Fernández CR, Moreno SF

Language: Spanish
References: 16
Page: 56-60
PDF size: 417.60 Kb.

ABSTRACT

Fascioliasis is a worldwide zoonosis. In Mexico, it is more frequent in the state of Guanajuato. The infestation form in the human is by the ingestion of contaminated aquatic vegetables. We present the first case in the national literature and the fifth in the international literature of the features of fascioliasis as liver abscess. A forty year old woman was admitted to ABC medical center due to an eighth week history of epigastric pain, plentyness, and fever. At the physical examination her vital signs were normal, the abdomen showed an epigastric mass of about 2 cm. Laboratory tests showed leucocitosis of 11.3 without eosinophilia, the rest of the tests were normal. The abdominal tomography (CT) revealed the presence of facetated lesions in the left hepatic lobe. She underwent an exploratory laparotomy with resection of the affected hepatic segment. The hystopathologic study demonstrated the presence of Fasciola and by specific serological test showed high titers (1:2048). Praziquantel was indicated for seven days, the patient has completely recovered and is currently asymptomatic.

REFERENCES

1. López LM, Hernández S, Acuña AM, Nari A. Fascioliasis en la República Oriental del Uruguay. Revista Médica del Uruguay 1996;1:15-25.

2. Eckhardt T, Heckers H. Treatment of human fascioliasis with niclofolan. Gastroenterology 1981;81:795-8.

3. Price AT, Tuazon UC, Simon LG. Fascioliasis: Case report and review. Clin Infect Dis 1993;17:426-30.

4. Acuña SR, Braun RG. Bleeding ulcer in the common bile duct due to Fasciola hepatica. Am J Gastroenterol 1987;82:560-2.

5. Pulpeiro JR, Armesto V, Varela J, Corredoira J. Fascioliasis: Findings in 15 patients. Br J Radiol 1991;64:798-801.

6. Han JK, Choi BI, Cho JM, Chung BK, Han CM, Kim WC. Radiological findings of human fascioliasis. Abdominal Imaging 1993;18:261-4.

7. Van Beers B, Pringot J, Geubel A, Trigaux J, Bigaignon G, Dooms G. Hepatobiliary fascioliasis: Non invasive imaging findings. Radiology 1990;174:809-10.

8. Bacq Y, Besnier J, Duong H, Pavie G, Metman E, Choutet P. Successful treatment of acute fascioliasis with bithionol. Hepatology 1991;14:1066-9.

9. Arjona R, Riancho J, Aguado J, Salesa R, González J. Fascioliasis in developed countries: A review of classic and aberrant forms of the disease. Medicine 1995;74:13-93.

10. Liu XL, Harinasuta TK. Parasitic disease of the liver and intestines. Gastroenterol Clin Biol 1996;23:627-36.

11. Moreira L, Silva R, Viana LH, Palhinhas M, Viana LR. Biliary fascioliasis: Diagnosis, treatment and follow-up by ERCP. Gastrointest Endosc 1996;43:617-20.

12. Stark EM, Herrington AD, Hillyer VG, McGill BD. An international traveler with fever abdominal pain eosinophilia, and a liver lesion. Gastroenterology 1993;105:1900-8.

13. Bassily S, Iskander M, Youssef GF, Masry EN, Bawden M. Sonography in diagnosis of fascioliasis. Lancet 1989:1270-1.

14. Kayabali I, Gokcora HI, Yerdel AM, Örmeci N. Hepatic fascioliasis and biliary surgery. Int Surg 1992;77:154-7.

15. Takeyama N, Okumura M, Sakai Y, Kamma O, Shima Y, Endo K, Hayakawa T. Computed tomography findings of hepatic lesions in human fascioliasis: Report of two cases. Am J Gastroenterol 1981;1078-81.

16. Danilewitz M, Kotfila R, Jensen P. Endoscopic diagnosis and management of Fasciola hepatica causing biliary obstruction. Am J Gastroenterol 1996;91:2619-22.