Human fascioliasis with biliary complications.

Area of Science:

• Medical Parasitology
• Hepatology
• Infectious Diseases

Background:

• Human fascioliasis is a neglected tropical disease caused by liver flukes.
• Sporadic cases are infrequently reported in India, necessitating increased awareness.

Observation:

• A pediatric patient from rural Bihar presented with gastrointestinal symptoms including diarrhea and vomiting.
• Clinical signs included hepatic tenderness, jaundice, and fever, accompanied by peripheral eosinophilia.

Findings:

• Stool examination confirmed the presence of Fasciola hepatica eggs, indicative of parasitic infection.
• The case highlights a rare presentation of fascioliasis in a young patient.

Implications:

• Clinicians should consider human fascioliasis in the differential diagnosis of cholangitis and eosinophilia, particularly in endemic or sporadically affected regions.
• Prompt diagnosis and treatment are essential to prevent complications associated with Fasciola hepatica infection.