Korean J Parasitol.  2017 Feb;55(1):55-60. 10.3347/kjp.2017.55.1.55.

Human Cases of Fascioliasis in Fujian Province, China

• Ai L
• Cai YC
• Lu Y
• Chen JX
• Chen SH

• KMID: 2374803
• DOI: http://doi.org/10.3347/kjp.2017.55.1.55

Abstract

Fascioliasis is a foodborne zoonotic parasitic disease. We report 4 cases occurring in the same family, in whom diagnosis of acute fascioliasis was established after series of tests. One case was hospitalized with fever, eosinophilia, and hepatic lesions. MRI showed hypodense changes in both liver lobes. The remaining 3 cases presented with the symptom of stomachache only. Stool analysis was positive for Fasciola eggs in 2 adult patients. The immunological test and molecular identification of eggs were confirmed at the National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, Shanghai, China. The results of serological detection were positive in all the 4 patients. DNA sequencing of PCR products of the eggs demonstrated 100% homology with ITS and cox1 of Fasciola hepatica. The conditions of the patients were not improved by broad-spectrum anti-parasitic drugs until administration of triclabendazole.

Keyword

Fasciola hepatica; human case; diagnosis; triclabendazole

MeSH Terms

Adult
Asian Continental Ancestry Group
Centers for Disease Control and Prevention (U.S.)
China*
Diagnosis
Eggs
Eosinophilia
Fasciola
Fasciola hepatica
Fascioliasis*
Fever
Humans*
Immunologic Tests
Liver
Magnetic Resonance Imaging
Ovum
Parasitic Diseases
Polymerase Chain Reaction
Sequence Analysis, DNA