BACKGROUND Fasciola hepatica(F.hepatica)(liver fluke)is a parasitic trematode that infects humans through the consumption of contaminated aquatic plants harboring the infective stage of the parasite.Despite being a ne...BACKGROUND Fasciola hepatica(F.hepatica)(liver fluke)is a parasitic trematode that infects humans through the consumption of contaminated aquatic plants harboring the infective stage of the parasite.Despite being a neglected tropical disease,a World Health Organi-zation report estimates that it affects approximately 2.4 million people worldwide,with high endemicity in regions characterized by poor sanitation and limited access to clean water.Clinical manifestations range from asymptomatic infection to severe complications such as liver abscess and multiorgan involvement.CASE SUMMARY We report 4 cases with varied and unusual presentations.Case 1:A 41-year-old woman with an initial presumptive clinical diagnosis of liver malignancy.Case 2:A 34-year-old woman who presented with urticaria and eosinophilia,initially suspected to be vasculitis.Case 3:A 67-year-old man who presented with dyspeptic symptoms,easy fatigability,headache,and fever.Case 4:A 60-year-old patient who presented with an eosinophilic liver abscess after prolonged antibiotic treatment failure.CONCLUSION Hepatic fascioliasis is frequently misdiagnosed due to its non-specific symptoms and limited diagnostic tools,especially in resource-limited settings.It is crucial to enhance awareness among healthcare professionals regarding its recognition and appropriate management.This case report aims to contribute to the growing body of literature on F.hepatica infection to facilitate timely diagnosis and empiric treatment with triclabendazole or nitazoxanide,as these are effective and reduce unnecessary interventions.展开更多
BACKGROUND Hepatic eosinophilic pseudotumor(HEPT)is a rare condition that mimics ma-lignant hepatic tumors,posing significant diagnostic challenges.This case report highlights the importance of considering parasitic i...BACKGROUND Hepatic eosinophilic pseudotumor(HEPT)is a rare condition that mimics ma-lignant hepatic tumors,posing significant diagnostic challenges.This case report highlights the importance of considering parasitic infections like Fasciola hepatica(F.hepatica)in the differential diagnosis of hepatic masses,especially in endemic regions,to prevent unnecessary interventions.CASE SUMMARY A 40-year-old female presented with a 1-month history of epigastric pain and significant weight loss.Imaging revealed a hepatic mass,initially misdiagnosed as intrahepatic cholangiocarcinoma.Laboratory results showed marked eosinophilia,and histopathological examination confirmed significant eosinophilic infiltration without malignancy.Serological testing identified F.hepatica infection.The patient was treated with a single dose of triclabendazole,leading to complete symptom resolution and normalization of hepatic imaging findings within days.CONCLUSION HEPT due to F.hepatica can closely mimic malignancy;timely antiparasitic treat-ment is crucial for resolution.展开更多
Changes of concentrations were studied in water buffaloes and goats infected with Fasciola he-patica on blood NO(nitric oxide) and TNF-α(tumor necrosis factor-α). Twenty healthy male castrated water buffaloes of 2 -...Changes of concentrations were studied in water buffaloes and goats infected with Fasciola he-patica on blood NO(nitric oxide) and TNF-α(tumor necrosis factor-α). Twenty healthy male castrated water buffaloes of 2 - 3 years old and weighing 300 - 500 kg as well as six goats were confirmed free of fasciolosis by fecal examination and Dot-ELISA. Two studies were conducted using the water buffaloes. In the first experiment, 8 water buffaloes were randomly divided into control group (n = 3) and infection group (n = 5). Each buffalo in the infected group received orally 60 metacercariae of F. hepatica per day for 20 days (total 1 200 metacercariae) to produce a chronic infection. In the second experiment, 12 water buffaloes were randomly divided into infected (n=9) and control group (n = 3). Each buffalo in the infected group was given a single oral dose of 1 600 metacercariae to produce an acute infection. The 6 goats were randomly divided into two infected groups and a control group. The sheep in two infections received a single oral dose of 200 and 500 metacercariae respectively, the control group remained uninfected. Blood NO and TNF-a concentrations of the test animals were measured by a reductive enzyme assay and RIA, respectively. Blood NO concentration in both acutely and chronically infected water buffaloes progressively increased from week 3 post-infection and was significantly greater than that of the control group (P<0. 05) at the 5th week (acute infection) and 7th week (chronic infection), and remaining at higher concentration for the remaining period of the studies. Blood TNF-αconcentrations in both chronically and acutely infected water buffaloes also increased after infection. In the goat experiment, plasma NO concentrations in both infection groups increased from week 3 after infection, and remained higher than that of the control group until the end of the experiment. TNF-α concentrations in goats in infection group 1 and 2 gradually increased after infection and were significantly greater than those of the control group from the 9th to 11th week and from the 11th to 15th week respectively.展开更多
Objective: To investigate the potential of anemonin and Clematis flammula(C.flammula) extracts against infective organisms.Methods: The molluscicidal activities of anemonin and C.flammula extracts against Galba trunca...Objective: To investigate the potential of anemonin and Clematis flammula(C.flammula) extracts against infective organisms.Methods: The molluscicidal activities of anemonin and C.flammula extracts against Galba truncatula Mull.