Pereira Sara, Cerqueira Paula, Azevedo Sabina, Sousa Bárbara, Faraldo Selmira
Internal Medicine, Hospital Conde de Bertiandos, Unidade Local de Saúde do Alto Minho, Ponte de Lima, PRT.
Internal Medicine, Hospital Distrital de Santarém, Santarém, PRT.
Cureus. 2024 Nov 26;16(11):e74527. doi: 10.7759/cureus.74527. eCollection 2024 Nov.
Fascioliasis is a zoonotic disease that may affect humans as incidental hosts after the ingestion of contaminated water or aquatic plants. Despite the non-specificity of its signs and symptoms, a triad of abdominal pain, fever, and peripheral eosinophilia should increase suspicion. The diagnosis of fascioliasis can be particularly difficult in non-endemic countries. It presents a worldwide but heterogeneous distribution, according to several environmental and human activity-related factors. Few cases have been described in Portugal. The authors report the case of a 48-year-old man presenting with abdominal pain, fever, and nighttime sweating. The CT scan revealed multiple hepatic nodules, which were then confirmed as abscesses in the context of hepatic fascioliasis. We aim to alert for the persistence of a few autochthonous cases of human fascioliasis in Portugal, the need to maintain a high degree of suspicion for this disease despite its non-specific presentation, and the emergence of triclabendazole resistance.
肝片吸虫病是一种人畜共患病，人类在摄入受污染的水或水生植物后可能作为偶然宿主受到感染。尽管其体征和症状缺乏特异性，但腹痛、发热和外周嗜酸性粒细胞增多三联征应增加怀疑。在非流行国家，肝片吸虫病的诊断可能特别困难。根据一些与环境和人类活动相关的因素，该病在全球范围内分布，但分布不均。葡萄牙报道的病例很少。作者报告了一例48岁男性，表现为腹痛、发热和夜间盗汗。CT扫描显示多个肝结节，随后在肝片吸虫病的背景下确诊为脓肿。我们旨在提醒注意葡萄牙仍有少数本土人类肝片吸虫病病例，尽管该病表现缺乏特异性，但仍需高度怀疑，同时要注意三氯苯达唑耐药性的出现。
