Manifestation, diagnosis, and management of foodborne trematodiasis

#### Summary points Foodborne trematodiasis is a cluster of zoonotic infections caused by parasitic worms (class: trematoda; also known as flukes), which are transmitted via the ingestion of contaminated, mainly aquatic, food. More than one billion people are at risk of infection according to a systematic review from 2005.1 Another systematic review and meta-analysis suggests that 56 million people were infected in 2005, mainly in Asia and Latin America, with a global burden of 665 000 disability adjusted life years.2 Depending on the fluke species, foodborne trematodiasis is associated with a variety of signs, symptoms, and pathological consequences. The non-specificity of the clinical manifestations, the wide range of fluke species, and shortcomings in current diagnostic techniques are some of the reasons why foodborne trematodiasis is underestimated.3 4 This review introduces the most important foodborne trematode species and describes their geographical distribution. It also discusses pathological consequences, clinical manifestations, diagnosis, …