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[Fascioliasis after a stay in Turkey]
K Metter1, H Glöser, U von Gaisberg
1Klinik für Allgemeine Innere Medizin, Gastroenterologie und Hepatologie, Stuttgart-Bad Cannstatt, Tübingen.
Deutsche Medizinische Wochenschrift (1946)
|November 15, 2000
Summary
A traveler returning from Turkey developed liver issues and high eosinophilia. Diagnosis of parasitic infection (Fasciola hepatica) was confirmed, and treatment led to symptom resolution.
Area of Science:
- Hepatology
- Infectious Diseases
- Parasitology
Background:
- Parasitic infections can present with non-specific symptoms, mimicking other liver conditions.
- Travel history is crucial for diagnosing endemic diseases in patients presenting with unexplained symptoms.
Observation:
- A 42-year-old male presented with right upper quadrant pain, fever, and hepatomegaly post-travel to Turkey.
- Investigations revealed cholestasis, elevated transaminases, marked eosinophilia (57%), and a liver lesion on imaging.
- Liver biopsy suggested parasitic infection, and elevated Fasciola hepatica antibody titers were noted.
Findings:
- The patient was diagnosed with Fasciola hepatica infection.
- Treatment with triclabendazole resolved symptoms and normalized eosinophilia.
Implications:
- Parasitic infections, such as Fasciola hepatica, should be considered in the differential diagnosis of eosinophilia of unknown origin.
- Prompt diagnosis and treatment are essential for favorable outcomes in parasitic liver disease.