Metagonimiasis: Difference between revisions

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{{SI}} {{Infobox medical condition
| name                    = Metagonimiasis
| image                  = [[File:Metagonamiasis_Life_Cycle.jpg|250px]]
| caption                = Life cycle of ''[[Metagonimus yokogawai]]''
| field                  = [[Infectious disease]]
| synonyms                =
| symptoms                = [[Diarrhea]], [[abdominal pain]], [[fatigue]]
| complications          = [[Intestinal perforation]], [[myocarditis]]
| onset                  =
| duration                =
| types                  =
| causes                  = Infection by ''[[Metagonimus yokogawai]]''
| risks                  = Consumption of raw or undercooked [[fish]]
| diagnosis              = [[Stool examination]], [[serology]]
| differential            =
| prevention              = Proper cooking of fish
| treatment              = [[Praziquantel]]
| medication              =
| prognosis              = Generally good with treatment
| frequency              = Endemic in parts of [[Asia]], including [[Korea]], [[China]], [[Japan]], and [[Taiwan]]
}}
== '''Alternate names''' ==
== '''Alternate names''' ==
Metagonimus yokogawai infection
Metagonimus yokogawai infection
== '''Definition''' ==
== '''Definition''' ==
Metagonimiasis is a disease caused by an intestinal [[trematode]], most commonly '''Metagonimus yokagawai'''.
Metagonimiasis is a disease caused by an intestinal [[trematode]], most commonly '''Metagonimus yokagawai'''.
[[File:Metagonamiasis Life Cycle.jpg|thumb]]
[[File:Metag yokog A.jpg|thumb]]
[[File:Metag yokog A.jpg|thumb]]
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== '''Causal Agents''' ==
== '''Causal Agents''' ==
'''Metagonimus yokogawai''', a minute intestinal fluke (and the smallest human fluke).
'''Metagonimus yokogawai''', a minute intestinal fluke (and the smallest human fluke).
== '''Epidemiology''' ==
== '''Epidemiology''' ==
Mostly the Far East, as well as Siberia, Manchuria, the Balkan states, Israel, and Spain.
Mostly the Far East, as well as Siberia, Manchuria, the Balkan states, Israel, and Spain.
== '''Signs and symptoms''' ==
== '''Signs and symptoms''' ==
* The main symptoms are diarrhea and colicky abdominal pain.  
* The main symptoms are diarrhea and colicky abdominal pain.  
* Migration of the eggs to extraintestinal sites (heart, brain) can occur, with resulting symptoms.
* Migration of the eggs to extraintestinal sites (heart, brain) can occur, with resulting symptoms.
== '''Diagnosis''' ==
== '''Diagnosis''' ==
* The diagnosis is based on the microscopic identification of eggs in the stool.  
* The diagnosis is based on the microscopic identification of eggs in the stool.  
* However, the eggs are indistinguishable from those of Heterophyes heterophyes and resemble those of Clonorchis and Opisthorchis.  
* However, the eggs are indistinguishable from those of Heterophyes heterophyes and resemble those of Clonorchis and Opisthorchis.  
* Specific diagnosis is based on identification of the adult fluke evacuated after antihelminthic therapy, or found at [[autopsy]].
* Specific diagnosis is based on identification of the adult fluke evacuated after antihelminthic therapy, or found at [[autopsy]].
== '''Treatment''' ==
== '''Treatment''' ==
* [[Praziquantel]] is recommended in both adult and pediatric cases with dosages of 75 mg/kg/d in 3 doses for 1 day.  
* [[Praziquantel]] is recommended in both adult and pediatric cases with dosages of 75 mg/kg/d in 3 doses for 1 day.  
* Another possible drug option is [[Tetrachloroethylene]], a chlorinated hydrocarbon, but its use has been superseded by new antihelminthic drugs (like Praziquantel).  
* Another possible drug option is [[Tetrachloroethylene]], a chlorinated hydrocarbon, but its use has been superseded by new antihelminthic drugs (like Praziquantel).  
[[Category:Helminthiases]]
[[Category:Helminthiases]]
{{rarediseases}}
{{rarediseases}}
{{stub}}
{{stub}}

Latest revision as of 05:01, 6 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics

Metagonimiasis
File:Metagonamiasis Life Cycle.jpg
Synonyms
Pronounce N/A
Specialty N/A
Symptoms Diarrhea, abdominal pain, fatigue
Complications Intestinal perforation, myocarditis
Onset
Duration
Types
Causes Infection by Metagonimus yokogawai
Risks Consumption of raw or undercooked fish
Diagnosis Stool examination, serology
Differential diagnosis
Prevention Proper cooking of fish
Treatment Praziquantel
Medication
Prognosis Generally good with treatment
Frequency Endemic in parts of Asia, including Korea, China, Japan, and Taiwan
Deaths N/A


Alternate names[edit]

Metagonimus yokogawai infection

Definition[edit]

Metagonimiasis is a disease caused by an intestinal trematode, most commonly Metagonimus yokagawai.

File:Metag yokog A.jpg

Causal Agents[edit]

Metagonimus yokogawai, a minute intestinal fluke (and the smallest human fluke).

Epidemiology[edit]

Mostly the Far East, as well as Siberia, Manchuria, the Balkan states, Israel, and Spain.

Signs and symptoms[edit]

  • The main symptoms are diarrhea and colicky abdominal pain.
  • Migration of the eggs to extraintestinal sites (heart, brain) can occur, with resulting symptoms.

Diagnosis[edit]

  • The diagnosis is based on the microscopic identification of eggs in the stool.
  • However, the eggs are indistinguishable from those of Heterophyes heterophyes and resemble those of Clonorchis and Opisthorchis.
  • Specific diagnosis is based on identification of the adult fluke evacuated after antihelminthic therapy, or found at autopsy.

Treatment[edit]

  • Praziquantel is recommended in both adult and pediatric cases with dosages of 75 mg/kg/d in 3 doses for 1 day.
  • Another possible drug option is Tetrachloroethylene, a chlorinated hydrocarbon, but its use has been superseded by new antihelminthic drugs (like Praziquantel).

NIH genetic and rare disease info[edit]

Metagonimiasis is a rare disease.


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