Abstract
Objectives: To describe the clinical andparaclinical characteristics of Fasciola infected patients .Subjets and methods: Cross-sectional descriptive study on 128 patients diagnosed with fascioliasis from January 2019 to June 2023 treated at National Hospital for Tropical Diseases and National Institute of Malariology, Parasitology and Entomology.Results: Clinical symptoms: Right upper quadrant pain accounted for 74.2%, followed by epigastric pain (44.5%), fatigue and loss of appetite (43.8%), weight loss (42.2%), fever (39.8%) and hepatomegaly (7%). Paraclinical findings: Hypereosinophilia accounted for 75%, elevation of AST and ALT accounted for12.5% and 24.2%, respectively. 91% of patients were positive with anti-fasciola antibodies by ELISA testing, 24% of them had fasciola’s eggs in stool. 100% of patients had liver lesions on ultrasound, of which 62.5% were found in the right liver. The lesions sized from 3 - 5,9 cm in 35.9% and from 6 - 8,9 cm in 38.3% of patients.Conclusions: Clinical and paraclinical characteristics of patients infected with fascioliasis are very diverse. Diagnosis should be based on the combination of clinical features, hypereosinophilia, fasciola antibodies and ultrasound images.
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