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A 40 year-old woman living in Gialai, Kontum, Vietnam, developed a red solid mass in the epigastric region. From ultrasound investigation, liver abscess and myositis of the intercostal muscle was diagnosed. Two weeks after treatment with antibiotics, the mass disappeared, but a migratory track developed in the right upper quadrant of the abdomen. An aspiration of the vesicular end of the serpiginous track showed a light brown, living worm that was later identified as an immature Fasciola sp. This is the first case report of cutaneous fascioliasis in the form similar to creeping eruption.
Received June 9, 2004. Accepted for publication September 1, 2004.
Acknowledgments: We thank Dr. Alvaro Cervera for his help translating the Spanish article (reference 9) referred to in this paper, and Paul Adams for editing the manuscript. The American Committee on Clinical and Tropical Medicine and Travelers Health (ACCTMTH) assisted with publication expenses.
Authors addresses: Le Thi Xuan, Department of Parasitology, Faculty of Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, 217 Hong Bang, District 5, Ho Chi Minh City, Vietnam, E-mail: lexuan02{at}hcm.vnn.vn.. Nguyen Thien Hung, Medic Medical Centre, 254 Hoa Hao, District 10, Ho Chi Minh City, Vietnam. Jitra Waikagul, Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, 420/6 Ratchawithi Road, Bangkok 10400, Thailand.
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