Ashrafi K, Bargues MD, O’Neill S, Mas-Coma S, 2014. Fascioliasis: a worldwide parasitic disease of importance in travel medicine. Travel Med Infect Dis 12: 636–649.
World Health Organization. Foodborne Trematode Infections [Internet]. Available at: http://www.who.int/foodborne_trematode_infections/fascioliasis/en/. Accessed July 27, 2018.
Hotez PJ, Bottazzi ME, Strych U, Chang LY, Lim YA, Goodenow MM, AbuBakar S, 2015. Neglected tropical diseases among the Association of Southeast Asian Nations (ASEAN): overview and update. PLoS Negl Trop Dis 9: e3575.
Cabada MM, Malaga JL, Castellanos-Gonzalez A, Bagwell KA, Naeger PA, Rogers HK, Maharsi S, Mbaka M, White AC Jr., 2017. Recombinase polymerase amplification compared to real-time polymerase chain reaction test for the detection of Fasciola hepatica in human stool. Am J Trop Med Hyg 96: 341–346.
Behzad C, Lahmi F, Iranshahi M, Mohammad Alizadeh AH, 2014. Finding of biliary fascioliasis by endoscopic ultrasonography in a patient with eosinophilic liver abscess. Case Rep Gastroenterol 8: 310–318.
Das K, Sakuja P, Aggarwal A, Puri AS, Tatke M, 2007. Non-resolving liver abscess with Echinococcus cross-reactivity in a non-endemic region. Indian J Gastroenterol 26: 92–93.
Dronamraju SS, Jaques BC, Schmid M, Samuel JR, Charnley RM, 2014. Fascioliasis: a rare cause of liver abscess. Postgrad Med J 90: 179–180.
El-Shabrawi M, El-Karaksy H, Okasha S, El-Hennawy A, 1997. Human fascioliasis: clinical features and diagnostic difficulties in Egyptian children. J Trop Pediatr 43: 162–166.
Hassan HA, Majid RA, Rashid NG, Nuradeen BE, Abdulkarim QH, Hawramy TA, Rashid RM, Farris AB, Guarner J, Hughson MD, 2013. Eosinophilic granulomatous gastrointestinal and hepatic abscesses attributable to basidiobolomycosis and fasciolias: a simultaneous emergence in Iraqi Kurdistan. BMC Infect Dis 13: 91.
Jha AK, Goenka MK, Goenka U, Chakrabarti A, 2013. Hepatobiliary fascioliasis in non-endemic zones: a surprise diagnosis. Arab J Gastroenterol 14: 29–30.
Kang ML, Teo CH, Wansaicheong GK, Giron DM, Wilder-Smith A, 2008. Fasciola hepatica in a New Zealander traveler. J Travel Med 15: 196–199.
Kim JB, Kim DJ, Huh S, Cho SY, 1995. A human case of invasive fascioliasis associated with liver abscess. Korean J Parasitol 33: 395–398.
Menon P, Sinha AK, Rao KL, Khurana S, Lal S, Thapa BR, 2015. Biliary Fasciola gigantica infestation in a nonendemic area—an intraoperative surprise. J Pediatr Surg 50: 1983–1986.
Mueller J, Dagenbach S, Riecken B, Klinger C, 2017. Ambiguous hepatic mass and fever after stay in Turkey. Internist (Berl) 58: 503–506.
Riazi H, 2001. Large liver abscess: unusual presentation of fascioliasis: case report and literature review. Saudi J Gastroenterol 7: 113–115.
Sapmaz F, Kalkan IH, Guliter S, Nazlıoğlu A, 2013. A clinical presentation of a very rare infection: parenchymal Fasciola hepatica. Turkiye Parazitol Derg 37: 305–306.
Teichmann D, Grobusch MP, Göbels K, Müller HP, Koehler W, Suttorp N, 2000. Acute fascioliasis with multiple liver abscesses. Scand J Infect Dis 32: 558–560.
Wang JK, Ma WJ, Lu Q, Zheng EL, Yang Q, Hu HJ, Liu F, Li QS, Li FY, 2017. First case report of retroperitoneal metastasis of fascioliasis after surgery. Medicine (Baltimore) 96: e9258.
Dusak A, Onur MR, Cicek M, Firat U, Ren T, Dogra VS, 2012. Radiological imaging features of Fasciola hepatica infection–a pictorial review. J Clin Imaging Sci 2: 2.
Bui Thi D, Pham ND, Saegerman C, Losson B, 2016. Current status of fasciolosis in Vietnam: an update and perspectives. J Helminthol 90: 511–522.
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We report a case of Fasciola hepatica liver abscesses in a 67-year-old female returning from a trip to Vietnam. She has been suffering from a fever, right abdominal pain for 4 days, and major eosinophilia. Radiologic investigations showed multiple hypodense confluent abscesses in the right lobe of the liver, complicated by occlusive thrombosis of the right branch of the portal vein. The serological investigation of helminth-elicited eosinophilia showed only a positive serology for F. hepatica. Despite repeated negative stool examinations for any intestinal pathogen, the diagnosis was established by the detection of F. hepatica DNA in stool and pus aspirate samples.
