Fasciola Hepatica Induced Hepatic Abscess Treated with Triclabendazole

The Korean Journal of Gastroenterology

卷:77

Hyun Joon Park¹  Sang Uk Lee¹  Gil-Soon Choi²  Minjung Jung³ 

[1] Department of Internal Medicine, Chang Kee-Ryo Memorial Liver Institute, Kosin University College of Medicine, Busan, Korea;

[2] Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea;

[3] Department of Pathology, Kosin University College of Medicine, Busan, Korea;

关键词: fasciola hepatica;    fascioliasis;    liver abscess;    triclabendazole;   

DOI  :  10.4166/kjg.2020.152

来源: DOAJ

【 摘 要 】

Fascioliasis is a zoonotic disease caused by Fasciola hepatica that infects mainly cattle, sheep, and goats. Humans can be infected by water or aquatic plants contaminated with metacercariae. The authors encountered two cases of F. hepatica infection. One patient reported abdominal discomfort with marked eosinophilia. The other patient had chest discomfort with marked eosinophilia. The abdominal CT images revealed hypodense lesions in the liver. The ultrasonography-guided liver biopsy findings in both patients were indicative of parasitic infections. Serological tests confirmed the definite diagnoses. Both patients were treated with a single dose of triclabendazole, which is the treatment of choice for fascioliasis. These findings suggest that a diagnosis of fascioliasis, particularly in the acute phase, should be considered in patients with abdominal pain, marked eosinophilia, and hypodense hepatic lesions on CT.

【 授权许可】

Unknown