Fasciola hepatica - Revision history

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T03:22:12Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 03:22, 22 July 2016
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	{{Helminth Types}}		{{Helminth Types}}

	==~~Diagnosis~~==		==Evaluation==
	*CBC: Leukocytosis, anemia, eosinophilia		*CBC: Leukocytosis, anemia, eosinophilia
	*Elevated ESR and LFT		*Elevated ESR and LFT

Rossdonaldson1: Text replacement - "SOB" to "shortness of breath"

2016-07-15T20:28:39Z

Text replacement - "SOB" to "shortness of breath"

← Older revision		Revision as of 20:28, 15 July 2016
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	==Clinical Features==		==Clinical Features==
	*[[Nausea]], [[vomiting]], [[abdominal pain]]/tenderness, [[hepatomegaly]]		*[[Nausea]], [[vomiting]], [[abdominal pain]]/tenderness, [[hepatomegaly]]
	*[[Fever]], [[rash]], [[~~SOB~~]]		*[[Fever]], [[rash]], [[shortness of breath]]
	*Marked peripheral [[eosinophilia]]		*Marked peripheral [[eosinophilia]]
	*Liver hematoma		*Liver hematoma

Neil.m.young: Text replacement - "* " to "*"

2016-07-05T07:33:48Z

Text replacement - "* " to "*"

← Older revision		Revision as of 07:33, 5 July 2016
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	==Background==		==Background==
	* [[Parasite]]: ''Fasciola hepatica''		*[[Parasite]]: ''Fasciola hepatica''
	* "Liver fluke" or "Sheep liver fluke"		*"Liver fluke" or "Sheep liver fluke"
	* Eggs in stool of infected mammals (sheep/cattle) → snail → aquatic vegetation → human		*Eggs in stool of infected mammals (sheep/cattle) → snail → aquatic vegetation → human
	* Infected by eating raw watercress or water plants contaminated by immature larvae		*Infected by eating raw watercress or water plants contaminated by immature larvae
	* Immature larvae migrate from intestine → abdominal cavity → liver → bile duct (mature adult)		*Immature larvae migrate from intestine → abdominal cavity → liver → bile duct (mature adult)

	==Clinical Features==		==Clinical Features==
	* [[Nausea]], [[vomiting]], [[abdominal pain]]/tenderness, [[hepatomegaly]]		*[[Nausea]], [[vomiting]], [[abdominal pain]]/tenderness, [[hepatomegaly]]
	* [[Fever]], [[rash]], [[SOB]]		*[[Fever]], [[rash]], [[SOB]]
	* Marked peripheral [[eosinophilia]]		*Marked peripheral [[eosinophilia]]
	* Liver hematoma		*Liver hematoma
	* Chronic: Inflammation and obstruction of liver, gallbladder, pancreas		*Chronic: Inflammation and obstruction of liver, gallbladder, pancreas
	** [[Biliary colic]], [[cholangitis]], [[cholelithiasis]], obstructive [[jaundice]]		**[[Biliary colic]], [[cholangitis]], [[cholelithiasis]], obstructive [[jaundice]]
	* Ectopic fascioliasis: Erythematous itchy nodules		*Ectopic fascioliasis: Erythematous itchy nodules
	* Pharyngeal fascioliasis: pharyngitis with edema, congestion, suffocation		*Pharyngeal fascioliasis: pharyngitis with edema, congestion, suffocation

	==Differential Diagnosis==		==Differential Diagnosis==
	* [[Amebiasis]], [[larva migrans]], [[cysticercosis]], [[ascariasis]], [[hepatitis]], [[parasitic infection]]		*[[Amebiasis]], [[larva migrans]], [[cysticercosis]], [[ascariasis]], [[hepatitis]], [[parasitic infection]]
	* Biliary atresia, [[cholecystitis]], [[cholelithiasis]], cholestasis		*Biliary atresia, [[cholecystitis]], [[cholelithiasis]], cholestasis

	{{Helminth Types}}		{{Helminth Types}}

	==Diagnosis==		==Diagnosis==
	* CBC: Leukocytosis, anemia, eosinophilia		*CBC: Leukocytosis, anemia, eosinophilia
	* Elevated ESR and LFT		*Elevated ESR and LFT
	* Stool ova and parasites, culture		*Stool ova and parasites, culture
	* Microscopy		*Microscopy
	* Endoscopy or surgery, biopsy		*Endoscopy or surgery, biopsy
	* Serology (ELISA), PCR		*Serology (ELISA), PCR
	* CT abdomen, US, ERCP, cholangiography, MRI		*CT abdomen, US, ERCP, cholangiography, MRI

