Animals Involved
Cats, dogs, foxes, swine, seals, other fisheating mammals are definitive hosts; fish (and snails) are intermediate hosts
Known Distributions
Europe, Kazakhstan, Russia, Ukraine
Probable Means of Spreading
Ingestion of undercooked freshwater fish containing encysted larvae
Clinical Manifestations in People
Acute febrile illness with arthralgia, lymphadenopathy, skin rash; suppurative cholangitis and liver abscess in subacute, chronic stages; possible increased risk of cholangiocarcinoma