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Fasciolopsiasis in children: Clinical, sociodemographic profile and outcome

Kumar Saurabh1, Shilpi Ranjan2

  • 1Department of Pediatrics, Government Medical College, Bettiah, Bihar, India.

Indian Journal of Medical Microbiology
|February 7, 2018
PubMed

Insights

Fasciolopsiasis in children often presents with persistent diarrhea and anemia. Co-infections like Hymenolepis nana and tuberculosis are common, requiring specific treatments for better outcomes.

Area of Science:

  • Pediatric Infectious Diseases
  • Clinical Parasitology
  • Public Health

Background:

  • Fasciolopsiasis, caused by Fasciolopsis buski, is a human intestinal fluke infection.
  • Understanding its clinical and sociodemographic profile in children is crucial for effective management.

Purpose of the Study:

  • To delineate the clinical manifestations and sociodemographic characteristics of pediatric fasciolopsiasis.
  • To identify associated risk factors and comorbid conditions in affected children.

Main Methods:

  • Retrospective chart review of 56 children diagnosed with fasciolopsiasis.
  • Data collected included clinical presentation, sociodemographic factors, and treatment outcomes.
  • Study conducted in a medical college's Pediatric Unit in Northern India from February 2015 to January 2016.

Main Results:

  • The mean age of affected children was 8.2 years.
  • Persistent diarrhea (85.71%) and anemia (71.42%) were the most frequent symptoms and signs.
  • Protein-energy malnutrition (PEM) and tuberculosis were significant comorbidities, with Hymenolepis nana being the most common co-infecting parasite.

Conclusions:

  • Fasciolopsiasis in children can lead to severe complications, including death from malnutrition and tuberculosis.
  • Polyparasitism, particularly with tuberculosis, is a notable finding.
  • Treatment with praziquantel or nitazoxanide generally resulted in recovery, though relapses occurred.
Abstract

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