Clinical analysis of 4 cases of Fasciola gigantica infection from Binchuan County, Yunnan Province
10.3760/cma.j.issn.1000-6680.2013.10.008
- VernacularTitle:云南省宾川县大片形吸虫病四例临床分析
- Author:
Guoli ZHANG
;
Huiyong SU
;
Jun ZHOU
;
Lei YANG
- Publication Type:Journal Article
- Keywords:
Fascioliasis;
Benzimidazoles;
Fasciola hepatica;
Epidemiologic studies
- From:
Chinese Journal of Infectious Diseases
2013;31(10):613-616
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the epidemiological characteristics,clinical manifestations,diagnosis and treatment of Fasciola gigantica infection,and to provide reference for future diagnosis and treatment.Methods Four cases of confirmed Fasciola gigantica infection were analyzed retrospectively for epidemiological information,clinical manifestations,laboratory results,imaging findings,diagnosis and treatment outcomes.Results Four Fasciola gigantica infection cases were farmers from Binchuan County,Yunnan Province.All presented with fever,hepatalgia,percussion pain,hepatomegaly,eosinophilia,hyperglobulinemia,neutrophilia and anemia.Computed tomography (CT) scans showed multiple low density shadows scattered in the liver parenchyma.Eggs of Fasciola gigantica were detected in feces of the patients,and results of antibody against Fasciola gigantica detected by enzyme-linked immunosorhent assay (ELISA) were positive.Triclabendazole treatment was effective.Conclusion Human Fasciola gigantica infection is rare,without specific clinical manifestations,and triclabendazole is the first choice of treatment.
