Journal
INFECTIOUS DISEASES AND CLINICAL MICROBIOLOGY
Volume 5, Issue 1, Pages 49-52Publisher
DOC DESIGN INFORMATICS CO LTD
DOI: 10.36519/idcm.2023.197
Keywords
Fascioliasis; Fasciola hepatica; liver abscess; triclabendazole
Categories
Ask authors/readers for more resources
This is a case of a 57-year-old female patient with symptoms of fever, nausea, vomiting, loss of appetite, and weight loss. Antibiotic therapy for liver abscess was ineffective. After liver abscess biopsy, the patient developed fever, itching, anemia, acute renal failure, hyperbilirubinemia, and eosinophilia. The patient was admitted to the intensive care unit and Fasciola hepatica antibodies were detected. Treatment with Triclabendazole led to improvement in symptoms and MRI findings.
A 57-year-old female patient presented with fever, nausea, vomiting, loss of appetite, and weight loss within the last two months. Ceftriaxone and metronidazole therapy was start-ed upon discovery of a liver abscess but provided no benefit. Following the of abscess bi-opsy, the patient developed fever, itching, anemia, acute renal failure, hyperbilirubinemia, and eosinophilia that required intensive care unit (ICU) admission. The Fasciola hepatica antibodies were detected by enzyme-linked immunosorbent assay (ELISA). Triclabendazole was started, after which the symptoms and magnetic resonance imaging (MRI) findings regressed. Even without eosinophilia, F. hepatica should be considered in cases with a liver abscess that does not respond to antibiotics.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available