Volume 26, Number 1—January 2020
Autochthonous Human Fascioliasis, Belgium
|Features||Case 1||Case 2|
|Patient age, y/sex||72/M||59/F|
|Date of initial examination
|Laboratory tests, date|
|Eosinophil cell count/mL (% leukocytes)†|
|Nov 2008||9,688 (56)||ND|
|Dec 2008||7,504 (56)||6,750 (43)|
|Mar 2009||8,830 (56.6)||8,525 (55)|
|1 mo after triclabendazole||627 (10.8)||3,526 (41)|
|5 mo after triclabendazole||512 (8.4)||812 (14.5)|
|Aspartate aminotransferases, IU/L‡|
|1 mo after triclabendazole||26||32|
|5 mo after triclabendazole
|Serologic test (method), date||Dec 2008||Jan 2009|
|Ascaris spp. (immunodiffusion)||–||–|
|Echinococcus granulosus (ELISA)||–||–|
|Echinococcus multilocularis (ELISA)||–||ND|
|Toxocara spp. (ELISA)||–||–|
|Trichinella spiralis (ELISA)||+||–|
|Fasciola (indirect hemagglutination), Mar 2009§||1/640||1/2,560|
|1 mo. after triclabendazole||1/640||ND|
|5 mo. after triclabendazole||1/320||1/320|
|Abdominal CT, date||Nov 2008, multiple hypodense liver nodules||Mar 2009, multiple hypodense liver nodules|
|Liver biopsy, date
||Dec 2008, chronic active hepatitis with acute necrosis, presence of eosinophils in portal spaces
|*Both case-patients had an early acute phase of disease during Sep–Dec 2008 with high fever, abdominal pain, generalized itching, and urticarial skin rash. Both cases then had a later disease phase during Nov 2008–Mar 2009 with persistent fatigue and weight loss. CT, computed tomography; IU, International Units; ND, not done; –, negative; +, positive.
†Normal values, 0–400/mL (<7%).
‡Normal values 10–40 IU/L.
§Normal value <1/320.
1Current affiliation: University Center of Charleroi, Charleroi, Belgium.
Page created: December 18, 2019
Page updated: December 18, 2019
Page reviewed: December 18, 2019
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