Human fascioliasis: a field study in Tamya center Fayoum governorate

ABSTRACT

Seven hundred individuals were examined for fasciola eggs in the stools, 20 [3 percent] of them were found positive, these 20 patients were subjected to clinical examination. Seventeen of them completed the study for whom hematologic, ultrasonographic and serological tests were done. Praziquantel was used for their treatment. Abdominal pain, distension anemia and fever were the main symptoms. Hepatomegaly, splenomegaly and jaundice were observed in 40 percent, 25 percent and 10 percent respectively. Anemia and eosinophilia were the main hematological findings. Ultrasonography demonstrated fasciola worms in the gall bladder and C.B.D., and bile duct thickening and dilatation were observed. ELISA and CCIEP were positive in 82.4 percent and 76.5 percent respectively and when both tests were used, positive results were found in 94 percent. Praziquantel was found ineffective [95 percent failure]