(Lymnaeidae) and Fasciola hepatica larval stages contaminating this snail in Tunisia were assessed by testing six groups of snails in 250 mL of extracts and aqueous dechlorinated solutions with different concentrations(ranging from 2.5 to 20.0 mg/L) for 48 h.Besides, the antifungal potential of C.flammula leaves and flowers was evaluated by using the diffusion agar and broth dilution methods against four fungal strains: Aspergillus niger, Pythium catenulatum, Rhizoctonia solani and Fusarium phyllophilum.Results: As a result, hexane and ethyl acetate flower extracts exhibited significant molluscicidal activities with LC_(50) median lethal concentrations values of 11.87 and 11.65 mg/L, respectively while LC_(50) value of anemonin was 9.64 mg/L after 48 h exposure.The flower extracts showed a larvicidal effect with a deterioration rate exceeding 35.39% where flower ethyl acetate residue gave a deterioration rate of cercariae close to 97%.Moreover, C.flammula extracts were not noxious to the associated fauna survival.All extracts inhibited the growth of P.catenulatum, the leaves and flowers methanolic extracts had the more important fungicide action with minimum inhibitory concentrations of 1.56 and 3.12 mg/mL together with minimum fungistatic concentrations of 3.12 and 6.25 mg/mL respectively.Only flower extracts were active against Rhizoctonia solani with minimum inhibitory concentrations varying between 0.70 and 1.56 mg/mL and 6.25 mg/mL of minimum fungistatic concentration.Phytochemical tests showed that the antifungal activity may be attributed to the presence of the flavonoids/saponins in the methanolic extracts and the molluscicide effects could be due to the richness of hexane and ethyl acetate extracts on sterols and triterpenoids.Conclusions: This study emphasizes the important molluscicidal and antiparasitic effects of flower ethyl acetate extracts and anemonin compound as well as the considerable antifungal activities of methanolic extracts.These results improve the therapeutic virtues of C.flammula aerial part extracts.展开更多
Objective:To evaluate the effects of Mirazid and myrrh volatile oil on adult Fasciola gigantica(F.gigantica) under laboratory conditions.Methods:The effects of oleoresin extract of myrrh(Mirazid) and myrrh volatile oi...Objective:To evaluate the effects of Mirazid and myrrh volatile oil on adult Fasciola gigantica(F.gigantica) under laboratory conditions.Methods:The effects of oleoresin extract of myrrh(Mirazid) and myrrh volatile oil on the surface morphology of adult F.gigantica following treatment in vitro had been determined by scanning electron microscopy.The results were compared with those observed in the fluke tegument following incubation in triclabendazole sulphoxide(TCBZ-SO),active form.(Fasinex,Ciba-Geigy).Results:Observations of the efficacy of Mirazid oleoresin extract and myrrh volatile oil indicated that both products showed dosedependent anthelmintic efficacy.The anterior half of the fluke was consistently more severely affected than the posterior half.The surface changes induced by Mirazid oleoresin extract were less severe than those observed after exposure to either myrrh volatile oil or TCBZ-SO.Flukes showed swelling after these treatments,but its level and blebbing were much greater with myrrh volatile oil;in which patches of tegumental sloughing were observed in the apical cone and the posterior mid-body region of flukes.This was not observed after treatment with Mirazid oleoresin extract.Conclusions:The comparatively more disruption,observed in myrrh volatile oil exposed specimens,compared to that exposed to Mirazid oleoresin extract might suggest that the anthelmintic activity of Mirazid oleo resin extract was attributed to its content of volatile oil.So,increasing the concentration of myrrh volatile oil in Mirazid might possibly help to developing its anthelmintic activity._______________________________________________展开更多
AIM:To identify the characteristic clinical,laboratory and radiological findings and response to treatment in patients with fascioliasis.METHODS:Patients who were diagnosed with Fasciola hepatica infection were includ...AIM:To identify the characteristic clinical,laboratory and radiological findings and response to treatment in patients with fascioliasis.METHODS:Patients who were diagnosed with Fasciola hepatica infection were included in this prospective study.Initial clinical,laboratory and radiological findings were recorded.All patients were followed until a complete response was achieved or for 6 mo after treatment discontinuation.RESULTS:Fasciola hepatica infection was diagnosed in 30 patients(24 females;mean age:42.6 years) between January 2008 and February 2011.Twentytwo(73%) patients had hepatic phase fascioliasis,5 patients had biliary phase,and 3 patients had biliary phase associated with acute pancreatitis.Of the 8 patients with biliary phase fascioliasis,2 patients displayed features that overlapped with both hepatic and biliary phase.Abdominal pain and right upper abdominal tenderness were the most prominent signs and symptoms in all patients.Eosinophilia was the most prominent laboratory abnormality in both patients with hepatic and biliary phase(100% and 50%,respectively).Multiple nodular lesions like micro-abscesses on abdominal computerized tomography were the main radiological findings in patients with hepatic phase.Small linear filling defects in the distal choledochus were the main endoscopic retrograde cholangiopancreatography(ERCP) findings in patients with biliary phase.Patients with hepatic phase were treated with triclabendazole alone,and patients with biliary phase were treated with triclabendazole and had live Fasciola hepatica extracted from the bile ducts during ERCP.CONCLUSION:Fasciola hepatica infection should be considered in the differential diagnosis of patients with hepatic or biliary disease and/or acute pancreatitis associated with eosinophilia.展开更多
Objective:To investigate the infection of Fasciola gigantka(F.gigantka)in domestic cattle from Chiang Mai province and molecular confirmation using ITS-2 region.Methods:The liver and gall bladder of Bubalus bubalis(B....Objective:To investigate the infection of Fasciola gigantka(F.gigantka)in domestic cattle from Chiang Mai province and molecular confirmation using ITS-2 region.Methods:The liver and gall bladder of Bubalus bubalis(B.bubalis)and Bos taurus(B.taunts)from slaughterhouses were examined adult worms and prevalence investigation.The species confirmation with phylogenetic analysis using ITS-2 sequences was performed by maximum likelihood and UPGMA methods.Results:The total prevalences of infection in B.bubalis and Bubalus taurus(B.taurus)were67.27%and 52.94%respectively.The respective prevalence in both B.bubalis and B.taurus were acquired from Doi-Saket,Muang,and Sanpatong districts,with 81.25%,62.50%and 60.00%for B.bubalis and 62.50%,50.00%and 47.06%for Bos taunts respectively.The species confirmation of F.gigantka and some related species by basing on maximum likelihood and UPGMA methods used,4 groups of trematodes were generated,first F.gigantka group including specimen of Chiang Mai,second 2 samples of F.hepatica,third group of 3 rumen flukes;Orthocoelium streptocoelium,F.elongatus and Paramphistomum epliclitum and fourth group of 3 minute intestinal flukes:Haplorchis taichui,Stellantchasmu falcatus.Haplorchoides sp.and liver fluke;Opisthorchis civerrini respectively.Conclusions:These results can be confirmed the Giant liver fluke which mainly caused fascioliasis in Chiang Mai was identified as F.gigantka and specimens were the same as those of F.gigantka recorded in olher different countries.Nucleotide sequence of ITS-2 region has been proven as effective diagnostic tool for the identification of F.gigantka.展开更多
