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[A case of fascioliasis]
Akihiro Ueda1, Masayuki Miyazaki1, Emiri Miyazaki1
1Department of Hepato-biliary-pancreatic Medicine, Saiseikai Fukuoka General Hospital.
Summary
A liver abscess initially misdiagnosed in a farmer was identified as fascioliasis, a parasitic infection. Treatment with triclabendazole successfully reduced the liver lesions, highlighting key diagnostic indicators.
Area of Science:
- Hepatology
- Infectious Diseases
- Parasitology
Background:
- Liver abscesses can present with complex imaging findings.
- Parasitic infections, such as fascioliasis, can mimic other hepatic pathologies.
- Early and accurate diagnosis is crucial for effective treatment of liver diseases.
Observation:
- A 38-year-old farmer presented with abdominal pain and initial imaging suggestive of a liver abscess.
- Subsequent imaging revealed changes in lesion size and the presence of eosinophilia, prompting further investigation.
- Serological testing confirmed high levels of serum Fasciola antibody.
Findings:
- The patient was diagnosed with fascioliasis, a parasitic liver disease.
- Treatment with triclabendazole led to the shrinkage of liver lesions.
- Eosinophilia and multiple hepatic lesions were characteristic findings supporting parasitic etiology.
Implications:
- This case underscores the importance of considering parasitic infections in the differential diagnosis of liver lesions, especially in endemic areas.
- Recognizing characteristic findings like eosinophilia and migratory lesions can aid in accurate diagnosis.
- Successful treatment with triclabendazole demonstrates its efficacy in managing fascioliasis.