	==Management==		==Management==
	* [[Triclabendazole]] (10mg/kg PO x 1-2 days)		*[[Triclabendazole]] (10mg/kg PO x 1-2 days)
	* Alternative: Bithionol and nitazoxnide		*Alternative: Bithionol and nitazoxnide
	* ID and GI consult		*ID and GI consult
	* Possible surgery consult		*Possible surgery consult

	==See Also==		==See Also==
Line 42:		Line 42:
	==References==		==References==
	<references/>		<references/>
	* http://www.cdc.gov/parasites/fasciola/gen_info/index.html		*http://www.cdc.gov/parasites/fasciola/gen_info/index.html
	* Leder K, et al. Liver flukes: Fascioliasis. In: Post T, ed. UpToDate. Waltham, Mass.: UpToDate; 2014. www.uptodate.com. Accessed December 24, 2014.		*Leder K, et al. Liver flukes: Fascioliasis. In: Post T, ed. UpToDate. Waltham, Mass.: UpToDate; 2014. www.uptodate.com. Accessed December 24, 2014.
	* Tolan RW, et al. (2013, Apr 12). Fascioliasis. eMedicine. Retrieved 12/24/2014 from http://emedicine.medscape.com/article/997890-overview		*Tolan RW, et al. (2013, Apr 12). Fascioliasis. eMedicine. Retrieved 12/24/2014 from http://emedicine.medscape.com/article/997890-overview

	[[Category:ID]]		[[Category:ID]]
	[[Category:Tropical Medicine]]		[[Category:Tropical Medicine]]

Ostermayer: Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

2016-03-22T16:59:23Z

Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

← Older revision		Revision as of 16:59, 22 March 2016
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	[[Category:ID]]		[[Category:ID]]
	[[Category:~~TropMed~~]]		[[Category:Tropical Medicine]]

Rossdonaldson1 at 22:15, 12 September 2015

2015-09-12T22:15:50Z

← Older revision		Revision as of 22:15, 12 September 2015
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	* Biliary atresia, [[cholecystitis]], [[cholelithiasis]], cholestasis		* Biliary atresia, [[cholecystitis]], [[cholelithiasis]], cholestasis

	==~~Workup~~==		{{Helminth Types}}

			==Diagnosis==
	* CBC: Leukocytosis, anemia, eosinophilia		* CBC: Leukocytosis, anemia, eosinophilia
	* Elevated ESR and LFT		* Elevated ESR and LFT
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	*[[Parasitic diseases]]		*[[Parasitic diseases]]

	==~~Sources~~==		==References==
	<references/>		<references/>
	* http://www.cdc.gov/parasites/fasciola/gen_info/index.html		* http://www.cdc.gov/parasites/fasciola/gen_info/index.html

Rossdonaldson1 at 03:44, 28 December 2014

2014-12-28T03:44:49Z

← Older revision		Revision as of 03:44, 28 December 2014
Line 1:		Line 1:
	==Background==		==Background==
	* Parasite: ''Fasciola hepatica''		* [[Parasite]]: ''Fasciola hepatica''
	* "Liver fluke" or "Sheep liver fluke"		* "Liver fluke" or "Sheep liver fluke"
	* Eggs in stool of infected mammals (sheep/cattle) → snail → aquatic vegetation → human		* Eggs in stool of infected mammals (sheep/cattle) → snail → aquatic vegetation → human
	* Infected by eating raw watercress or water plants contaminated by immature larvae		* Infected by eating raw watercress or water plants contaminated by immature larvae
	* Immature larvae migrate from intestine → abdominal cavity → liver → bile duct (mature adult)		* Immature larvae migrate from intestine → abdominal cavity → liver → bile duct (mature adult)