Objective: To evaluate the effects of lead in the morphology and viability of Fasciola gigantica(F. gigantica)(giant liver fluke) isolated from infected livers of carabaos in vitro using the following concentrations o...Objective: To evaluate the effects of lead in the morphology and viability of Fasciola gigantica(F. gigantica)(giant liver fluke) isolated from infected livers of carabaos in vitro using the following concentrations of lead: 0, 100, 150 and 200 mg/L. Methods: In vitro viability and motility assay was conducted to evaluate the ef ects of lead using 1% methylene blue as the vital dye for assessment of the l ukes' viability. Results: Results indicate that F. gigantica can tolerate lead exposure as high as 200 mg/L with visible morphological variations. Upon exposure to lead, liver l ukes tend to curl and excrete black precipitates as a sign of physiological stress response. Furthermore, the lethal concentration(LC50) of lead against F. gigantica in vitro was 160 mg/L. Conclusions: In conclusion, tolerance of liver flukes to high levels of lead suggests its potential as a possible biomarker of environmental pollution.展开更多
Objective:To evaluated the histological changes within the tegument of adult Fasciola gigantica(F.gigantica)that led to the gross changes that were visible externally.Methods:The effects of oleoresin extract of myrrh(...Objective:To evaluated the histological changes within the tegument of adult Fasciola gigantica(F.gigantica)that led to the gross changes that were visible externally.Methods:The effects of oleoresin extract of myrrh(Mirazid^(?)),myrrh volatile oil and triclabendazole sulphoxide(reference drug)on the tegumental structure of adult F.gigantiea following treatment in vitro had been determined by light microscopy.Results:The internal changes in the tegument observed in this study were compatible with surface changes seen in the previous scanning electron microscopy study,using the same drugs.The swelling of tegumental syncytium was a particular feature of their action,but its level was much greater with myrrh volatile oil,in which vacuolization of the tegument and loss of spines were observed.Conclusions:The present study demonstrated the fasciocidal properties of Mirazid^(?)oleoresin extract,and it might be possible to reinforce its fasciocidal activity by increasing its content of myrrh volatile oil.展开更多
Fascioliasis is a parasitic disease of worldwide distribution affecting mainly cattle and sheep. Its importance lies in the economic losses it produces in the livestock industry. Its control is carried out by using a ...Fascioliasis is a parasitic disease of worldwide distribution affecting mainly cattle and sheep. Its importance lies in the economic losses it produces in the livestock industry. Its control is carried out by using a chemical fasciolicide showing resistance problems and environmental contamination. Looking for an alternative control for this disease the present study was aimed at determining the hexane anti-Fasciola hepatica in the in vitro effect of some plant extracts and the minimum lethal dose of the mentioned extracts. All selected plants were tested in vitro at concentrations of 500, 250, 125 and 50 mg/L):Achilleamillefolium (plumajillo), Artemisiaabsinthium (wormwood), Artemisia mexicana (estafiate), Castelatortuousa (chaparroamargo), Chenopodiumgraveolens (epazote de zorrillo), Gymnospermaglutinosum (popote) Justicia spicigera (muicle), Limpia critridora (cedron), Lippiagraveolens (oregano), Menthapiperita (Mint), Populus alba (alamo) and Thymusvulgaris (thyme). Subsequently proceeded to perform a toxicity study with these fractions in CD1 male mice 10-13 weeks of age, forming groups of 3-5 animals they were administered a single oral dose being (5 mg/kg, 50 mg/kg, 500 mg/kg, 2500 mg/kg and 5000 mg/kg) and were kept under observation 20 days, later were sacrificed and a kidney and liver histology was performed, finding the safety of the extracts. To perform the toxicity study with these fractions, groups of five CD1 male-mice were formed, they were treated with oral doses of 5, 50, 500, 2500 and 5000 mg/kg, administered with a cannule. All mice were kept under observation for 20 days. Finally they were sacrificed to perform histology of the kidney and liver in search of possible side effects. Results show that none of the extracts exhibited that fasciolocide activity for mice CD1 even at the highest dose thereforefinding the safety of the extracts.展开更多
Fasciola hepatica,an endemic parasite in Turkey,is still a very rare cause of cholestasis worldwide.Through ingestion of contaminated water plants like watercress,humans can become the definitive host of this parasite...Fasciola hepatica,an endemic parasite in Turkey,is still a very rare cause of cholestasis worldwide.Through ingestion of contaminated water plants like watercress,humans can become the definitive host of this parasite.Cholestatic symptoms may be sudden but in some cases they may be preceeded by a long period of fever,eosinophilia and vague gastrointestinal symptoms.We report a woman with cholangitis symptoms of sudden onset which was proved to be due to Fasciola hepatica infestation by an endoscopic retrograde cholangiography.展开更多
Immunologic response to acute hepatitis C is mainly a Th1 response, whereas fasciolopsiasis is associated with a diverse T-cell response. Interferon-alpha has immunomodulatory effects and enhances Th1 immune response....Immunologic response to acute hepatitis C is mainly a Th1 response, whereas fasciolopsiasis is associated with a diverse T-cell response. Interferon-alpha has immunomodulatory effects and enhances Th1 immune response. Fasciola infection could theoretically interfere with the Th1 immune response, even when acquired after an initial response to interferon-alpha treatment for acute hepatitis C virus （HCV） infection. We report here the case of a male patient who acquired Fasciola hepatica infection after an initial response to IFN-alpha therapy with a favorable outcome.展开更多
