Abstract

ASTENCIO RODRIGUEZ, Gloria; ARUS SOLER, Enrique; PEREZ MENENDEZ, Roberto  and  SANCHEZ FERNANDEZ, José Carlos. Brote epidémico de fascioliasis invasiva: Estudio de una familia. Rev cubana med [online]. 2002, vol.41, n.4, pp. 212-215. ISSN 1561-302X.

6 cases of a family from a rural area with history of ingestion of wild watercress were studied to explain our clinical and therapeutic observations on this infection. Symptoms of astenia, pain on the right hypochondrium, fever and hepatomegaly were observed some weeks after the ingestion. White blood cell count, global count of eosinophils, aminotranspherasa, alkaline phosphatasa, surface antigen, anti HVC, serodiagnosis for fasciola (indirect ELISA), serial stools, biliary drainage, laparoscopy, liver biopsy and transduodenal cholangiopancreatography were performed. Only the case of a child was studied by laboratory tests. An elevated global account of eosinophils was found in all cases. Eggs of fasciola were detected in 2 cases: one in stools and the other in bilis. The presence of lesions of larva migrans visceral on the liver surface that behaved histologically as granulomas was demonstrated by laparoscopy. Transduodenal cholangiopancreatography proved to be a useful method in the diagnosis and treatment of some cases. Treatment with emetine and prazicuantel was indistinctly indicated.

Keywords : FASCIOLIASIS [diagnosis]; FASCIOLIASIS [drug therapy]; FASCIOLIASIS [epidemiology]; FASCIOLA HEPATICA; EMETINE [therapeutic use]; PRAZICUANTEL [therapeutic use]; DISEASE OUTBREAKS; PARASITIC DISEASES.