2nd August 2023

A 19-year-old student recently returned from Egypt, where he spent his summer holiday.

A 19-year-old student recently returned from Egypt, where he spent his summer holiday. He presents with symptoms of fever, right upper quadrant pain and jaundice. Examination reveals hepatomegaly; blood work reveals eosinophilia and a CT scan shows tortuous tracks in the liver, but no other abnormalities. He states whilst he was in Egypt, he spent time on his family’s farm and would often enjoy eating watercress that grew in the lake nearby.

What is the first line treatment for the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.