Familial Trichostrongylus Infection Misdiagnosed as Acute Fascioliasis.

Keyhan Ashrafi,Meysam Sharifdini,Ali Tahbaz,Santiago Mas-Coma

doi:10.3201/eid2110.141392

Abstract

Familial Trichostrongylus Infection Misdiagnosed as Acute Fascioliasis.

Highlights

To the Editor: Human fascioliasis, infection with Fasciola spp. flukes, is highly pathogenic in both acute and chronic phases and can result in death [1]
Patient 1 had mild abdominal and epigastric pain radiating to her back; onset of abdominal pain and flushing during meals; rigors most prominent at night; severe and voluminous diarrhea intensifying after meals; poor appetite; and urticaria associated with itching on her back, chest, and neck
All patients denied close contact with herbivorous animals but mentioned regular consumption of fresh vegetables from local markets or from the parents’ home garden; the latter had been fertilized with sheep manure a few months before symptom onset

Summary

Introduction

To the Editor: Human fascioliasis, infection with Fasciola spp. flukes, is highly pathogenic in both acute and chronic phases and can result in death [1]. Patient 1 had mild abdominal and epigastric pain radiating to her back; onset of abdominal pain and flushing during meals; rigors most prominent at night; severe and voluminous diarrhea intensifying after meals; poor appetite; and urticaria associated with itching on her back, chest, and neck. Patient 2 had epigastric and severe right upper quadrant pain that radiated to her back; severe liver tenderness; weakness; nausea; flatulence; continuous diarrhea; urticarial lesions associated with itching on hands, abdomen, and chest; and a history of backache and pulmonary allergy a few months earlier.

Results

Conclusion