Human fasciolosis due to Fasciola gigantica: the first case report in the southwest of Iran.

Abstract

Fasciolosis is a common parasitic disease in many parts of the world. The current case study is the first report of the confirmed fasciolosis in the southwest of Iran. The patient was a 51-year-old woman whom was referred to hospital for hypochondria pain and mild fever. She had several travels history to north province and consumption of row watercress. Sonography and ERCP (endoscopic retrograde cholangiopancreatography) finding showed two mature Fasciola spp. in her common bile duct (CBD). The helminths were pulled from CBD and was identified as F. gigantica. The sera of the patient and her family were examined. The titration of antibody against Fasciola was high in sera of the patient but not positive for other member of her family. In the area with low prevalence of fasciolosis, patients clinical history and travelling to endemic areas should be considered for correct diagnosis. Fasciolosis should be considered as a travel-borne diseases in endemic areas and the consumption of water vegetables should be avoided.