ISSN 1306-0015 | E-ISSN 1308-6278
Case Report
The clinical characteristics of fascioliasis in pediatric patients
1 Department of Pediatric Infectious Diseases, Yüzüncü Yıl University School of Medicine, Van, Turkey  
2 Department of Medical Microbiology, Hitit University School of Medicine, Çorum, Turkey  
3 Department of Parasitology, Yüzüncü Yıl University School of Medicine, Van, Turkey  
Turk Pediatri Ars ; : -
DOI: 10.5152/TurkPediatriArs.2018.6842
Key Words: Fasciola hepatica, child, eosinophilia, triclabendazole
Abstract

Fascioliasis is a trematode flatworm infection caused by Fasciola hepatica and F. gigantica. Fasciola hepatica is mesoendemic in Turkey. Six pediatric fascioliasis were presented here. All patients had histories of consumption of various raw vegetables. Four of our patients were at the hepatic phase, while two were at the biliary phase. Except one patient, all patients had eosinophilia. In three patients, total IgE level markedly increased. In these patients, there was an eosinophilic leukomoid reaction accompanied by a high total IgE level. Except one of our patients, all of other patients had positive indirect hemagglutination test. This patient diagnosed with fascioliasis with compatible clinical picture. Except one, all our patients were completely treated with a single treatment regimen of triclabendazole; one patient needed re-administration. Only in patient 1, liver enzymes increased after triclabendazole administration since he had taken the medication longer than prescribed by mistake. The elevation of liver enzymes was not observed in the other patients receiving the correct dose. All patients recovered completely with triclabendazole treatment. The patients’ dietary habits, eosinophilia, and markedly elevated IgE levels may be significant predictors for the physician to suspect fascioliasis.

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