Abstract

Fascioliasis is a worldwide but unevenly distributed zoonosis caused by the trematode Fasciola hepatica that infects domesticated herbivores. Fascioliasis also occurs accidentally in humans through ingestion of freshwater or aquatic plants laden with metacercariae. Human infections are common in developing countries and not uncommon in Europe, and rare in Algeria. The clinical evolution has been classically described in two phases: an acute phase of hepatic parenchymal invasion of an immature worm larva (parenchymal phase) and a stationary phase after stay in the bile duct and egg production (ductal phase). We report a case of a 50-year-old man from Tlemcen, western Algeria, with cholangitis (liver disorder, abdominal pain and jaundice). The diagnosis was confirmed by serology. The serological examination (Western Blot) was positive and the results of magnetic resonance imaging were compatible with fascioliasis.

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