Biliary fascioliasis: Management in a child using endoscopic retrograde cholangio pancreatography

Parelkar, Sandesh; Oak, Sanjay; Maydeo, Amit; Sanghvi, Beejal; Joshi, Prashant; Chaubal, Nitin; Patil, Rajasekhara T; Sahoo, Subrat Kumar; Lal, Patel Jiwan; Sampath, Nandita; Koticha, Avani

doi:10.4103/0971-9261.107012

Cited by 7 publications

(4 citation statements)

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“…Hepatic fascioliasis is uncommonly reported in India and needs to be suspected in children presenting with abdominal symptoms, eosinophilia and irregular focal lesions in the liver. If stool exams are negative, ERCP [1] may demonstrate either adult worms or eggs, as in our patient. Nitazoxanide may be a useful alternative agent for oral therapy [2].…”

mentioning

confidence: 74%

Liver Lesions, Fever and Eosinophilia Caused by Fasciola hepatica in a 15-year-old Girl

et al. 2015

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mentioning

confidence: 74%

Liver Lesions, Fever and Eosinophilia Caused by Fasciola hepatica in a 15-year-old Girl

et al. 2015

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“…In Bangladesh, there have only been two human fascioliasis reports, one of a 22-year-old Bangladeshi women diagnosed at a London hospital [ 17 ] and another of a 35-year-old house-wife from Jamalpur [ 18 ]. This contrasts, however, with the number of human infection cases reported in zones of other countries neighboring Bangladesh, such as India including West Bengal [ 19 , 20 ], Assam [ 21 ] and Arunachal Pradesh [ 19 ], Nepal [ [22] , [23] , [24] ] and Myanmar [ 25 ] ( Fig. 1 ).…”

Section: Introductionmentioning

confidence: 84%

Wide variation of heterozygotic genotypes of recent fasciolid hybrids from livestock in Bangladesh assessed by rDNA internal transcribed spacer region sequencing and cloning

et al. 2023

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“…On the clinical epidemiologial aspects showed that in pregnant women with fascioliasis, symptoms and signs are indistinguishable from hepatobiliary, digestive tract diseases or overlap with gestation terrains, and clinical signs of paediatric fascioliasis may mimic a wide spectrum of hepatobiliary disorders. Particularly, the combination of clinical pictures, laboratory finding parameters and imaging diagnostics, especially in FasELISA, hypereosinophilia and liver lesions by ultrasound and MRI or MDCT (in special cases) were very useful in definitive and confirmed diagnosis [3][4][5][6][7][8][9][10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Some Clinical Manifestations and Laboratory Findings of Human Gigantica Fascioliasis in Pregnant Women and Children in Central-Coastal Provinces, Vietnam, 2003-2017

2019

JPNB

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Introduction: Fascioliasis is a disease of the hepatobiliary system, caused by Fasciola spp that are increasing and threating of public health in the tropic areas, including of Central coastal of Vietnam. World Health Organisation estimates that at least 2.4 million people are infected in more than 70 countries worldwide, with several million at risk, and particularly, no continent is free from fascioliasis. This study carried out to evaluate several typical clinical and paracinical aspects in the pregnant women and children groups with fascioliasis. Methods: With the descriptive cross-sectional study design, and sample size in line with hospital based data. Results: the data post-analysis showed that total of 94 pregnant women and 212 child with gigantica fascioliasis were enrolled:- In the pregnant women group: the major clinical symptoms of epigastric and Chauffard Rivet triangle pain (95.74%), subshoulder muscle pain (97.87%), gastrointestinal disturbances as abdominal pain plus constipation (14.89%), loosed stool (22.34%), nausea and/or vomit (29.78%), mild fever (68%), allergic reaction with pruritis and urticaria (64.89%), mild anemia (4.26%), rare symptoms may be hepatomegaly (6.38%), chest pain, dyspnoea (43.62%), jaundice (2.13%); Laboratory parameters were positive ELISA test with Fasciola gigantica antigen (95.74%), hepatobiliary lesions by ultrasound (97.87%), majority in right liver (90.32%), eosinophilia is the predominant indicator (90.42%), In the children group: the clinical manifestations included of epigastric and Chauffard-Rivet area pain (94.34%), flatuence, nausea and intermittent vomiting (76.41%), digestive disoders (40.57%), allergy (30.66%), fatigue plus weight loss (12.74%); laboratory findings included of hepatobiliary lesions by US (100%), positive ELISA with Fasciola gigantica antigen (96.70%), eosinophil of 93.39% and 1.90% positive copro-examination with Fasciolae eggs. Conclusions: In pregnant women, symptoms are indistinguishable from hepatobiliary, digestive tract diseases or overlap with gestation terrains, and clinical signs of paediatric fascioliasis may mimic a wide spectrum of hepatobiliary disorders laboratory parameters and imaging diagnostics, especially in FasELISA, hypereosinophilia and liver lesions by ultrasound were very useful in positive diagnosis.

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Biliary fascioliasis: Management in a child using endoscopic retrograde cholangio pancreatography

Cited by 7 publications

References 9 publications

Liver Lesions, Fever and Eosinophilia Caused by Fasciola hepatica in a 15-year-old Girl

Liver Lesions, Fever and Eosinophilia Caused by Fasciola hepatica in a 15-year-old Girl

Wide variation of heterozygotic genotypes of recent fasciolid hybrids from livestock in Bangladesh assessed by rDNA internal transcribed spacer region sequencing and cloning

Some Clinical Manifestations and Laboratory Findings of Human Gigantica Fascioliasis in Pregnant Women and Children in Central-Coastal Provinces, Vietnam, 2003-2017

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