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Lexicon: L
Liver flukes and frequency therapy
Definition:
Liver flukes are parasitic flatworms that belong to the class of trematodes. They infest the livers of various vertebrates, including humans, and cause liver fluke infections known as fasciolosis.
Species:
The best known species of liver flukes that can infect humans are:
- Fasciola hepatica: Also known as the large liver fluke, mainly infects sheep and cattle, but can also infect humans.
- Fasciola gigantica: Similar to F. hepatica, but larger and widespread in tropical regions.
- Clonorchis sinensis: Also known as Chinese liver fluke, occurs mainly in East Asia.
- Opisthorchis viverrini: Distributed in Southeast Asia, especially in Thailand and Laos.
Life cycle:
Liver flukes have complex life cycles that involve multiple hosts:
- Eggs: Excreted in the faeces of the definitive host.
- Larvae (miracidia): Hatch in the water and infect aquatic snails, which serve as intermediate hosts.
- Cercariae: Develop in the snails and are released into the water.
- Metacercariae: Settle on aquatic plants or in fish and are ingested by final hosts when they consume contaminated plants or raw fish.
symptoms:
The symptoms of a liver fluke infection can vary, but often include:
- Fever, abdominal pain and nausea.
- Liver enlargement and jaundice.
- Chronic infections can lead to liver cirrhosis and bile duct cancer.
Diagnosis:
Diagnosis is made by detecting eggs in the stool or by serological tests that detect antibodies against the parasite.
Treatment:
- Drugs: Triclabendazole is the drug of choice for the treatment of infections with Fasciola species. Praziquantel is used to treat infections with Clonorchis and Opisthorchis.
**Prevention:**
- Avoid consumption of raw or undercooked aquatic plants and fish in endemic areas.
- Improve sanitation and control snail populations.
worth knowing:
- Liver fluke infections are endemic in many parts of the world, especially in regions with intensive livestock and fish farming.
- The infection can cause economic losses in agriculture as well as health problems in humans.
Research:
Research is focussed on developing better diagnostic methods, more effective treatments and vaccines, and strategies to control the spread of liver fluke infections.