Cases of human fascioliasis in India: Tip of the iceberg : Journal of Postgraduate Medicine (original) (raw)
Case Report
Tip of the iceberg
Department of Gastrointestinal Sciences, Christian Medical College, Vellore, India
1Department of Radiodiagnosis, Christian Medical College, Vellore, India
2Department of Medicine and Infectious Diseases, Christian Medical College, Vellore, India
Address for correspondence: Dr. George M Varghese, E-mail: [email protected]
Received August 07, 2011
Received in revised form October 17, 2011
Accepted November 23, 2011
Abstract
This report presents two cases of human fascioliasis from different states in India. Although only few cases of human fascioliasis have been reported from India previously, both these cases were encountered within a span of three months at this tertiary care centre. Case 1 had significant symptoms with episodes of fever, abdominal pain and eosiniphilia and underwent multiple diagnostic procedures before the correct diagnosis was reached. Case 2, who had few symptoms, had fascioliasis diagnosed with minimal evaluation. These different presentations seen at two ends of the clinical spectrum of disease along with findings of peripheral eosinophilia, and radiological findings led to a presumptive diagnosis that was then confirmed by microscopic examination of bile. Morphometric analysis of ova from these cases was suggestive of infestation with F. gigantica or a _F. gigantica_-like hybrid. Both patients were treated with triclabendazole which was imported from Geneva. The need to be aware of the possibility of occurrence of this disease and the inclusion of drugs used for treating the disease, in the Indian drug list, should be emphasized.
© 2012 Journal of Postgraduate Medicine | Published by Wolters Kluwer – Medknow