Fasciola hepatica is a parasite of clinical and veterinary importance which causes fascioliasis that leads to reduction in milk and meat production. Bile samples were centrifuged at 1500 rpm for ten (10) minutes in a ...Fasciola hepatica is a parasite of clinical and veterinary importance which causes fascioliasis that leads to reduction in milk and meat production. Bile samples were centrifuged at 1500 rpm for ten (10) minutes in a centrifuge machine and viewed microscopically to check for F. hepatica eggs. A total of 300 bile samples of cattle which included 155 males and 145 females were collected from the abattoir. Results were analyzed using chi-square (p > 0.05). The prevalence of F. gigantica and Dicrocoelium dentriticum is 33.0% (99) and 39.0% (117) respectively. Age prevalence of F. hepatica revealed that 0 - 2 years (33.7%, 29 cattle) were more infected than 2 - 4 years (32.7%, 70 cattle) while for D. dentriticum age 2 - 4 years were more infected than 0 - 2 years with prevalence of 40.2% (86) and 36.0% (31) respectively. No significant difference (P > 0.05) existed in prevalence in ages of the cattle. Out of the 300 bile samples examined, 22.3% (67 cattle) were co-infected with F. hepatica and D. dendriticum. Males were more co-infected than females having a prevalence of 24.5% (38 cattle) and 20.0% (29 cattle) respectively. Based on the age, samples of age 0 - 2 years were more co-infected than those of age 2 - 4 years with a prevalence of 23.3% (20 cattle) and 22.0% (47 cattle) respectively. The findings of this present study revealed that efforts to alleviate problems of animal health and productivity are yet to make any significant impact as this poses threat on human health. Investigation on the pattern of infections in cattle slaughtered should be strengthened.展开更多
Studies on the prevalence and pathology of Fasciola specie were carried out in nine abattoirs in Ilorin, capital city of Kwara State, Nigeria. The research was conducted during the period August, 2006 - May, 2007. Of ...Studies on the prevalence and pathology of Fasciola specie were carried out in nine abattoirs in Ilorin, capital city of Kwara State, Nigeria. The research was conducted during the period August, 2006 - May, 2007. Of the 63,649 cattles examined at the various abattoirs which are lpata, Sango, Oloje, Baboko, Oke-oyi, Iporin, Panada, Oke-ose and Marafa, 1,434 representing 25.2% were infected with Fasciola species while 114 representing 6.5% were condemned. Iporin slaughter slab had the highest prevalence of 3.6%, followed by panada with 3.4% and Ipata having the least prevalence of 1.6%. Similarly analysis of data on monthly basis showed that March had the highest prevalence of 2.8%, followed by April with 2.6% and December with the least prevalence of 1.8%. Overall infestation was 22.7% while overall condemnation was 6.5%. There was a significant difference （X^2 = 23.7, P 〈 0.05） in the monthly infestation rate. Also, there was no significant difference （X^2 = 10.7, P 〉 0.05） between the infection rate and condemnation among the various abattoirs. The factors responsible for the prevalence of Fasciola specie and pathology of infection are highlighted.展开更多
The current study was performed to evaluate the liver function status as well as molecular characterization of the recovered worms in rats experimentally infected with F. hepatica. Sixteen male Wister rats aged 30 day...The current study was performed to evaluate the liver function status as well as molecular characterization of the recovered worms in rats experimentally infected with F. hepatica. Sixteen male Wister rats aged 30 days were randomly allocated into two groups (n = 8). The first group was infected orally with 15 viable encysted metacercaria of F. hepatica per animal. The other group was kept non-infected (control group). At zero time (before infection), the 2<sup>nd</sup>, 4<sup>th</sup>, 6<sup>th</sup>, 8<sup>th</sup>, 10<sup>th</sup>, 12<sup>th</sup> and 14<sup>th</sup> weeks post-infection (WPI), blood and serum samples were collected via puncture of retro-orbital plexus of veins from each rat. Serum enzyme level (AST and ALT) and total protein were measured, and the serum protein profile was carried out using agarose gel electrophoresis. During the period of the experiment, serum ALT and AST activities and serum total globulins significantly increased while serum total proteins and albumin markedly decreased in the infected group. On the 14<sup>th</sup> WPI, the data of the electropherogram showed that globulin fractions (α1-, β- and γ-globulin) levels were significantly increased while α2-globulin was markedly decreased in the infected group. The molecular analysis confirmed the amplification of the ITS1, ITS2 and NDI genes of F. hepatica recovered from the infected liver of rats with amplicon sizes of 630, 510 and 560 bp, respectively. Sequencing of the amplified ITS gene resulted in the determination of 3 strains (PP108836, PP108837, and PP108838). Also, analysis of the ITS2 gene resulted in obtaining 3 isolates under the accession numbers (PP109065, PP109066, and PP109067). In conclusion, fasciolosis in the rat model is suitable for routine experimental infections and caused a pronounced liver dysfunction with discharging of the Fasciola eggs in the faeces and the development of adult stages in the bile ducts. Furthermore, molecular techniques are a sensitive tool for the identification and characterisation of the Fasciola parasite.展开更多
Ablation of seizure foci represents a crucial therapeutic approach for epilepsy.Traditionally,the seizure foci are predominantly located in the anterior hippocampus and amygdala.However,recent research by Ivan Soltesz...Ablation of seizure foci represents a crucial therapeutic approach for epilepsy.Traditionally,the seizure foci are predominantly located in the anterior hippocampus and amygdala.However,recent research by Ivan Soltesz and his colleagues described the posterior hippocampal fasciola cinereum(FC)as a region activated during seizures.Their findings demonstrate that inhibition and ablation of FC reduce seizures frequency.Therefore,FC emerges as a critical seizure node within the posterior hippocampus,playing an important role in epilepsy treatment.展开更多
