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Case Reports
. 2023;120(11):935-941.
doi: 10.11405/nisshoshi.120.935.

[A case of fascioliasis]

[Article in Japanese]
Akihiro Ueda  1 , Masayuki Miyazaki  1 , Emiri Miyazaki  1 , Makoto Hara  1 , Yuichi Tachibana  1 , Tetsuro Akashi  1
Affiliations
Case Reports

[A case of fascioliasis]

[Article in Japanese]
Akihiro Ueda et al. Nihon Shokakibyo Gakkai Zasshi. 2023.

Abstract

A 38-year-old rice farmer visited a hospital for abdominal pain. Computed tomography (CT) showed a liver tumor and magnetic resonance imaging (MRI) revealed a hypovascular tumor, both in segment 4. Thus, he was diagnosed with liver abscess. Ten days later, CT showed a new liver tumor in segment 8, but the size of the liver tumor in segment 4 had decreased. He was suspected with parasitic disease because of eosinophilia. Enzyme-linked immunosorbent assay showed a high level of serum Fasciola antibody. The patient was diagnosed with fascioliasis and was treated with triclabendazole. Post-treatment, CT revealed that the liver tumors had shrunk. Eosinophilia and multiple lesions were characteristic findings of parasitic disease.

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