Authors’ addresses: Coralie L’Ollivier, Carole Eldin, and Emilie Lambourg, Aix Marseille University, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France, E-mails: coralie.lollivier@ap-hm.fr, carole.eldin@ap-hm.fr, and emilie.lambourg1@gmail.com. Philippe Brouqui and Jean Christophe Lagier, Aix Marseille Univ, IRD, AP-HM, MEPHI, IHU-Méditerranée Infection, Marseille, France, E-mails: philippe.brouqui@ap-hm.fr and jean-christophe.lagier@ap-hm.fr.
These authors contributed equally to this work.
Ashrafi K, Bargues MD, O’Neill S, Mas-Coma S, 2014. Fascioliasis: a worldwide parasitic disease of importance in travel medicine. Travel Med Infect Dis 12: 636–649.
World Health Organization. Foodborne Trematode Infections [Internet]. Available at: http://www.who.int/foodborne_trematode_infections/fascioliasis/en/. Accessed July 27, 2018.
Hotez PJ, Bottazzi ME, Strych U, Chang LY, Lim YA, Goodenow MM, AbuBakar S, 2015. Neglected tropical diseases among the Association of Southeast Asian Nations (ASEAN): overview and update. PLoS Negl Trop Dis 9: e3575.
Cabada MM, Malaga JL, Castellanos-Gonzalez A, Bagwell KA, Naeger PA, Rogers HK, Maharsi S, Mbaka M, White AC Jr., 2017. Recombinase polymerase amplification compared to real-time polymerase chain reaction test for the detection of Fasciola hepatica in human stool. Am J Trop Med Hyg 96: 341–346.
Behzad C, Lahmi F, Iranshahi M, Mohammad Alizadeh AH, 2014. Finding of biliary fascioliasis by endoscopic ultrasonography in a patient with eosinophilic liver abscess. Case Rep Gastroenterol 8: 310–318.
Das K, Sakuja P, Aggarwal A, Puri AS, Tatke M, 2007. Non-resolving liver abscess with Echinococcus cross-reactivity in a non-endemic region. Indian J Gastroenterol 26: 92–93.
Dronamraju SS, Jaques BC, Schmid M, Samuel JR, Charnley RM, 2014. Fascioliasis: a rare cause of liver abscess. Postgrad Med J 90: 179–180.
El-Shabrawi M, El-Karaksy H, Okasha S, El-Hennawy A, 1997. Human fascioliasis: clinical features and diagnostic difficulties in Egyptian children. J Trop Pediatr 43: 162–166.
Hassan HA, Majid RA, Rashid NG, Nuradeen BE, Abdulkarim QH, Hawramy TA, Rashid RM, Farris AB, Guarner J, Hughson MD, 2013. Eosinophilic granulomatous gastrointestinal and hepatic abscesses attributable to basidiobolomycosis and fasciolias: a simultaneous emergence in Iraqi Kurdistan. BMC Infect Dis 13: 91.
Jha AK, Goenka MK, Goenka U, Chakrabarti A, 2013. Hepatobiliary fascioliasis in non-endemic zones: a surprise diagnosis. Arab J Gastroenterol 14: 29–30.
Kang ML, Teo CH, Wansaicheong GK, Giron DM, Wilder-Smith A, 2008. Fasciola hepatica in a New Zealander traveler. J Travel Med 15: 196–199.
Kim JB, Kim DJ, Huh S, Cho SY, 1995. A human case of invasive fascioliasis associated with liver abscess. Korean J Parasitol 33: 395–398.
Menon P, Sinha AK, Rao KL, Khurana S, Lal S, Thapa BR, 2015. Biliary Fasciola gigantica infestation in a nonendemic area—an intraoperative surprise. J Pediatr Surg 50: 1983–1986.
Mueller J, Dagenbach S, Riecken B, Klinger C, 2017. Ambiguous hepatic mass and fever after stay in Turkey. Internist (Berl) 58: 503–506.
Riazi H, 2001. Large liver abscess: unusual presentation of fascioliasis: case report and literature review. Saudi J Gastroenterol 7: 113–115.
Sapmaz F, Kalkan IH, Guliter S, Nazlıoğlu A, 2013. A clinical presentation of a very rare infection: parenchymal Fasciola hepatica. Turkiye Parazitol Derg 37: 305–306.
Teichmann D, Grobusch MP, Göbels K, Müller HP, Koehler W, Suttorp N, 2000. Acute fascioliasis with multiple liver abscesses. Scand J Infect Dis 32: 558–560.
Wang JK, Ma WJ, Lu Q, Zheng EL, Yang Q, Hu HJ, Liu F, Li QS, Li FY, 2017. First case report of retroperitoneal metastasis of fascioliasis after surgery. Medicine (Baltimore) 96: e9258.
Dusak A, Onur MR, Cicek M, Firat U, Ren T, Dogra VS, 2012. Radiological imaging features of Fasciola hepatica infection–a pictorial review. J Clin Imaging Sci 2: 2.
Bui Thi D, Pham ND, Saegerman C, Losson B, 2016. Current status of fasciolosis in Vietnam: an update and perspectives. J Helminthol 90: 511–522.
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