title: [Secondary vasculitis to infection by Fasciola hepatica].
abstract: There is a case of a 38 year-old male patient coming from an area where hepatic fascioliasis is endemic in Peru. He was hospitalized because he showed 4 weeks of symptoms like fever, intense myalgias, erythematous and painful injuries on limb extensions. The electromyography and nerve conduction velocity showed a global inflammatory myopathy. A skin biopsy showed polyarteritis nodosa-type vasculitis. During the evaluation process prior to the immunosuppressive therapy, hepatic Fasciola eggs were found in the parasitological examination of stools. The fascioliasis diagnosis was confirmed by fas2-ELISA: 0.46 (VN <0.20). Clinical symptoms started to subside after treatment with ticlabendazol. Contact with the patient was maintained for a year and there was no evidence of disease recurrence, and he was asymptomatic.
authors.affiliation: Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Perú. german.malaga@upch.pe
authors.forename: Germán
authors.initials: G
authors.lastname: Málaga
authors.forename: Rubén
authors.initials: R
authors.lastname: Taco-Palma
authors.forename: Jaime
authors.initials: J
authors.lastname: Cáceres-Pizarro
authors.forename: María de los Angeles
authors.initials: Mde L
authors.lastname: Lazo
authors.forename: Ana
authors.initials: A
authors.lastname: Castaneda-Guarderas
authors.forename: Ray
authors.initials: R
authors.lastname: Ticse
mesh_terms: D000328:Adult; D005211:Fascioliasis; D006801:Humans; D008297:Male; D010488:Polyarteritis Nodosa / Q000469:parasitology*