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[A case of radiologically diagnosed pediatric Fasciola hepatica]

Uğur Deveci1, Tülin Oztürk, Cemal Ustün

  • 1Sağlık Bakanlığı Elazığ Eğitim ve Araştırma Hastanesi, Pediatri Kliniği, Elazığ, Türkiye, Turkey.

Turkiye Parazitolojii Dergisi
|July 22, 2011
PubMed

Insights

A 9-year-old boy with parasitic infection symptoms recovered after triclabendazole treatment. This case highlights the importance of considering Fasciola hepatica infection in children with gastrointestinal issues and eosinophilia.

Area of Science:

  • Tropical Medicine
  • Parasitology
  • Pediatric Infectious Diseases

Background:

  • Fasciola hepatica is a liver fluke causing parasitic infections, prevalent in developing nations.
  • Gastrointestinal symptoms like pain, appetite loss, and pica can indicate systemic parasitic infections.

Observation:

  • A 9-year-old boy presented with nausea, gastric pain, decreased appetite, and pica.
  • Initial findings included anemia and significant eosinophilia.
  • Abdominal imaging (ultrasound, CT, MRI) revealed signs of adult Fasciola hepatica.

Findings:

  • Fasciola hepatica serology was positive.
  • The patient received a single 10 mg/kg dose of triclabendazole, repeated one month later.
  • Complete recovery was observed post-treatment.

Implications:

  • Early consideration of Fasciola hepatica is crucial for pediatric patients with suggestive symptoms.
  • Diagnostic tools including serology and advanced imaging are vital for accurate diagnosis.
  • Triclabendazole is an effective treatment for human Fasciola hepatica infections.

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