• Turk J Gastroenterol · Jun 2012

    Case Reports

    Fascioliasis: 3 cases with three different clinical presentations.

    • Ferhat Arslan, Ayşe Batirel, Mustafa Samasti, Fehmi Tabak, Ali Mert, and Serdar Özer.
    • Department of Infectious Diseases and Clinical Microbiology, Lütfi Kırdar Kartal Education and Research Hospital, İstanbul, Turkey. ferhatarslandr@hotmail.com.
    • Turk J Gastroenterol. 2012 Jun 1; 23 (3): 267-71.

    AbstractFascioliasis, which is a zoonotic infestation caused by the trematode Fasciola hepatica (liver fluke), is primarily a disease of herbivorous animals such as sheep and cattle. Humans become accidental hosts through ingesting uncooked aquatic plants such as watercress. It presents a wide spectrum of clinical pictures ranging from fever, eosinophilia and vague gastrointestinal symptoms in the acute phase to cholangitis, cholecystitis, biliary obstruction, extrahepatic infestation, or asymptomatic eosinophilia in the chronic phase. However, it may often be overlooked, especially in the acute phase, because of vague symptoms. As a result of newly introduced serological assays facilitating the diagnosis, there has been an increase in the number of reported cases. Here, we report the clinical and laboratory assessment and therapeutic approach of a series of three cases diagnosed (in order of) one week, three months and one and a half years after presentation of the first symptoms of the disease.

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