Akkuzu Mustafa Zanyar, Yavuz Ahmet, Ebik Berat, Karabulut Ümit, Üzel Ali, Bacaksız Ferhat
Diyarbakir Gazi Yasargil Training and Research Hospital, Diyarbakır, Turkey.
Iran J Parasitol. 2024 Oct-Dec;19(4):480-483. doi: 10.18502/ijpa.v19i4.17169.
This article discusses infection, a zoonotic parasite that lives in the liver bile ducts. A 31-year-old female patient was diagnosed with symptoms such as nausea, increased liver enzymes, and right upper quadrant pain for about a year. The parasite was detected in the common bile duct by Endoscopic Ultrasound (EUS) and removed by Endoscopic Retrograde Cholangio Pancreatography (ERCP). Treatment was performed with 10 mg/kg triclabendazole. Eosinophilia, abdominal pain, and dietary history are important clues in the diagnosis of infection. Imaging methods, especially EUS, play a critical role in diagnosis. With this method, parasites can be seen as mobile hyperechogenic structures. If untreated, parasites can survive in their hosts for many years, therefore early diagnosis and treatment are important in preventing complications. It is recommended to monitor the eosinophil levels and serological test results of patients after treatment. As a result, EUS is a very valuable diagnostic tool in suspected cases.
本文讨论了一种寄生于肝内胆管的人畜共患寄生虫感染。一名31岁女性患者出现恶心、肝酶升高和右上腹疼痛等症状约一年。通过内镜超声(EUS)在胆总管中检测到该寄生虫,并通过内镜逆行胰胆管造影(ERCP)将其清除。使用10mg/kg三氯苯达唑进行治疗。嗜酸性粒细胞增多、腹痛和饮食史是感染诊断的重要线索。成像方法,尤其是EUS,在诊断中起关键作用。通过这种方法,寄生虫可被视为活动的高回声结构。如果不进行治疗,寄生虫可在宿主体内存活多年,因此早期诊断和治疗对于预防并发症很重要。建议在治疗后监测患者的嗜酸性粒细胞水平和血清学检测结果。因此,EUS在疑似病例中是一种非常有价值的诊断工具。