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Clinical features of 65 cases of fascioliasis in Yunnan Province

  • Qin-cui LI ,
  • Feng CHEN ,
  • Wei GU ,
  • Lei YANG
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  • 1 Research Institute of Schistosomiasis Control in Dali Prefecture, Dali 671000, China
    2 Affiliated Hospital of Dali University, Dali 671000, China
    3 Dali Prefecture People’s Hospital, Dali 671000, China

Received date: 2019-12-09

  Online published: 2020-09-09

Supported by

High-level Health and Technical Talents Cultivating Special Fund in Yunnan Province(媒介生物控制学H-2018072);Key Laboratory of Parasite Vector Biology, Ministry of Health(WSBKTKT-201602)

Abstract

Clinical data of fascioliasis patients recorded in 6 prefectures(cities) in Yunnan Province were collected from November 2011 to November 2018. A total of 65 cases were enrolled, including 28 males and 37 females. The majority of them were farmers (64.6%, 42/65), being Han ethnicity (89.2%, 58/65), and coming from Dali District(72.3%, 47/65). All of the 65 cases had eaten raw vegetables, and 6 of them had drunk unboiled gully water. Eighteen cases involving 5 families had family aggregative phenomenon. All the cases visited hospital for suffering fever and abdominal pain. Blood routine tests showed increased eosinophilia; abdominal color ultrasound scanning or CT (and/or) MRI examination suggested varying degrees of organ lesion particularly in the liver; and fecal sample examination revealed a positive rate of Fasciola eggs of 23.1% (15/65). The test for serum antibody against Fasciola found 58 strongly positive and 7 positive, resulting in a positive rate of 100% (65/65). All of the cases showed obvious improvement in symptoms of fever and abdominal pain after treatment with trichlorobendazole, and blood routine tests showed that eosinophils and liver lesions gradually returned to normal.

Cite this article

Qin-cui LI , Feng CHEN , Wei GU , Lei YANG . Clinical features of 65 cases of fascioliasis in Yunnan Province[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2020 , 38(4) : 521 -523 . DOI: 10.12140/j.issn.1000-7423.2020.04.022

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