Gallbladder infection by trematodes

A 34-year-old-man presented to the emergency department
(ED) because of the persistence of remittent fever (average
temperature 39 C), malaise, jaundice and intense epigastrium pain radiating to the back, lasting 2 weeks. He
reported a history of alcoholic cirrhosis complicated by
ascites and encephalopathy. At home, the patient was
treated regularly with aldosterone antagonists (spironolactone, 100 mg/day) and loop diuretics (furosemide, 25 mg
twice daily). The patient reported having recently made a
journey to China, during which he had eaten typical local
food, such as the ‘‘Yusheng’’, a Chinese raw fish salad.