title: Hepatobiliary fascioliasis in non-endemic zones: a surprise diagnosis.
abstract: Fascioliasis is a zoonotic infection caused by Fasciola hepatica. Because of population migration and international food trade, human fascioliasis is being an increasingly recognised entity in nonendemic zones. In most parts of Asia, hepatobiliary fascioliasis is sporadic. Human hepatobiliary infection by this trematode has two distinct phases: an acute hepatic phase and a chronic biliary phase. Hepatobiliary infection is mostly associated with intense peripheral eosinophilia. In addition to classically defined hepatic phase and biliary phase fascioliasis, some cases may have an overlap of these two phases. Chronic liver abscess formation is a rare presentation. We describe a surprise case of hepatobiliary fascioliasis who presented to us with liver abscess without intense peripheral eosinophilia, a rare presentation of human fascioliasis especially in non-endemic zones.
authors.affiliation: Institute of Gastro Sciences, Apollo Gleneagles Hospital, Kolkata, India. ashishjhabn@yahoo.co.on
authors.forename: Ashish Kumar
authors.initials: AK
authors.lastname: Jha
authors.forename: Mahesh Kumar
authors.initials: MK
authors.lastname: Goenka
authors.forename: Usha
authors.initials: U
authors.lastname: Goenka
authors.forename: Amrita
authors.initials: A
authors.lastname: Chakrabarti
mesh_terms: D015746:Abdominal Pain / Q000469:parasitology; D000368:Aged; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D001562:Benzimidazoles / Q000627:therapeutic use; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005211:Fascioliasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008100:Liver Abscess / Q000469:parasitology*; D008297:Male; D000077682:Triclabendazole
chemical_list: D000871:Anthelmintics; D001562:Benzimidazoles; D000077682:Triclabendazole