Clinical symptoms of chronic opisthorchiasis superinvasion the inhabitants of the Western Siberia, which is hyperendemic for this parasites, are presented. The polymorphism of manifestations from many organs and systems (liver, respiratory, immune, musculoskeletal, and digestive, etc.) with the development of eosinophilic hepatitis, according to histological studies, are shown. Manifestation of the latent course of the chronic phase of opisthorchiasis in case of repeated infection was accompanied by leukemoid eosinophilia, hyperleukocytosis and severe cholestasis, which determined the difficulties of the differential diagnostic search.