Background:Fasciola hepatica is a foodborne trematode present worldwide.Definitive hosts are mostly ruminants such as cattle and sheep,as well as humans.In Switzerland,Fasciola infection in humans is rare.Unfortunatel...Background:Fasciola hepatica is a foodborne trematode present worldwide.Definitive hosts are mostly ruminants such as cattle and sheep,as well as humans.In Switzerland,Fasciola infection in humans is rare.Unfortunately,many patients are likely to undergo multiple unnecessary investigations before the parasite is suspected and fascioliasis diagnosed,especially if symptoms are unspecific.Methods:Retrospective analysis of all patients diagnosed with Fasciola hepatica at the University Hospital of Bern between 2005 and 2018.Diagnosis was positive if a positive serology and/or eggs in stool samples correlated with clinical presentation(symptoms and/or imaging).Patients were excluded if serology was weakly positive and another diagnosis more likely.Personal data,laboratory results,imaging,proposed treatment and outcome were collected from patient files.Results:Sixty patients had a positive serology during this time period.Forty-seven of them had a more plausible alternative diagnosis and were not included in the study,leaving 13 patients for analyses;46.2%(6/13)were male,mean age was 45.8 years old(range,17-80 years old).Four patients(4/13,30.8%)were asymptomatic,nine(9/13,69.2%)presented with symptoms ranging from right upper quadrant abdominal pain(44.4%)and generalized pruritus(33.3%)to weight loss and night sweats(33.3%).The mean duration of symptoms until correct diagnosis was 8.9 months(range,1-48 months).Five patients(5/13,38.5%)had documented eosinophilia,four(4/13,30.8%)elevated liver enzymes and seven(7/13,53.8%)elevated cholestasis parameters.Mean antibody level on serology was 88 AU/mL(range,3-134 AU/mL).Ultrasound was used most frequently(7/13,53.8%),followed by magnetic resonance imaging(4/13,30.8%),computed tomography and endoscopic retrograde cholangiopancreatography(3/13,23.1%).The most common findings were bile duct dilatation,followed by hepatic lesions.Treatment consisted of Triclabendazole 10 mg/Kg.One patient needed a second treatment course for persistent disease.There were no recurrences.Conclusions:With a low incidence of Fasciola hepatica in Switzerland,correct diagnosis is often substantially delayed.Raising awareness among Swiss physicians is paramount,and a higher level of suspicion necessary when confronted with unspecific symptoms or liver imaging,thus avoiding a long delay in diagnosis,as well as unnecessary tests.展开更多
文摘BACKGROUND Fasciola hepatica(F.hepatica)(liver fluke)is a parasitic trematode that infects humans through the consumption of contaminated aquatic plants harboring the infective stage of the parasite.Despite being a neglected tropical disease,a World Health Organi-zation report estimates that it affects approximately 2.4 million people worldwide,with high endemicity in regions characterized by poor sanitation and limited access to clean water.Clinical manifestations range from asymptomatic infection to severe complications such as liver abscess and multiorgan involvement.CASE SUMMARY We report 4 cases with varied and unusual presentations.Case 1:A 41-year-old woman with an initial presumptive clinical diagnosis of liver malignancy.Case 2:A 34-year-old woman who presented with urticaria and eosinophilia,initially suspected to be vasculitis.Case 3:A 67-year-old man who presented with dyspeptic symptoms,easy fatigability,headache,and fever.Case 4:A 60-year-old patient who presented with an eosinophilic liver abscess after prolonged antibiotic treatment failure.CONCLUSION Hepatic fascioliasis is frequently misdiagnosed due to its non-specific symptoms and limited diagnostic tools,especially in resource-limited settings.It is crucial to enhance awareness among healthcare professionals regarding its recognition and appropriate management.This case report aims to contribute to the growing body of literature on F.hepatica infection to facilitate timely diagnosis and empiric treatment with triclabendazole or nitazoxanide,as these are effective and reduce unnecessary interventions.
文摘BACKGROUND Hepatic eosinophilic pseudotumor(HEPT)is a rare condition that mimics ma-lignant hepatic tumors,posing significant diagnostic challenges.This case report highlights the importance of considering parasitic infections like Fasciola hepatica(F.hepatica)in the differential diagnosis of hepatic masses,especially in endemic regions,to prevent unnecessary interventions.CASE SUMMARY A 40-year-old female presented with a 1-month history of epigastric pain and significant weight loss.Imaging revealed a hepatic mass,initially misdiagnosed as intrahepatic cholangiocarcinoma.Laboratory results showed marked eosinophilia,and histopathological examination confirmed significant eosinophilic infiltration without malignancy.Serological testing identified F.hepatica infection.The patient was treated with a single dose of triclabendazole,leading to complete symptom resolution and normalization of hepatic imaging findings within days.CONCLUSION HEPT due to F.hepatica can closely mimic malignancy;timely antiparasitic treat-ment is crucial for resolution.
文摘Changes of concentrations were studied in water buffaloes and goats infected with Fasciola he-patica on blood NO(nitric oxide) and TNF-α(tumor necrosis factor-α). Twenty healthy male castrated water buffaloes of 2 - 3 years old and weighing 300 - 500 kg as well as six goats were confirmed free of fasciolosis by fecal examination and Dot-ELISA. Two studies were conducted using the water buffaloes. In the first experiment, 8 water buffaloes were randomly divided into control group (n = 3) and infection group (n = 5). Each buffalo in the infected group received orally 60 metacercariae of F. hepatica per day for 20 days (total 1 200 metacercariae) to produce a chronic infection. In the second experiment, 12 water buffaloes were randomly divided into infected (n=9) and control group (n = 3). Each buffalo in the infected group was given a single oral dose of 1 600 metacercariae to produce an acute infection. The 6 goats were randomly divided into two infected groups and a control group. The sheep in two infections received a single oral dose of 200 and 500 metacercariae respectively, the control group remained uninfected. Blood NO and TNF-a concentrations of the test animals were measured by a reductive enzyme assay and RIA, respectively. Blood NO concentration in both acutely and chronically infected water buffaloes progressively increased from week 3 post-infection and was significantly greater than that of the control group (P<0. 05) at the 5th week (acute infection) and 7th week (chronic infection), and remaining at higher concentration for the remaining period of the studies. Blood TNF-αconcentrations in both chronically and acutely infected water buffaloes also increased after infection. In the goat experiment, plasma NO concentrations in both infection groups increased from week 3 after infection, and remained higher than that of the control group until the end of the experiment. TNF-α concentrations in goats in infection group 1 and 2 gradually increased after infection and were significantly greater than those of the control group from the 9th to 11th week and from the 11th to 15th week respectively.
