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Geriatrics1 paper

Infection by Plagiorchis

Last edited: 4/16/2026

Overview

Plagiorchis infection refers to parasitic infections caused by trematodes of the genus Plagiorchis, affecting various organs primarily in the gastrointestinal tract and biliary system. These infections are typically acquired through the ingestion of undercooked freshwater fish harboring the parasite. [Not directly addressed in provided abstracts]

Diagnosis

  • Identification of characteristic eggs in stool or bile samples [Not directly addressed in provided abstracts]
  • Serological tests for antibodies against Plagiorchis species [Not directly addressed in provided abstracts]
  • Imaging studies (e.g., ultrasound, CT) to assess organ involvement [Not directly addressed in provided abstracts]

    • Management

  • First-line treatment: Praziquantel, typically administered orally at doses ranging from 25-75 mg/kg/day for 1-3 days [Not directly addressed in provided abstracts]
  • Adjunctive measures: Supportive care including hydration and symptomatic treatment for complications [Not directly addressed in provided abstracts]

    • Special Populations

  • Pregnancy: Limited data; praziquantel use should be carefully considered due to potential risks to the fetus [Not directly addressed in provided abstracts]
  • Pediatrics: Dosage adjustments may be necessary based on weight; close monitoring for side effects [Not directly addressed in provided abstracts]
  • Elderly: Consideration of comorbid conditions and potential drug interactions when selecting treatment [Not directly addressed in provided abstracts]
  • Comorbidities: Management should account for concurrent liver or biliary diseases, potentially requiring more cautious monitoring [Not directly addressed in provided abstracts]

    • Key Recommendations

  • Educate medical trainees on the importance of avoiding plagiarism to uphold professionalism and integrity (Evidence: Expert opinion) 1
  • Implement educational programs within residency programs to address and prevent plagiarism effectively (Evidence: Expert opinion) 1
  • Evaluate individual residency programs' needs for specific training on professionalism competencies, including plagiarism awareness (Evidence: Expert opinion) 1

    • References

    1 Cole AF. Plagiarism in graduate medical education. Family medicine 2007. link

    Original source

    1. [1]
      Plagiarism in graduate medical education. — Cole AF Family medicine (2007)
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