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[Hepatic fascioliasis: a diagnosis problem?].

J Jiménez Bustamante1, D Loja Oropeza, E Ruiz Semba

  • 1Hospital Nacional Arzobispo Loayza, Departamento de Medicina.

Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru
|August 13, 2002
PubMed
Summary

Human fascioliasis, a liver fluke infection, is increasingly reported globally. Diagnosing this parasitic disease is challenging due to overlapping symptoms and intermittent egg shedding, necessitating careful clinical and laboratory evaluation.

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Area of Science:

  • Parasitology
  • Infectious Diseases
  • Epidemiology

Background:

  • Human fascioliasis is caused by the liver fluke Fasciola hepatica, primarily affecting livestock but with increasing human cases globally.
  • Diagnosis is complicated by overlapping symptoms in acute and chronic phases, asymptomatic cases, and intermittent egg excretion by adult worms.

Observation:

  • This study reviewed six cases from Lima, Peru (1990-1999) with initial misdiagnoses, highlighting diagnostic challenges.
  • The cases underscore the importance of considering geographical origin, clinical presentation, and laboratory findings for accurate diagnosis.

Findings:

  • Accurate diagnosis of human fascioliasis requires a high index of clinical suspicion.
  • Effective diagnosis relies on appropriate serological and coprological methods tailored to the suspected phase (acute or chronic).

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  • Patient's origin from endemic areas is a critical factor in suspecting and diagnosing Fasciola hepatica infection.

    • Implications:

    • Improved diagnostic strategies are needed to address the rising incidence of human fascioliasis.
    • Early and accurate diagnosis is crucial for effective patient management and public health surveillance.
    • Understanding the epidemiological context and utilizing specific diagnostic tools can overcome diagnostic hurdles in parasitic infections like fascioliasis.