[Unusual forms of Fasciola hepatica infestation. Report of two cases (author's transl)]

Infestation by Fasciola hepatica is being reported with increasing frequency. During a five year period the authors have studied 25 cases of disease caused by F. hepatica, all of them diagnosed by finding eggs of the parasite in the feces or the duodenal fluid. In two cases the ectopic location of th parasite gave rise to unusual clinical manifestations. The first case presented during the course of hepatic fascioliasis both subcutaneous and epididymis locations, with an histologic picture similar to that of the hepatic lesions. The involvement of the epididymis, not previously cited in the literature, gave rise to a hydrocele. The second case presented with signs of central nervous system involvement and a high eosinophil count in the cerebrospinal fluid. Dehydroemetine was effective in all patients, including the unusual cases.