title: An unexpected parasitic cause of hypereosinophilia: fascioliasis.
abstract: A six-year-old boy from Eastern Anatolia was admitted to our outpatient clinic with abdominal pain and hyperleukocytosis. His leukocyte count was 50 x 10(9)/L with an 80% eosinophilia. Serological investigation was positive at a titration of 1/2560 for Fasciola hepatica. Hepatomegaly with linear hypoechogenic strains, which is typical for F. hepatica, was seen on abdominal ultrasonography. He was successfully treated with triclabendazole, 10 mg/kg/day. He is now under follow-up without any complaints. Hypereosinophilia mimicking leukemia is not an expected finding. To our best knowledge, high leukocyte count with F. hepatica in a child has not been reported in the literature until now.
authors.affiliation: Units of Pediatric Hematology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
authors.forename: Müge
authors.initials: M
authors.lastname: Gökçe
authors.forename: Umit
authors.initials: U
authors.lastname: Sahiner
authors.forename: Sule
authors.initials: S
authors.lastname: Unal
authors.forename: Aslinur
authors.initials: A
authors.lastname: Parlakay
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Oncel
authors.forename: Cansin
authors.initials: C
authors.lastname: Saçkesen
authors.forename: Ateş
authors.initials: A
authors.lastname: Kara
authors.forename: Fatma
authors.initials: F
authors.lastname: Gümrük
mesh_terms: D000871:Anthelmintics / Q000627:therapeutic use; D001562:Benzimidazoles / Q000627:therapeutic use; D002648:Child; D004802:Eosinophilia / Q000469:parasitology*; D005211:Fascioliasis / Q000469:parasitology*; D005243:Feces / Q000469:parasitology; D006801:Humans; D007958:Leukocyte Count; D008297:Male; D000077682:Triclabendazole
chemical_list: D000871:Anthelmintics; D001562:Benzimidazoles; D000077682:Triclabendazole