A Case of Fasciolia Liver Abscess with Severe Eosinophilia in a Child.
- Author:
Jin A JUNG
1
;
Ju Suk LEE
;
Kang Mo AHN
Author Information
1. Department of Pediatrics, College of Medicine, Dong-A University, Busan, Korea. jina1477@lycos.co.kr
- Publication Type:Case Report
- Keywords:
Fascioliasis;
eosinophilia;
Triclabendazole
- MeSH:
Abdominal Pain;
Amikacin;
Biopsy;
Bone Marrow;
Cefotaxime;
Child*;
Diagnosis;
Eosinophilia*;
Eosinophils;
Fasciola;
Fasciola hepatica;
Fascioliasis;
Fever;
Follow-Up Studies;
Humans;
Immunoglobulin G;
Liver Abscess*;
Liver*;
Male;
Metronidazole;
Serologic Tests;
Ultrasonography
- From:Pediatric Allergy and Respiratory Disease
2003;13(3):199-203
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A case of child fasciola liver abscess was reported. This case was a. A 5-years-old boy who had a history of fever and abdominal pain for 2 days. There was eosinophilia (15%) and an abdominal ultrasound demonstrated heterogenous hypoechoic mass in the liver. He was diagnosed with bacterial liver abscess and was treated with Unasyn, Amikin, Cefotaxime, and metronidazole. But, the fever did not subside completely and blood eosinophil count was increased to 50%. New hypoechoic lesion in the liver was revealed on the follow-up abdominal ultrasound. Liver biopsy was done and it revealed eosinophil infiltration. Also, there was eosinophil infiltration (20%) in his bone marrow. The serologic test for parasite-specific IgG antibody by micro-ELISA confirmed the diagnosis of Fasciola hepatica infection. He was successfully treated for two days with oral Triclabendazole, 15 mg/kg, daily. Blood eosinophil count was down to 10% and there was no abnormal lesion in the liver on abdominal ultrasound finding.
