n. a condition caused by the presence of the fluke Clonorchis sinensis in the bile ducts. The infection, common in the Far East, is acquired through eating undercooked, salted, or pickled freshwater fish harbouring the larval stage of the parasite. Symptoms include fever, abdominal pain, diarrhoea, liver enlargement, loss of appetite, emaciation and – in advanced cases – cirrhosis and jaundice. Treatment is unsatisfactory although *praziquantel has proved beneficial in some cases.