基金supported by the Tunisian National Ministry of Higher Education and Scientific Research
文摘Objective: To investigate the potential of anemonin and Clematis flammula(C.flammula) extracts against infective organisms.Methods: The molluscicidal activities of anemonin and C.flammula extracts against Galba truncatula Mull.(Lymnaeidae) and Fasciola hepatica larval stages contaminating this snail in Tunisia were assessed by testing six groups of snails in 250 mL of extracts and aqueous dechlorinated solutions with different concentrations(ranging from 2.5 to 20.0 mg/L) for 48 h.Besides, the antifungal potential of C.flammula leaves and flowers was evaluated by using the diffusion agar and broth dilution methods against four fungal strains: Aspergillus niger, Pythium catenulatum, Rhizoctonia solani and Fusarium phyllophilum.Results: As a result, hexane and ethyl acetate flower extracts exhibited significant molluscicidal activities with LC_(50) median lethal concentrations values of 11.87 and 11.65 mg/L, respectively while LC_(50) value of anemonin was 9.64 mg/L after 48 h exposure.The flower extracts showed a larvicidal effect with a deterioration rate exceeding 35.39% where flower ethyl acetate residue gave a deterioration rate of cercariae close to 97%.Moreover, C.flammula extracts were not noxious to the associated fauna survival.All extracts inhibited the growth of P.catenulatum, the leaves and flowers methanolic extracts had the more important fungicide action with minimum inhibitory concentrations of 1.56 and 3.12 mg/mL together with minimum fungistatic concentrations of 3.12 and 6.25 mg/mL respectively.Only flower extracts were active against Rhizoctonia solani with minimum inhibitory concentrations varying between 0.70 and 1.56 mg/mL and 6.25 mg/mL of minimum fungistatic concentration.Phytochemical tests showed that the antifungal activity may be attributed to the presence of the flavonoids/saponins in the methanolic extracts and the molluscicide effects could be due to the richness of hexane and ethyl acetate extracts on sterols and triterpenoids.Conclusions: This study emphasizes the important molluscicidal and antiparasitic effects of flower ethyl acetate extracts and anemonin compound as well as the considerable antifungal activities of methanolic extracts.These results improve the therapeutic virtues of C.flammula aerial part extracts.
文摘Objective:To evaluate the effects of Mirazid and myrrh volatile oil on adult Fasciola gigantica(F.gigantica) under laboratory conditions.Methods:The effects of oleoresin extract of myrrh(Mirazid) and myrrh volatile oil on the surface morphology of adult F.gigantica following treatment in vitro had been determined by scanning electron microscopy.The results were compared with those observed in the fluke tegument following incubation in triclabendazole sulphoxide(TCBZ-SO),active form.(Fasinex,Ciba-Geigy).Results:Observations of the efficacy of Mirazid oleoresin extract and myrrh volatile oil indicated that both products showed dosedependent anthelmintic efficacy.The anterior half of the fluke was consistently more severely affected than the posterior half.The surface changes induced by Mirazid oleoresin extract were less severe than those observed after exposure to either myrrh volatile oil or TCBZ-SO.Flukes showed swelling after these treatments,but its level and blebbing were much greater with myrrh volatile oil;in which patches of tegumental sloughing were observed in the apical cone and the posterior mid-body region of flukes.This was not observed after treatment with Mirazid oleoresin extract.Conclusions:The comparatively more disruption,observed in myrrh volatile oil exposed specimens,compared to that exposed to Mirazid oleoresin extract might suggest that the anthelmintic activity of Mirazid oleo resin extract was attributed to its content of volatile oil.So,increasing the concentration of myrrh volatile oil in Mirazid might possibly help to developing its anthelmintic activity._______________________________________________
文摘AIM:To identify the characteristic clinical,laboratory and radiological findings and response to treatment in patients with fascioliasis.METHODS:Patients who were diagnosed with Fasciola hepatica infection were included in this prospective study.Initial clinical,laboratory and radiological findings were recorded.All patients were followed until a complete response was achieved or for 6 mo after treatment discontinuation.RESULTS:Fasciola hepatica infection was diagnosed in 30 patients(24 females;mean age:42.6 years) between January 2008 and February 2011.Twentytwo(73%) patients had hepatic phase fascioliasis,5 patients had biliary phase,and 3 patients had biliary phase associated with acute pancreatitis.Of the 8 patients with biliary phase fascioliasis,2 patients displayed features that overlapped with both hepatic and biliary phase.Abdominal pain and right upper abdominal tenderness were the most prominent signs and symptoms in all patients.Eosinophilia was the most prominent laboratory abnormality in both patients with hepatic and biliary phase(100% and 50%,respectively).Multiple nodular lesions like micro-abscesses on abdominal computerized tomography were the main radiological findings in patients with hepatic phase.Small linear filling defects in the distal choledochus were the main endoscopic retrograde cholangiopancreatography(ERCP) findings in patients with biliary phase.Patients with hepatic phase were treated with triclabendazole alone,and patients with biliary phase were treated with triclabendazole and had live Fasciola hepatica extracted from the bile ducts during ERCP.CONCLUSION:Fasciola hepatica infection should be considered in the differential diagnosis of patients with hepatic or biliary disease and/or acute pancreatitis associated with eosinophilia.
文摘Objective:To investigate the infection of Fasciola gigantka(F.gigantka)in domestic cattle from Chiang Mai province and molecular confirmation using ITS-2 region.Methods:The liver and gall bladder of Bubalus bubalis(B.bubalis)and Bos taurus(B.taunts)from slaughterhouses were examined adult worms and prevalence investigation.The species confirmation with phylogenetic analysis using ITS-2 sequences was performed by maximum likelihood and UPGMA methods.Results:The total prevalences of infection in B.bubalis and Bubalus taurus(B.taurus)were67.27%and 52.94%respectively.The respective prevalence in both B.bubalis and B.taurus were acquired from Doi-Saket,Muang,and Sanpatong districts,with 81.25%,62.50%and 60.00%for B.bubalis and 62.50%,50.00%and 47.06%for Bos taunts respectively.The species confirmation of F.gigantka and some related species by basing on maximum likelihood and UPGMA methods used,4 groups of trematodes were generated,first F.gigantka group including specimen of Chiang Mai,second 2 samples of F.hepatica,third group of 3 rumen flukes;Orthocoelium streptocoelium,F.elongatus and Paramphistomum epliclitum and fourth group of 3 minute intestinal flukes:Haplorchis taichui,Stellantchasmu falcatus.Haplorchoides sp.and liver fluke;Opisthorchis civerrini respectively.Conclusions:These results can be confirmed the Giant liver fluke which mainly caused fascioliasis in Chiang Mai was identified as F.gigantka and specimens were the same as those of F.gigantka recorded in olher different countries.Nucleotide sequence of ITS-2 region has been proven as effective diagnostic tool for the identification of F.gigantka.
