Case Report: First Molecular Diagnosis of Liver Abscesses Due to Fasciola hepatica Acute Infection Imported from Vietnam

We report a case of liver abscesses in a 67-year-old female returning from a trip to Vietnam. She has been suffering from a fever, right abdominal pain for 4 days, and major eosinophilia. Radiologic investigations showed multiple hypodense confluent abscesses in the right lobe of the liver, complica...

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Bibliographic Details
Published in:The American journal of tropical medicine and hygiene 2020-01, Vol.102 (1), p.106-109
Main Authors: L'Ollivier, Coralie, Eldin, Carole, Lambourg, Emilie, Brouqui, Philippe, Lagier, Jean Christophe
Format: Article
Language:English
Subjects:
Aged
Animals
Anthelmintics - therapeutic use
Antibodies, Helminth - chemistry
Bacteriology
Cardiology and cardiovascular system
Case reports
Emerging diseases
Factor Xa Inhibitors - therapeutic use
Fasciola hepatica
Fascioliasis - diagnosis
Fascioliasis - epidemiology
Fascioliasis - parasitology
Feces - chemistry
France - epidemiology
Human health and pathology
Humans
Infectious diseases
Life Sciences
Liver Abscess - drug therapy
Liver Abscess - epidemiology
Liver Abscess - parasitology
Microbiology and Parasitology
Parasitology
Rivaroxaban - therapeutic use
Travel
Triclabendazole - therapeutic use
Vietnam - epidemiology
Virology
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Summary:We report a case of liver abscesses in a 67-year-old female returning from a trip to Vietnam. She has been suffering from a fever, right abdominal pain for 4 days, and major eosinophilia. Radiologic investigations showed multiple hypodense confluent abscesses in the right lobe of the liver, complicated by occlusive thrombosis of the right branch of the portal vein. The serological investigation of helminth-elicited eosinophilia showed only a positive serology for Despite repeated negative stool examinations for any intestinal pathogen, the diagnosis was established by the detection of DNA in stool and pus aspirate samples.
ISSN:0002-9637
1476-1645
DOI:10.4269/ajtmh.19-0671