[Hemorrhagic ascites disclosing massive Fasciola hepatica infection].
Multi-organ infection with Fasciola hepatica is uncommon. We report a case of severe infection with Fasciola hepatica as a cause of liver and peritoneum injuries with hemorrhagic ascites as well as pulmonary, pericardial, splenic and portal system injuries in a 37-year old man who was a native of Green Cape. The patient was in poor general health, had a major inflammatory syndrome, and polyclonal hypergammaglobulinemia (90 g/L). The diagnosis was confirmed by positive distomatosis serology and the presence of eggs of Fasciola hepatica in the histological samples of the liver and peritoneum. After treatment with praziquantel then triclabendazole, the global outcome was favorable.
Montembault
S
S
Service d'Hépatologie, Hôpital Saint-Antoine, Paris.
Serfaty
L
L
Poirot
J L
JL
Wendum
D
D
Penna
C
C
Poupon
R
R
D000328:Adult; D000871:Anthelmintics / Q000627:therapeutic use; D000980:Antiplatyhelmintic Agents / Q000627:therapeutic use; D001202:Ascitic Fluid / Q000188:drug therapy / Q000469:parasitology*; D001562:Benzimidazoles / Q000627:therapeutic use; D005211:Fascioliasis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D006470:Hemorrhage / Q000188:drug therapy / Q000469:parasitology*; D006801:Humans; D008297:Male; D011223:Praziquantel / Q000627:therapeutic use; D000077682:Triclabendazole
D000871:Anthelmintics; D000980:Antiplatyhelmintic Agents; D001562:Benzimidazoles; D000077682:Triclabendazole; D011223:Praziquantel
Ascite hémorragique révélant une infection massive à Fasciola hepatica.