文摘Objective: To evaluate the effects of lead in the morphology and viability of Fasciola gigantica(F. gigantica)(giant liver fluke) isolated from infected livers of carabaos in vitro using the following concentrations of lead: 0, 100, 150 and 200 mg/L. Methods: In vitro viability and motility assay was conducted to evaluate the ef ects of lead using 1% methylene blue as the vital dye for assessment of the l ukes' viability. Results: Results indicate that F. gigantica can tolerate lead exposure as high as 200 mg/L with visible morphological variations. Upon exposure to lead, liver l ukes tend to curl and excrete black precipitates as a sign of physiological stress response. Furthermore, the lethal concentration(LC50) of lead against F. gigantica in vitro was 160 mg/L. Conclusions: In conclusion, tolerance of liver flukes to high levels of lead suggests its potential as a possible biomarker of environmental pollution.
基金Supported by National Research Center,Egypt,through the Parasitology and Animal Diseases Department(Grant No.9040203)
文摘Objective:To evaluated the histological changes within the tegument of adult Fasciola gigantica(F.gigantica)that led to the gross changes that were visible externally.Methods:The effects of oleoresin extract of myrrh(Mirazid^(?)),myrrh volatile oil and triclabendazole sulphoxide(reference drug)on the tegumental structure of adult F.gigantiea following treatment in vitro had been determined by light microscopy.Results:The internal changes in the tegument observed in this study were compatible with surface changes seen in the previous scanning electron microscopy study,using the same drugs.The swelling of tegumental syncytium was a particular feature of their action,but its level was much greater with myrrh volatile oil,in which vacuolization of the tegument and loss of spines were observed.Conclusions:The present study demonstrated the fasciocidal properties of Mirazid^(?)oleoresin extract,and it might be possible to reinforce its fasciocidal activity by increasing its content of myrrh volatile oil.
文摘Fascioliasis is a parasitic disease of worldwide distribution affecting mainly cattle and sheep. Its importance lies in the economic losses it produces in the livestock industry. Its control is carried out by using a chemical fasciolicide showing resistance problems and environmental contamination. Looking for an alternative control for this disease the present study was aimed at determining the hexane anti-Fasciola hepatica in the in vitro effect of some plant extracts and the minimum lethal dose of the mentioned extracts. All selected plants were tested in vitro at concentrations of 500, 250, 125 and 50 mg/L):Achilleamillefolium (plumajillo), Artemisiaabsinthium (wormwood), Artemisia mexicana (estafiate), Castelatortuousa (chaparroamargo), Chenopodiumgraveolens (epazote de zorrillo), Gymnospermaglutinosum (popote) Justicia spicigera (muicle), Limpia critridora (cedron), Lippiagraveolens (oregano), Menthapiperita (Mint), Populus alba (alamo) and Thymusvulgaris (thyme). Subsequently proceeded to perform a toxicity study with these fractions in CD1 male mice 10-13 weeks of age, forming groups of 3-5 animals they were administered a single oral dose being (5 mg/kg, 50 mg/kg, 500 mg/kg, 2500 mg/kg and 5000 mg/kg) and were kept under observation 20 days, later were sacrificed and a kidney and liver histology was performed, finding the safety of the extracts. To perform the toxicity study with these fractions, groups of five CD1 male-mice were formed, they were treated with oral doses of 5, 50, 500, 2500 and 5000 mg/kg, administered with a cannule. All mice were kept under observation for 20 days. Finally they were sacrificed to perform histology of the kidney and liver in search of possible side effects. Results show that none of the extracts exhibited that fasciolocide activity for mice CD1 even at the highest dose thereforefinding the safety of the extracts.
文摘Fasciola hepatica,an endemic parasite in Turkey,is still a very rare cause of cholestasis worldwide.Through ingestion of contaminated water plants like watercress,humans can become the definitive host of this parasite.Cholestatic symptoms may be sudden but in some cases they may be preceeded by a long period of fever,eosinophilia and vague gastrointestinal symptoms.We report a woman with cholangitis symptoms of sudden onset which was proved to be due to Fasciola hepatica infestation by an endoscopic retrograde cholangiography.
文摘Immunologic response to acute hepatitis C is mainly a Th1 response, whereas fasciolopsiasis is associated with a diverse T-cell response. Interferon-alpha has immunomodulatory effects and enhances Th1 immune response. Fasciola infection could theoretically interfere with the Th1 immune response, even when acquired after an initial response to interferon-alpha treatment for acute hepatitis C virus （HCV） infection. We report here the case of a male patient who acquired Fasciola hepatica infection after an initial response to IFN-alpha therapy with a favorable outcome.
文摘Fasciola hepatica is a parasite of clinical and veterinary importance which causes fascioliasis that leads to reduction in milk and meat production. Bile samples were centrifuged at 1500 rpm for ten (10) minutes in a centrifuge machine and viewed microscopically to check for F. hepatica eggs. A total of 300 bile samples of cattle which included 155 males and 145 females were collected from the abattoir. Results were analyzed using chi-square (p > 0.05). The prevalence of F. gigantica and Dicrocoelium dentriticum is 33.0% (99) and 39.0% (117) respectively. Age prevalence of F. hepatica revealed that 0 - 2 years (33.7%, 29 cattle) were more infected than 2 - 4 years (32.7%, 70 cattle) while for D. dentriticum age 2 - 4 years were more infected than 0 - 2 years with prevalence of 40.2% (86) and 36.0% (31) respectively. No significant difference (P > 0.05) existed in prevalence in ages of the cattle. Out of the 300 bile samples examined, 22.3% (67 cattle) were co-infected with F. hepatica and D. dendriticum. Males were more co-infected than females having a prevalence of 24.5% (38 cattle) and 20.0% (29 cattle) respectively. Based on the age, samples of age 0 - 2 years were more co-infected than those of age 2 - 4 years with a prevalence of 23.3% (20 cattle) and 22.0% (47 cattle) respectively. The findings of this present study revealed that efforts to alleviate problems of animal health and productivity are yet to make any significant impact as this poses threat on human health. Investigation on the pattern of infections in cattle slaughtered should be strengthened.
