Human fascioliasis: A diagnostic challenge in resource limited setting

Fascioliasis, a disease caused by liver flukes. It is one of the neglected zoonotic diseases. There are only a few reports of fascioliasis from Ethiopia and no case with predominant extrahepatic presentation has been reported so far. We report a case of young woman, who presented with a two weeks of dry cough and generalized pruritus. Her workup revealed marked eosinophilia and multiple, hypodense, and hypovascular hepatic lesions. An enzymelinked assay became positive for Fasciola hepatica. Fasciola hepatica can present with predominant extra hepatic presentation and should be considered in patients presenting with urticaria, skin rash, cough and eosinophilia.