title: [A case of Fasciola hepatica mimicking sepsis without eosinophilia].
abstract: Fasciolosis is a rare cause of hepatobiliary system infections and caused by the trematode Fasciola hepatica. It primarily infects sheeps or goats, and humans are accidental hosts. On laboratory findings, marked eosinophilia is present in most of the cases. Here, we report a case of fasciolosis without eosinophilia who was presented as sepsis and responded to therapy in second dose of triclabendazole. Sepsis like clinical presentation has been reported in few cases. Forty-eight year old female patient presented with high fever, abdominal pain, hypotension and tachycardia. The patient was considered as sepsis secondary to liver abscess, which was demonstrated on the initial abdominal ultrasonography (USG) findings. Therefore, empirical antibiotic therapy was started. Due to failure of the treatment, the image was found to be compatible with fasciolosis on control magnetic resonance imaging (MRI) and USG. On detailed anamnesis, history of eating watercress was learned and the diagnosis of fasciolosis was confirmed by serological tests.
authors.affiliation: Cerrahpaşa Tıp Fakültesi, Enfeksiyon Hastalıkları Anabilim Dalı, İstanbul, Türkiye. dr.abdkaya@hotmail.com.
authors.forename: Aslı
authors.initials: A
authors.lastname: Oner Vatan
authors.forename: Bilgül
authors.initials: B
authors.lastname: Mete
authors.forename: Mücahit
authors.initials: M
authors.lastname: Yemişen
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Kaya
authors.forename: Fatih
authors.initials: F
authors.lastname: Kantarcı
authors.forename: Neşe
authors.initials: N
authors.lastname: Saltoğlu
mesh_terms: D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D001562:Benzimidazoles / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000175:diagnosis; D005210:Fasciola hepatica; D005211:Fascioliasis / Q000175:diagnosis* / Q000188:drug therapy / Q000469:parasitology / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018805:Sepsis / Q000175:diagnosis; D000077682:Triclabendazole
chemical_list: D000871:Anthelmintics; D001562:Benzimidazoles; D000077682:Triclabendazole