Haseeb AN, el-Shazly AM, Arafa MA, Morsy AT, 2002. A review on fascioliasis in Egypt. J Egypt Soc Parasitol 32: 317–354.
Sohn BW, Kang GS, Han TH, 1992. Studies on the optimal time for therapy of Fasciola spp. infected cattle in central area of Korea. Korean J Vet Serv 15: 1–6.
Sohn BH, 2000. Current status and plan of the fascioliasis in cattle. J Korean Vet Med Assoc 39: 806–818.
Kim YH, Kang KJ, Kwon JH, 2005. Four cases of hepatic fascioliasis mimicking cholangiocarcinoma. Korean J Hepatol 11: 169–175.
World Health Organization, 2007. Report of the WHO Informal Meeting on use of triclabendazole in fascioliasis control, WHO headquarters, Geneva, Switzerland, 17–18 October 2006. Geneva, Switzerland: WHO.
Apt W, Aguilera X, Vega F, Miranda C, Zulantay I, Perez C, Gabor M, Apt P, 1995. Treatment of human chronic fascioliasis with triclabendazole: Drug efficacy and serologic response. Am J Trop Med Hyg 52: 532–535.
Choi S, Park S, Hong S, Shin H, Jung BK, Kim MJ, 2022. Green vegetable juice as a potential source of human fascioliasis in Korea. One Health 15: 100441.
Jin Y, Kim EM, Choi MH, Oh MD, Hong ST, 2017. Significance of serology by multi-antigen ELISA for tissue helminthiases in Korea. J Korean Med Sci 32: 1118–1123.
Venkatesh SK et al.; IPSCSG, 2022. Reporting standards for primary sclerosing cholangitis using MRI and MR cholangiopancreatography: Guidelines from MR Working Group of the International Primary Sclerosing Cholangitis Study Group. Eur Radiol 32: 923–937.
Marcos LA, Terashima A, Gotuzzo E, 2008. Update on hepatobiliary flukes: Fascioliasis, opisthorchiasis and clonorchiasis. Curr Opin Infect Dis 21: 523–530.
Parkinson M, O’Neill SM, Dalton JP, 2007. Endemic human fasciolosis in the Bolivian Altiplano. Epidemiol Infect 135: 669–674.
Kaya M, Bestas R, Cetin S, 2011. Clinical presentation and management of Fasciola hepatica infection: Single-center experience. World J Gastroenterol 17: 4899–4904.
Aksoy DY, Kerimoglu U, Oto A, Erguven S, Arslan S, Unal S, Batman F, Bayraktar Y, 2005. Infection with Fasciola hepatica. Clin Microbiol Infect 11: 859–861.
Mas-Coma S, Bargues MD, Valero MA, 2014. Diagnosis of human fascioliasis by stool and blood techniques: Update for the present global scenario. Parasitology 141: 1918–1946.
Schiappacasse RH, Mohammadi D, Christie AJ, 1985. Successful treatment of severe infection with Fasciola hepatica with praziquantel. J Infect Dis 152: 1339–1340.
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.
Richter J, Freise S, Mull R, Millán JC, 1999. Fascioliasis: Sonographic abnormalities of the biliary tract and evolution after treatment with triclabendazole. Trop Med Int Health 4: 774–781.
Kang BK, Jung BK, Lee YS, Hwang IK, Lim H, Cho J, Hwang JH, Chai JY, 2014. A case of Fasciola hepatica infection mimicking cholangiocarcinoma and ITS-1 sequencing of the worm. Korean J Parasitol 52: 193–196.
Hillyer GV, Serrano AE, 1983. The antigens of Paragonimus westermani, Schistosoma mansoni, and Fasciola hepatica adult worms. Evidence for the presence of cross-reactive antigens and for cross-protection to Schistosoma mansoni infection using antigens of Paragonimus westermani. Am J Trop Med Hyg 32: 350–358.
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Fascioliasis, a food-borne trematodiasis, is a disease primarily identified in livestock, such as sheep and cattle. Human fascioliasis has been reported sporadically in Korea, but a recent increase in patients has been associated with a green vegetable juice delivery service. We aimed to investigate the serological and radiological findings of the patients treated for fascioliasis. Patients with peripheral eosinophilia, which is a positive antibody for Fasciola hepatica (F. hepatica) and liver abscess, were considered to have fascioliasis and were treated with triclabendazole at a dose of 10 mg/kg, administered twice. A total of 21 patients diagnosed with fascioliasis were included. Patients were categorized into the early and late diagnosis groups according to the time gap between the presentation and diagnosis. A comparison of initial magnetic resonance imaging (MRI) between the two groups revealed a filling defect of the bile duct that was more commonly observed in the late diagnosis group (72.7% versus 0%; P = 0.003). Hepatic abscess lesions resolved slowly, with 14.3%, 50%, and 85.7% of patients showing complete resolution on computed tomography 6, 12, and 24 months after treatment, respectively. The mean levels of anti-F. hepatica antibodies decreased after a 6-month follow-up (mean levels, onset versus 6-month, 12-month, or 24-month follow-up; 4.36 versus 3.29, 3.17, or 2.31, respectively; all P <0.01). Eosinophil counts reduced significantly 1 month after treatment and remained normal thereafter in both groups. This study suggests that MRI could be useful for diagnosing fascioliasis in a subgroup of patients and that hepatic abscesses and positive antibody results could last for several months after treatment.
