Yattoo Ghulam N, Dar Gulzar A, Jan Kowsar, Sodhi Jaswinder S, Rasool Zubaida, Kaushik Saurabh, Gorka Suresh
Gastroenterology, SKIMS, Srinagar, 190011, India.
Department of Microbiology, SKIMS, India.
J Clin Exp Hepatol. 2021 Nov-Dec;11(6):747-750. doi: 10.1016/j.jceh.2020.12.010. Epub 2021 Jan 5.
Although few case reports of human fascioliasis have been reported from different parts of India, there is no case reported from the Kashmir valley to date. Herein we report two cases of human fascioliasis. Both patients presented with fever, marked eosinophilia, and liver lesions on imaging. Hepatobiliary imaging showed vague features like mild biliary dilatation and liver lesions representing burrows. A liver biopsy in one of the patients revealed eosinophilic granuloma. Both patients were diagnosed definitively with endoscopic retrograde cholangiopancreatography (ERCP) by demonstrating live adult fasciola worms. Any patient presenting with fever, marked eosinophilia, and liver lesions on imaging should be evaluated for fascioliasis.
尽管印度不同地区已有少数人体肝片吸虫病的病例报告，但克什米尔山谷地区迄今尚无病例报告。在此，我们报告两例人体肝片吸虫病病例。两名患者均表现出发热、明显的嗜酸性粒细胞增多以及影像学检查显示的肝脏病变。肝胆影像学检查显示出一些模糊的特征，如轻度胆管扩张和代表虫穴的肝脏病变。其中一名患者的肝活检显示嗜酸性肉芽肿。通过在内镜逆行胰胆管造影术（ERCP）中发现活的成虫肝片吸虫，两名患者均被明确诊断。任何出现发热、明显嗜酸性粒细胞增多以及影像学检查显示肝脏病变的患者都应接受肝片吸虫病的评估。
