Fluctuating jaundice and intestinal bleeding in a 6-year-old girl with fascioliasis.
A six-year-old girl presented with fever, haematemesis, melaena, fluctuating jaundice, tender hepatomegaly, palpable gall bladder and eosinophilia. At laparotomy a liver fluke was removed from the common bile duct. Despite treatment with praziquantel and metronidazole she succumbed to severe gastrointestinal bleeding.
D002648:Child; D005211:Fascioliasis / Q000150:complications*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006396:Hematemesis / Q000209:etiology; D006801:Humans; D007565:Jaundice / Q000209:etiology*; D008551:Melena / Q000209:etiology; D015030:Zimbabwe