Financial support: This research was supported by the
Disclosures: This study was approved by the ethical committee of Asan Medical Center (2023-1830). The requirement for informed consent was waived given the retrospective nature of the study.
Current contact information: Min Jae Kim, E-mail: nahani99@gmail.com. Eun Jeong Won, Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea, E-mail: ejwon@amc.seoul.kr. Kyung-Won Kim, Department of Laboratory Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea, E-mail: kyungwon.kim@amc.seoul.kr, Eui-Jin Chang, Jiwon Jung, Yong Pil Chong, Sang-Oh Lee, Sang-Ho Choi, Yang Soo Kim, Sung-Han Kim and Min Jae Kim, Department of Infectious diseases, Asan Medical Center ,University of Ulsan College of Medicine, Seoul, Korea, E-mails: radiohead0618@amc.seoul.kr, trueblue27@naver.com, drchong@amc.seoul.kr, soleemd@amc.seoul.kr, sangho@amc.seoul.kr, yskim@amc.seoul.kr, shkimmd@amc.seoul.kr, and nahani99@gmail.com.
Haseeb AN, el-Shazly AM, Arafa MA, Morsy AT, 2002. A review on fascioliasis in Egypt. J Egypt Soc Parasitol 32: 317–354.
Sohn BW, Kang GS, Han TH, 1992. Studies on the optimal time for therapy of Fasciola spp. infected cattle in central area of Korea. Korean J Vet Serv 15: 1–6.
Sohn BH, 2000. Current status and plan of the fascioliasis in cattle. J Korean Vet Med Assoc 39: 806–818.
Kim YH, Kang KJ, Kwon JH, 2005. Four cases of hepatic fascioliasis mimicking cholangiocarcinoma. Korean J Hepatol 11: 169–175.
World Health Organization, 2007. Report of the WHO Informal Meeting on use of triclabendazole in fascioliasis control, WHO headquarters, Geneva, Switzerland, 17–18 October 2006. Geneva, Switzerland: WHO.
Apt W, Aguilera X, Vega F, Miranda C, Zulantay I, Perez C, Gabor M, Apt P, 1995. Treatment of human chronic fascioliasis with triclabendazole: Drug efficacy and serologic response. Am J Trop Med Hyg 52: 532–535.
Choi S, Park S, Hong S, Shin H, Jung BK, Kim MJ, 2022. Green vegetable juice as a potential source of human fascioliasis in Korea. One Health 15: 100441.
Jin Y, Kim EM, Choi MH, Oh MD, Hong ST, 2017. Significance of serology by multi-antigen ELISA for tissue helminthiases in Korea. J Korean Med Sci 32: 1118–1123.
Venkatesh SK et al.; IPSCSG, 2022. Reporting standards for primary sclerosing cholangitis using MRI and MR cholangiopancreatography: Guidelines from MR Working Group of the International Primary Sclerosing Cholangitis Study Group. Eur Radiol 32: 923–937.
Marcos LA, Terashima A, Gotuzzo E, 2008. Update on hepatobiliary flukes: Fascioliasis, opisthorchiasis and clonorchiasis. Curr Opin Infect Dis 21: 523–530.
Parkinson M, O’Neill SM, Dalton JP, 2007. Endemic human fasciolosis in the Bolivian Altiplano. Epidemiol Infect 135: 669–674.
Kaya M, Bestas R, Cetin S, 2011. Clinical presentation and management of Fasciola hepatica infection: Single-center experience. World J Gastroenterol 17: 4899–4904.
Aksoy DY, Kerimoglu U, Oto A, Erguven S, Arslan S, Unal S, Batman F, Bayraktar Y, 2005. Infection with Fasciola hepatica. Clin Microbiol Infect 11: 859–861.
Mas-Coma S, Bargues MD, Valero MA, 2014. Diagnosis of human fascioliasis by stool and blood techniques: Update for the present global scenario. Parasitology 141: 1918–1946.
Schiappacasse RH, Mohammadi D, Christie AJ, 1985. Successful treatment of severe infection with Fasciola hepatica with praziquantel. J Infect Dis 152: 1339–1340.
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.
Richter J, Freise S, Mull R, Millán JC, 1999. Fascioliasis: Sonographic abnormalities of the biliary tract and evolution after treatment with triclabendazole. Trop Med Int Health 4: 774–781.
Kang BK, Jung BK, Lee YS, Hwang IK, Lim H, Cho J, Hwang JH, Chai JY, 2014. A case of Fasciola hepatica infection mimicking cholangiocarcinoma and ITS-1 sequencing of the worm. Korean J Parasitol 52: 193–196.
Hillyer GV, Serrano AE, 1983. The antigens of Paragonimus westermani, Schistosoma mansoni, and Fasciola hepatica adult worms. Evidence for the presence of cross-reactive antigens and for cross-protection to Schistosoma mansoni infection using antigens of Paragonimus westermani. Am J Trop Med Hyg 32: 350–358.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 1428 | 1428 | 492 |
Full Text Views | 12 | 12 | 3 |
PDF Downloads | 14 | 14 | 5 |