Multiple brain hemorrhages and hematomas associated with ectopic fascioliasis in brain and eye

Zhou, Liangxue; Luo, Lingli; You, Chao; Wang, Bing; Xu, Jianguo; Liao, Lin; Hui, Xuhui; Cai, Biao

doi:10.1016/j.surneu.2007.03.018

Cited by 17 publications

(29 citation statements)

References 14 publications

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“…Immunoglobulin levels may be elevated, especially IgE, as observed in our two patients [20,21] . Anemia was also observed in our two cases.…”

Section: Discussionsupporting

confidence: 63%

“…In the biliary tract, the mature fluke releases eggs, which are excreated in feces to complete the life cycle of parasite [4] . The parasite usually infects the liver parenchyma and causes lesions, but rarely infects the extrahepatic tissues like brain and eye [5,8] . The illness of fascioliasis consists of an acute phase, which causes the patient having fever, hepatomegaly, abdominal pain, eosinophilia, hemobilia, and hepatic nodules and a chronic phase which causes the patient having jaundice, angiocholitis, wasting, anemia, ascites, cardiac disorder, and pancreatitis [6,9,10] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of cases with Fasciola hepatica infection: experience in 6 children

Tezer

Yüksek

Parlakay

et al. 2013

Asian Pacific Journal of Tropical Disease

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“…Immunoglobulin levels may be elevated, especially IgE, as observed in our two patients [20,21] . Anemia was also observed in our two cases.…”

Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Evaluation of cases with Fasciola hepatica infection: experience in 6 children

Tezer

Yüksek

Parlakay

et al. 2013

Asian Pacific Journal of Tropical Disease

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“…Physicians should have a high index of suspicion for mycotic aneurysms when virulent valvular infection and/ or previous clinical evidence of an embolus are combined with unexplained neurologic deterioration. Wide-ranging presentations of intracranial IAAs are reported: meningitis in children [5]; endocarditis with subsequent brain infarcts [6]; ruptured IAAs in pregnant and nonpregnant patients [7][8][9]; and intracranial hemorrhages and ocular symptoms [10]. Among seven pediatric patients with endocarditis who subsequently developed clinically evident brain infarcts, three were later found to have IAAs; all were successfully repaired.…”

Section: Presentationmentioning

confidence: 99%

“…Ocular pain, exophthalmos, and abducens nerve palsy were found in a child who ingested crab for 4 months; he developed fascioliasis associated with two intracranial IAAs. The diagnosis was made by angiography and by direct observation of the parasite moving out of the child's eye [10]. A pregnant patient developed infective endocarditis and Streptococcus bacteriemia at 26 weeks of gestation.…”

Section: Presentationmentioning

confidence: 99%

Diagnosis and management of mycotic aneurysms

León

Mills²

2009

Curr Infect Dis Rep

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We reviewed all papers most recently reported in the literature related to infected arterial aneurysms (IAAs) affecting the aorta and vascular beds other than the aorta. In this article, we report on vascular beds other than the aorta. As is the case for aortic IAAs, infected non-aortic aneurysms are rarely encountered. The majority of recent studies are limited to case reports and small series of unusual infected aneurysms. A comprehensive review of this entity was performed based on the available literature from January through December 2008 in all languages. Available reports were analyzed with respect to demographic features, type of presentation, methods of diagnosis and therapy, follow-up, and outcome (morbidity and mortality).

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“…Two cases (8 & 10 yrs) have been reported as Fasciolosis with Brain haemorrhage by Ying M et al and Zhou L et al respectively. 20,21 . Study in Korea revealed 12.2% and 0.9% were found to have eosinophilia and hypereosinophilia, respectively.…”

mentioning

confidence: 99%

Clinical and Laboratory Profile of Children with Eosinophilia at Dhulikhel Hospital

Shrestha

Dongol

Shrestha

et al. 2013

Kathmandu Univ. Med. J.

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BackgroundEosinophilia in children is commonly caused by or parasitic, allergic and immunologic problems. ObjectivesTo study clinical and laboratory profile of patients with eosinophilia and to identify possible causes. MethodA prospective and descriptive study was conducted from January 2009-December 2011. All the cases of eosinophilia with symptoms and signs of single or multiple organ were included. The known caused of eosinophilia like allergy, asthma and drugs were excluded. ResultsDuring three years period, 84(2.41%) cases had eosinophilia with single or multiple organ involment. 14.3%, 39.3% and 46.4% had mild, moderate and severe eosinophilia respectively, with cases of hypereosinophilia comprising 85.7%. Eosinophilia is seen predominantly in tamang caste with overall age ranging from 1-14 years. Most common symptoms and signs are abdominal pain (67.9%) hepatomegaly (59.5%) respectively. Gastrointestinal system was most commonly involved organ followed by respiratory system. Nineteen percent had polyserositis involving pleural, pericardial effusion and ascites at presentation. Out of 84 patients only nine serum samples were able to be sent for parasitological analysis. sixteen had identifiable and/ or possible causes. Serum sample for parasitological analysis revealed fascilosis, filariasis, strongylosis stercoralis and toxocariasis. ConclusionEosinophilia is more common among tamang poulation in our study. Most common symptoms and signs are abdominal pain and hepatomegaly respectively. Parasitic infection seems to be the most common cause however further study has to be done to reach final conclusion.

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Multiple brain hemorrhages and hematomas associated with ectopic fascioliasis in brain and eye

Cited by 17 publications

References 14 publications

Evaluation of cases with Fasciola hepatica infection: experience in 6 children

Evaluation of cases with Fasciola hepatica infection: experience in 6 children

Diagnosis and management of mycotic aneurysms

Clinical and Laboratory Profile of Children with Eosinophilia at Dhulikhel Hospital

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