Paper Information

Journal:   GOVARESH JOURNAL   FALL 2015 , Volume 20 , Number SUPPLEMENT; Page(s) 15 To 15.
 
Paper: 

FASCIOLIASIS

 
 
Author(s):  SARDARIAN HOSSEIN*
 
* BEHESHTI HOSPITAL, GUILAN
 
Abstract: 

Introduction: Fascioliasis is relatively common in north of Iran.Yearly about 20% of population visited northern cities and they may be involved with this disease. So gastroenterologists must be familiar with this disease.
Results: Fascioliasis is a trematode flatworm infection caused by Fasciola hepatica or Fasciola gigantic. Many infections are mild; morbidity increases with fluke burden. Forms of infection include the acute (liver) phase, chronic (biliary) phase, ectopic fascioliasis, and pharyngeal fascioliasis.
The diagnosis of fascioliasis should be considered in patients with abdominal pain and hepatomegaly accompanied by peripheral eosinophilia. The diagnosis can be established by identifying eggs in stool, duodenal aspirates, or bile specimens.
Alternative approaches to diagnosis include identification of adult worms in endoscopic or surgical specimens, or serology. Imaging can be an adjunctive diagnostic tool. Additional diagnostic clues include anemia, abnormal LFT, elevated ESR and IgG.
Conclusion: The physician must be considered fascioliasis in patient return from north of Iran with appropriate clinical manifestation.

 
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