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Intestinal trematode infection in North Bihar
1BP Koirala Institute of Health Sciences, Dharan, Nepal. nrainrai@yahoo.co.in
JNMA; Journal of the Nepal Medical Association
|December 13, 2006
Summary
A rare intestinal trematode infection, fasciolopsiasis, was reported in North Bihar, India. Heavy Fasciolopsis buski infestation caused severe illness and death in a young girl, highlighting the need for awareness.
Area of Science:
- Medical Parasitology
- Public Health
Background:
- Intestinal trematode infections are infrequently documented in Bihar, India.
- Fasciolopsiasis is a parasitic disease caused by Fasciolopsis buski, a large intestinal fluke.
Observation:
- A 14-year-old girl from North Bihar presented with severe gastrointestinal symptoms including diarrhea, vomiting, abdominal pain, and weight loss.
- Stool examination and upper gastrointestinal endoscopy confirmed a heavy infestation with Fasciolopsis buski.
Findings:
- The patient's rural lifestyle and consumption of raw vegetables like caltrops and water chestnuts were identified as contributing factors to the parasitic infection.
- Despite treatment with praziquantel, the patient unfortunately succumbed to the infection within two days.
Implications:
- Heavy Fasciolopsis buski infections can lead to significant morbidity and mortality, particularly in younger individuals.
- Increased awareness of this parasitic disease, especially in rural endemic areas, is crucial for timely diagnosis and prevention.
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