Human fascioliasis

Abstract

Infestation with fasciola hepatica is not often seen in humans. Only a few cases have been reported previously, while in our clinic only three cases have been observed in 20 years. All three cases (two males aged 35 and 40 and a 45-year-old female) were operated on with the possible diagnosis of choledocholithiasis, and parasites were later incidentally discovered at operation. In recent years praziquantel has been used with a high rate of success in the medical treatment of this disease. We have also prescribed praziquantel for our last two cases in order to prevent recurrence and to kill any parasites that might still remain after the operation. In the post-operative follow-up a complete cure was observed in all cases.

Surgery in Fasciola hepatica Pancreatitis: Report of a Case and Review of Literature

“…In medical treatment, triclabendazole in the single dose of 10 mg/kg is the recommended agent. One of the other alternatives is the 20-day use of bithionol with a dose of 30 -50 mg/kg, every other day [13,14]. In our case, a single dose of triclabendazole 10 mg/kg/day and a seven-day use of albendazole 10 mg/kg/day were administered to the patient.…”

“…For the acute pathologies where the liver becomes paralysed, the liver biopsy should be done. Cholecystectomy must be performed, and following the common bile duct exploration, if existing, the parasites must be removed, and the common bile duct cleaned [3,14]. As the common bile duct biopsy will be very helpful for the diagnosis in cases where no parasite is detected, it has to be done so as to discard other indications of pathologies in the common bile duct wall.…”

Fascioliasis observed during laparoscopic cholecystectomy

“…hepatica was first described in 1379 by Jehan de Brie [4]. The diagnosis of fascioliasis should be considered in patients from endemic areas with a history of ingestion of aquatic plants.…”

“…Therefore it is not surprising in the present series not to have observed such a finding. Under proper environmental conditions F. hepatica has been reported to cause epidemics [3][4][5][6][7][8][9][10][11][12][13][14][15].…”

Fascioliasis nach Türkeiaufenthalt

“…Hierbei ist zum Beispiel an eine Fascioliasis oder an verwandte Organismen mit Leberpassage zu denken«. (3,4,9,20). Unbehandelt kommt es in der Folge zur chronisch-obstruktiven, auch als hepatocholangitisch-adult bezeichneten Phase.…”