Open AccessA Rare Case of Fasciola Hepatica and its Treatment
Author(s) -
Harsha Vardhan Mahalingam,
Rajoo Ramachandran,
Venkatesh Bala Raghu Raji,
Prabhu Radhan Radhakrishnan,
Venkata Sai
Publication year - 2021
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2021/46639.14850
Subject(s) - medicine , fasciola hepatica , zoonosis , abdomen , radiology , abdominal pain , zoonotic disease , physical examination , liver biopsy , disease , biopsy , fever of unknown origin , pathology , surgery , helminths , immunology
Fascioliasis is a re-emerging food-borne parasitic zoonosis which presents with nonspecific clinical symptoms. Definitive diagnosis requires demonstration of parasitic ova in stool which may often be elusive. Imaging plays a crucial role in raising the possibility of this diagnosis early in the disease course. Contrast-Enhanced Computed Tomography (CECT) of the abdomen was performed in a 44-year-old male with fever, right upper quadrant pain and dyspepsia. The patient later underwent an ultrasound-guided biopsy of liver lesions. The stool examination for ova was negative. Biopsy of the liver lesions showed ill-defined granulomas. Imaging plays a crucial role in establishing the early diagnosis of hepatic fascioliasis especially in nonendemic regions where the clinical suspicion for this diagnosis is low. This article places emphasis on the description of typical imaging features of this condition and the usage of additional investigative/testing techniques recommended by the Center for Disease Control and Prevention (CDC).