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[Human infection with Dicrocoelium dendriticum]
Deutsche Medizinische Wochenschrift (1946)
|November 16, 2004
Summary
Dicrocoeliasis, a parasitic infection, can cause chronic diarrhea and abdominal pain. Prompt stool examination and appropriate antiparasitic treatment are crucial for effective management of gastrointestinal symptoms.
Area of Science:
- Parasitology
- Gastroenterology
- Tropical Medicine
Background:
- Dicrocoeliasis is a parasitic infection caused by the liver fluke Dicrocoelium dendriticum.
- It is typically acquired by ingesting contaminated food, such as undercooked liver or vegetation.
Observation:
- A 36-year-old male presented with chronic diarrhea, right upper quadrant abdominal pain, and weight loss for two years.
- Stool examinations revealed eggs of Dicrocoelium dendriticum.
- Laboratory tests showed slightly elevated bilirubin and significantly elevated IgE levels.
Findings:
- The patient was treated with praziquantel followed by triclabendazole.
- Following treatment, the patient's symptoms resolved, and stool examinations were negative for parasites.
- This case highlights the importance of parasitic stool examination in diagnosing unexplained gastrointestinal symptoms.
Implications:
- Dicrocoeliasis should be considered in the differential diagnosis of chronic gastrointestinal disorders, especially in individuals with a history of travel to endemic areas.
- Effective treatment options exist for dicrocoeliasis, leading to symptom resolution.
- Early diagnosis through parasitological stool examination is key to successful management and preventing complications.