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Fasciolopsiasis: a first case report from Malaysia
1Department of Parasitology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Summary
This report details the first case of intestinal fluke Fasciolopsis buski infection in Malaysia. The incidental finding occurred in a patient diagnosed with disseminated tuberculosis.
Area of Science:
- Medical Parasitology
- Tropical Medicine
- Infectious Diseases
Background:
- Fasciolopsiasis, caused by Fasciolopsis buski, is endemic in Southeast Asia.
- No prior human or animal cases reported in Malaysia.
- Human infection occurs via ingestion of contaminated raw freshwater plants.
Observation:
- A 39-year-old female farmer in Sabah, East Malaysia, presented with cough, fever, appetite and weight loss.
- Physical exam revealed pallor, lymphadenopathy, and hepatosplenomegaly.
- Laboratory findings included iron deficiency anemia, leukocytosis, and elevated ESR.
Findings:
- Lymph node biopsy showed caseating granuloma, indicative of tuberculosis.
- Stool examination incidentally revealed operculated Fasciolopsis buski eggs (140 x 72.5 µm).
- Co-diagnosis of disseminated tuberculosis and fasciolopsiasis was made.
Implications:
- This case highlights the potential for Fasciolopsiasis to occur in non-endemic regions.
- Undiagnosed parasitic infections can complicate other diseases like tuberculosis.
- Prompt diagnosis and combined treatment with antitubercular drugs and praziquantel are crucial.