4.8 Review

Parasites of the liver - epidemiology, diagnosis and clinical management in the European context

Journal

JOURNAL OF HEPATOLOGY
Volume 75, Issue 1, Pages 202-218

Publisher

ELSEVIER
DOI: 10.1016/j.jhep.2021.02.015

Keywords

Liver parasites; alveolar echinococcosis; cystic echinococcosis; Echinococcus multilocularis; Echinococcus granulosus; hydatid disease; schistosomiasis; fascioliasis; liver flukes; ascariasis; amoebiasis

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Liver parasites can lead to significant global morbidity, especially in Europe where their incidence is increasing due to climate change and globalisation. The correct diagnosis of hepatic parasites is often delayed because clinicians are unfamiliar with them, highlighting the importance of bringing attention to these neglected parasitic liver diseases.
Parasites in the liver cause significant global morbidity and mortality, as they can lead to recurrent cholangitis, cirrhosis, liver failure and cancer. Due to climate change and globalisation, their incidence is increasing, especially in Europe. The correct diagnosis of a hepatic parasite is often delayed because clinicians are unfamiliar with respective entities. Therefore, in this review, we aim to provide clinicians with a comprehensive clinical picture of hepatic parasites and to bring these neglected parasitic liver diseases to the wider attention of hepatology stakeholders in Europe and around the world. (C) 2021 Published by Elsevier B.V. on behalf of European Association for the Study of the Liver.

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