A pediatric case of radiologically diagnosed fasciola hepatica

CASE REPORTS

A Pediatric Case of Radiologically Diagnosed Fasciola Hepatica

Ugur Deveci¹, Cemal Ustun², Tulin Ozturk³, Mustafa Aydin⁴.

¹Department of Pediatrics, Elazig Education and Research Hospital, Elazig, Turkey,
²Department of Infectious Disease and Clinical Microbiology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, Turkey,
³Department of Radiology, Elazig Education and Research Hospital, Elazig, Turkey,
⁴Department of Pediatrics.

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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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