Case report fasciolopsiasis: a first case report from Malaysia

Fasciolopsiasis is a disease caused by the largest intestinal fluke, Fasciolopsis buski. The disease is endemic in the Far East and Southeast Asia. Human acquires the infection after eating raw freshwater plants contaminated with the infective metacercariae. There has been no report of fasciolopsias...

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Main Authors: Rohela, M., Jamaiah, I., Menon, J., Rachel, J.
Format: Article
Language:English
Published: 2005
Subjects:
Online Access:http://eprints.um.edu.my/4179/1/CASE_REPORT_FASCIOLOPSIASIS-_A_FIRST_CASE_REPORT_FROM_MALAYSIA.pdf
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author Rohela, M.
Jamaiah, I.
Menon, J.
Rachel, J.
author_facet Rohela, M.
Jamaiah, I.
Menon, J.
Rachel, J.
author_sort Rohela, M.
collection UM
description Fasciolopsiasis is a disease caused by the largest intestinal fluke, Fasciolopsis buski. The disease is endemic in the Far East and Southeast Asia. Human acquires the infection after eating raw freshwater plants contaminated with the infective metacercariae. There has been no report of fasciolopsiasis either in man or in animal in Malaysia. We are reporting the first case of fasciolopsiasis in Malaysia in a 39-year-old female farmer, a native of Sabah (East Malaysia). This patient complained of cough and fever for a duration of two weeks, associated with loss of appetite and loss of weight. She had no history of traveling overseas. Physical examination showed pallor, multiple cervical and inguinal lymph nodes and hepatosplenomegaly. Laboratory investigations showed that she had iron deficiency anemia. There was leukocytosis and a raised ESR. Lymph node biopsy revealed a caseating granuloma. Stool examination was positive for the eggs of Fasciolopsis buski. The eggs measure 140 x 72.5 microm and are operculated. In this case, the patient did not present with symptoms suggestive of any intestinal parasitic infections. Detection of Fasciolopsis buski eggs in the stool was an incidental finding. She was diagnosed as a case of disseminated tuberculosis with fasciolopsiasis and was treated with antituberculosis drugs and praziquantel, respectively.
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spelling um.eprints-41792012-12-12T04:29:12Z http://eprints.um.edu.my/4179/ Case report fasciolopsiasis: a first case report from Malaysia Rohela, M. Jamaiah, I. Menon, J. Rachel, J. R Medicine Fasciolopsiasis is a disease caused by the largest intestinal fluke, Fasciolopsis buski. The disease is endemic in the Far East and Southeast Asia. Human acquires the infection after eating raw freshwater plants contaminated with the infective metacercariae. There has been no report of fasciolopsiasis either in man or in animal in Malaysia. We are reporting the first case of fasciolopsiasis in Malaysia in a 39-year-old female farmer, a native of Sabah (East Malaysia). This patient complained of cough and fever for a duration of two weeks, associated with loss of appetite and loss of weight. She had no history of traveling overseas. Physical examination showed pallor, multiple cervical and inguinal lymph nodes and hepatosplenomegaly. Laboratory investigations showed that she had iron deficiency anemia. There was leukocytosis and a raised ESR. Lymph node biopsy revealed a caseating granuloma. Stool examination was positive for the eggs of Fasciolopsis buski. The eggs measure 140 x 72.5 microm and are operculated. In this case, the patient did not present with symptoms suggestive of any intestinal parasitic infections. Detection of Fasciolopsis buski eggs in the stool was an incidental finding. She was diagnosed as a case of disseminated tuberculosis with fasciolopsiasis and was treated with antituberculosis drugs and praziquantel, respectively. 2005 Article PeerReviewed application/pdf en http://eprints.um.edu.my/4179/1/CASE_REPORT_FASCIOLOPSIASIS-_A_FIRST_CASE_REPORT_FROM_MALAYSIA.pdf Rohela, M. and Jamaiah, I. and Menon, J. and Rachel, J. (2005) Case report fasciolopsiasis: a first case report from Malaysia. Southeast Asian Journal of Tropical Medicine and Public Health, 36 (2). pp. 456-458. ISSN 0125-1562 , DOI 15916055. http://www.ncbi.nlm.nih.gov/pubmed/15916055 15916055
spellingShingle R Medicine
Rohela, M.
Jamaiah, I.
Menon, J.
Rachel, J.
Case report fasciolopsiasis: a first case report from Malaysia
title Case report fasciolopsiasis: a first case report from Malaysia
title_full Case report fasciolopsiasis: a first case report from Malaysia
title_fullStr Case report fasciolopsiasis: a first case report from Malaysia
title_full_unstemmed Case report fasciolopsiasis: a first case report from Malaysia
title_short Case report fasciolopsiasis: a first case report from Malaysia
title_sort case report fasciolopsiasis a first case report from malaysia
topic R Medicine
url http://eprints.um.edu.my/4179/1/CASE_REPORT_FASCIOLOPSIASIS-_A_FIRST_CASE_REPORT_FROM_MALAYSIA.pdf
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