Pediatr Allergy Respir Dis.  2003 Sep;13(3):199-203.

A Case of Fasciolia Liver Abscess with Severe Eosinophilia in a Child

• Jung JA
• Lee JS
• Ahn KM

Abstract

A case of child fasciola liver abscess was reported. This case was a. A 5-years-old boy who had a history of fever and abdominal pain for 2 days. There was eosinophilia (15%) and an abdominal ultrasound demonstrated heterogenous hypoechoic mass in the liver. He was diagnosed with bacterial liver abscess and was treated with Unasyn, Amikin, Cefotaxime, and metronidazole. But, the fever did not subside completely and blood eosinophil count was increased to 50%. New hypoechoic lesion in the liver was revealed on the follow-up abdominal ultrasound. Liver biopsy was done and it revealed eosinophil infiltration. Also, there was eosinophil infiltration (20%) in his bone marrow. The serologic test for parasite-specific IgG antibody by micro-ELISA confirmed the diagnosis of Fasciola hepatica infection. He was successfully treated for two days with oral Triclabendazole, 15 mg/kg, daily. Blood eosinophil count was down to 10% and there was no abnormal lesion in the liver on abdominal ultrasound finding.

Keyword

Fascioliasis; eosinophilia; Triclabendazole

MeSH Terms

Abdominal Pain
Amikacin
Biopsy
Bone Marrow
Cefotaxime
Child*
Diagnosis
Eosinophilia*
Eosinophils
Fasciola
Fasciola hepatica
Fascioliasis
Fever
Follow-Up Studies
Humans
Immunoglobulin G
Liver Abscess*
Liver*
Male
Metronidazole
Serologic Tests
Ultrasonography
Amikacin
Cefotaxime
Immunoglobulin G
Metronidazole