title: [Human fasciolasis and gastrointestinal compromise: study of 277 patients in the Cayetano Heredia National Hospital (1970-2002)].
abstract: This is a retrospective and descriptive review of 277 patients suffering fasciolasis. These patients were seen in Hospital Nacional Cayetano Heredia between 1970-2002; 240 (86.6%) developed the chronic phase and 37 (13.3%) the acute form. Group aged 20-29 years were the most affected (24%). The main places infected were the interandean valleys of Lima, Ancash and Junin. The 277 patients the main symptoms were: abdominal pain in 236, nausea/vomiting in 106 and diarrhea in 100. Hepatomegaly in 56, pallor in 44 and fever in 23 were the main physical findings. 47% (80/169) suffered eosinophilia, 46% (38/82) had an increase of alkaline phosphatase and 31% (52/169) anemia.
authors.affiliation: Universidad Peruana Cayetano Heredia. gilberto_bt@hotmail.com
authors.forename: Gilberto Blancas
authors.initials: GB
authors.lastname: Torres
authors.forename: Angélica Terashima
authors.initials: AT
authors.lastname: Iwashita
authors.forename: Ciro Maguiña
authors.initials: CM
authors.lastname: Vargas
authors.forename: Luis Vera
authors.initials: LV
authors.lastname: Luján
authors.forename: Humberto Alvarez
authors.initials: HA
authors.lastname: Bianchi
authors.forename: Raúl Tello
authors.initials: RT
authors.lastname: Casanova
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001774:Blood Chemical Analysis; D002648:Child; D002675:Child, Preschool; D005210:Fasciola hepatica / Q000302:isolation & purification*; D005211:Fascioliasis / Q000097:blood / Q000453:epidemiology* / Q000473:pathology; D005243:Feces / Q000469:parasitology; D005260:Female; D006403:Hematologic Tests; D006801:Humans; D008297:Male; D008875:Middle Aged; D010270:Parasite Egg Count; D010568:Peru / Q000453:epidemiology; D012189:Retrospective Studies