

Clonorchis sinensis disease expels small liver in humans, was first found in 1874. Common diseases in countries with customs of eating fresh water fish raw or undercooked.

According to the WHO estimates there are about 3 million people living in Thailand, Laos, Cambodia, Central Vietnam Opisthorchis viverrini infection of small liver Fasciola gigantica. More than 19 million people in China, South Korea, Taiwan, Japan and Vietnam Clonorchis sinensis infection North.

TS. Tran Thanh Duong, Director of the Institute of malaria-parasite – insect TW said, Vietnam has identified the disease caused by c. sinensis circulated primarily in the North with at least 15 provinces, the average infection rate of 19%. In it, the high infection rate of Nam Dinh Ninh Binh, is there some point have rates of up to 35%-37%.

The disease is related to fish, shellfish-eating customs in the southern fish-shellfish-eating population ratio at some local to 80.4%, 70% in Ninh Binh, Thanh Hoa 67.9%.

Small liver Fasciola gigantica o. viverrini is found in at least nine southern provinces such as Phu Yen where there is prevalence to 36.9%, 11.9%, Dak Lak 7.6% 0.3%, Danang, Quang Nam, Khanh Hoa 1.4% 4.6%.

According To TS. Ocean to 2013 the census in the country expels small liver shows still to 32.7% in the period, 27.7% Peace Painting in Three Because Hanoi, 17.7% in Russia, 34.85%-Paint-50.55% in Nam Dinh, 9.36% at His Far-Ninh Binh, 11.1% of Tranquility-Yen Bai and Phu Yen-Tuy Hoa in 0.4%.

TS said: both species of small liver Fasciola gigantica c. sinensis and o. viverrini is defined as cancer-causing agents.

The small liver Fasciola gigantica is bisexual species have long, leaf-shaped 10-25 mm long and 3-5 mm wide, 1 mm thick unkempt with 2 password (password larger mouth unkempt unkempt belly guns) and have numerous branches distributed small testicles.

The egg-shaped lid, small sesame seeds, -35 27 µm x 15-17 µm, yellow or light brown. Mature expels waste glass collected eggs and egg-laying out as feces. When the eggs that contain fully developed miracidia hairy larvae stage in freshwater to the intermediate host (snails).

In the tissues of the snail the miracidium develop and multiply the larvae leave the tail screws swimming in the water. The larvae grow and penetrate into the second intermediate host is the Cyprinidae fish larvae and cyst cercaria.

People become infected by eating raw fish or not yet fully cooked, or eat other species of crustaceans and aquatic larvae that expels vegetables.

Larvae come in the duodenum and penetrate the bile ducts, developed from immature to mature the furniture within a month. Self-contained life-cycle of approximately three months. The many lives of about 20-25 years.

On the clinical conditions of small liver Fasciola gigantica is often symptomatic of liver region News pain, digestive disorders (less eating, belly ậm ạch indigestion). Sometimes strongly stain human skin manifestations, jaundice and liver to cirrhosis of the liver or signs depending on the severity of the disease. Conditions are determined by the test found eggs in the stool or duodenal translation costs.

The mature t often hidden deep within the small bile duct of the liver, causing inflammation of the liver region News pain, digestive disorders, adjacent tissue fibrosis, depending on the extent of the disease.

The most serious cause of biliary tract carcinoma suite, a possible serious complications and cause of death by cancer of the biliary epithelium due to small liver Fasciola gigantica.=