A Pediatric Case of Radiologically Diagnosed Fasciola Hepatica
Ugur Deveci*, Cemal Ustun**, Tulin Ozturk***, Mustafa Aydin*
*Department of Pediatrics, ***Department of Radiology, Elazig Education and Research Hospital, Elazig-Turkey, **Department of Infectious Disease and Clinical Microbiology, Faculty of Medicine, Abant Izzet Baysal University, Bolu-Turkey
Abstract

Fasciola hepatica (F. hepatica) is a parasitic infection encountered in many parts of the world, especially in developing countries. A 10-year-old girl presented with nausea and gastric pain who had normal physical examination and laboratory tests, except abdominal ultrasonography which showed the findings compatible with F. hepatica. Ten days later, significant eosinophilia was detected in the blood sample, and F. hepatica serology was found to be positive. Triclabendazole was started in a single dose of 10 mg/kg, and the same dose was repeated one month later. The patient well responded to this treatment, and thereafter full recovery was observed. The control abdominal ultrasonography performed two months later was normal. In conclusion, we argue that the radiological techniques may be beneficial in the early diagnosis of F. hepatica. Early treatment may prevent the severe complications.
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