文摘Studies on the prevalence and pathology of Fasciola specie were carried out in nine abattoirs in Ilorin, capital city of Kwara State, Nigeria. The research was conducted during the period August, 2006 - May, 2007. Of the 63,649 cattles examined at the various abattoirs which are lpata, Sango, Oloje, Baboko, Oke-oyi, Iporin, Panada, Oke-ose and Marafa, 1,434 representing 25.2% were infected with Fasciola species while 114 representing 6.5% were condemned. Iporin slaughter slab had the highest prevalence of 3.6%, followed by panada with 3.4% and Ipata having the least prevalence of 1.6%. Similarly analysis of data on monthly basis showed that March had the highest prevalence of 2.8%, followed by April with 2.6% and December with the least prevalence of 1.8%. Overall infestation was 22.7% while overall condemnation was 6.5%. There was a significant difference （X^2 = 23.7, P 〈 0.05） in the monthly infestation rate. Also, there was no significant difference （X^2 = 10.7, P 〉 0.05） between the infection rate and condemnation among the various abattoirs. The factors responsible for the prevalence of Fasciola specie and pathology of infection are highlighted.
文摘The current study was performed to evaluate the liver function status as well as molecular characterization of the recovered worms in rats experimentally infected with F. hepatica. Sixteen male Wister rats aged 30 days were randomly allocated into two groups (n = 8). The first group was infected orally with 15 viable encysted metacercaria of F. hepatica per animal. The other group was kept non-infected (control group). At zero time (before infection), the 2<sup>nd</sup>, 4<sup>th</sup>, 6<sup>th</sup>, 8<sup>th</sup>, 10<sup>th</sup>, 12<sup>th</sup> and 14<sup>th</sup> weeks post-infection (WPI), blood and serum samples were collected via puncture of retro-orbital plexus of veins from each rat. Serum enzyme level (AST and ALT) and total protein were measured, and the serum protein profile was carried out using agarose gel electrophoresis. During the period of the experiment, serum ALT and AST activities and serum total globulins significantly increased while serum total proteins and albumin markedly decreased in the infected group. On the 14<sup>th</sup> WPI, the data of the electropherogram showed that globulin fractions (α1-, β- and γ-globulin) levels were significantly increased while α2-globulin was markedly decreased in the infected group. The molecular analysis confirmed the amplification of the ITS1, ITS2 and NDI genes of F. hepatica recovered from the infected liver of rats with amplicon sizes of 630, 510 and 560 bp, respectively. Sequencing of the amplified ITS gene resulted in the determination of 3 strains (PP108836, PP108837, and PP108838). Also, analysis of the ITS2 gene resulted in obtaining 3 isolates under the accession numbers (PP109065, PP109066, and PP109067). In conclusion, fasciolosis in the rat model is suitable for routine experimental infections and caused a pronounced liver dysfunction with discharging of the Fasciola eggs in the faeces and the development of adult stages in the bile ducts. Furthermore, molecular techniques are a sensitive tool for the identification and characterisation of the Fasciola parasite.
基金supported by grants from the National Natural Science Foundation of China(82373859)the China Postdoctoral Science Foundation(2023M743145).
文摘Ablation of seizure foci represents a crucial therapeutic approach for epilepsy.Traditionally,the seizure foci are predominantly located in the anterior hippocampus and amygdala.However,recent research by Ivan Soltesz and his colleagues described the posterior hippocampal fasciola cinereum(FC)as a region activated during seizures.Their findings demonstrate that inhibition and ablation of FC reduce seizures frequency.Therefore,FC emerges as a critical seizure node within the posterior hippocampus,playing an important role in epilepsy treatment.
文摘Background:Fasciola hepatica is a foodborne trematode present worldwide.Definitive hosts are mostly ruminants such as cattle and sheep,as well as humans.In Switzerland,Fasciola infection in humans is rare.Unfortunately,many patients are likely to undergo multiple unnecessary investigations before the parasite is suspected and fascioliasis diagnosed,especially if symptoms are unspecific.Methods:Retrospective analysis of all patients diagnosed with Fasciola hepatica at the University Hospital of Bern between 2005 and 2018.Diagnosis was positive if a positive serology and/or eggs in stool samples correlated with clinical presentation(symptoms and/or imaging).Patients were excluded if serology was weakly positive and another diagnosis more likely.Personal data,laboratory results,imaging,proposed treatment and outcome were collected from patient files.Results:Sixty patients had a positive serology during this time period.Forty-seven of them had a more plausible alternative diagnosis and were not included in the study,leaving 13 patients for analyses;46.2%(6/13)were male,mean age was 45.8 years old(range,17-80 years old).Four patients(4/13,30.8%)were asymptomatic,nine(9/13,69.2%)presented with symptoms ranging from right upper quadrant abdominal pain(44.4%)and generalized pruritus(33.3%)to weight loss and night sweats(33.3%).The mean duration of symptoms until correct diagnosis was 8.9 months(range,1-48 months).Five patients(5/13,38.5%)had documented eosinophilia,four(4/13,30.8%)elevated liver enzymes and seven(7/13,53.8%)elevated cholestasis parameters.Mean antibody level on serology was 88 AU/mL(range,3-134 AU/mL).Ultrasound was used most frequently(7/13,53.8%),followed by magnetic resonance imaging(4/13,30.8%),computed tomography and endoscopic retrograde cholangiopancreatography(3/13,23.1%).The most common findings were bile duct dilatation,followed by hepatic lesions.Treatment consisted of Triclabendazole 10 mg/Kg.One patient needed a second treatment course for persistent disease.There were no recurrences.Conclusions:With a low incidence of Fasciola hepatica in Switzerland,correct diagnosis is often substantially delayed.Raising awareness among Swiss physicians is paramount,and a higher level of suspicion necessary when confronted with unspecific symptoms or liver imaging,thus avoiding a long delay in diagnosis,as well as unnecessary tests.