	==Clinical Features==		==Clinical Features==
	* Nausea, vomiting, abdominal pain/tenderness, hepatomegaly		* [[Nausea]], [[vomiting]], [[abdominal pain]]/tenderness, [[hepatomegaly]]
	* Fever, rash, SOB		* [[Fever]], [[rash]], [[SOB]]
	* Marked peripheral eosinophilia		* Marked peripheral [[eosinophilia]]
	* Liver hematoma		* Liver hematoma
	* Chronic: Inflammation and obstruction of liver, gallbladder, pancreas		* Chronic: Inflammation and obstruction of liver, gallbladder, pancreas
	** Biliary colic, cholangitis, cholelithiasis, obstructive jaundice		** [[Biliary colic]], [[cholangitis]], [[cholelithiasis]], obstructive [[jaundice]]
	* Ectopic fascioliasis: Erythematous itchy nodules		* Ectopic fascioliasis: Erythematous itchy nodules
	* Pharyngeal fascioliasis: pharyngitis with edema, congestion, suffocation		* Pharyngeal fascioliasis: pharyngitis with edema, congestion, suffocation

	==Differential Diagnosis==		==Differential Diagnosis==
	* Amebiasis, larva migrans, cysticercosis, ascariasis, hepatitis, parasitic infection		* [[Amebiasis]], [[larva migrans]], [[cysticercosis]], [[ascariasis]], [[hepatitis]], [[parasitic infection]]
	* Biliary atresia, cholecystitis, cholelithiasis, cholestasis		* Biliary atresia, [[cholecystitis]], [[cholelithiasis]], cholestasis

	==Workup==		==Workup==
	* CBC: Leukocytosis, anemia, eosinophilia		* CBC: Leukocytosis, anemia, eosinophilia
Line 25:		Line 28:
	* Serology (ELISA), PCR		* Serology (ELISA), PCR
	* CT abdomen, US, ERCP, cholangiography, MRI		* CT abdomen, US, ERCP, cholangiography, MRI

	==Management==		==Management==
	* Triclabendazole (10mg/kg PO x 1-2 days)		* [[Triclabendazole]] (10mg/kg PO x 1-2 days)
	* Alternative: Bithionol and nitazoxnide		* Alternative: Bithionol and nitazoxnide
	* ID and GI consult		* ID and GI consult
	* Possible surgery consult		* Possible surgery consult

			==See Also==
			*[[Parasitic diseases]]

	==Sources==		==Sources==
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	* Leder K, et al. Liver flukes: Fascioliasis. In: Post T, ed. UpToDate. Waltham, Mass.: UpToDate; 2014. www.uptodate.com. Accessed December 24, 2014.		* Leder K, et al. Liver flukes: Fascioliasis. In: Post T, ed. UpToDate. Waltham, Mass.: UpToDate; 2014. www.uptodate.com. Accessed December 24, 2014.
	* Tolan RW, et al. (2013, Apr 12). Fascioliasis. eMedicine. Retrieved 12/24/2014 from http://emedicine.medscape.com/article/997890-overview		* Tolan RW, et al. (2013, Apr 12). Fascioliasis. eMedicine. Retrieved 12/24/2014 from http://emedicine.medscape.com/article/997890-overview

			[[Category:ID]]
			[[Category:TropMed]]

Amyamamoto: Note creation

2014-12-25T07:26:16Z

Note creation

New page

==Background==
* Parasite: ''Fasciola hepatica''
* "Liver fluke" or "Sheep liver fluke"
* Eggs in stool of infected mammals (sheep/cattle) → snail → aquatic vegetation → human
* Infected by eating raw watercress or water plants contaminated by immature larvae
* Immature larvae migrate from intestine → abdominal cavity → liver → bile duct (mature adult)
==Clinical Features==
* Nausea, vomiting, abdominal pain/tenderness, hepatomegaly
* Fever, rash, SOB
* Marked peripheral eosinophilia
* Liver hematoma
* Chronic: Inflammation and obstruction of liver, gallbladder, pancreas
** Biliary colic, cholangitis, cholelithiasis, obstructive jaundice
* Ectopic fascioliasis: Erythematous itchy nodules
* Pharyngeal fascioliasis: pharyngitis with edema, congestion, suffocation
==Differential Diagnosis==
* Amebiasis, larva migrans, cysticercosis, ascariasis, hepatitis, parasitic infection
* Biliary atresia, cholecystitis, cholelithiasis, cholestasis
==Workup==
* CBC: Leukocytosis, anemia, eosinophilia
* Elevated ESR and LFT
* Stool ova and parasites, culture
* Microscopy
* Endoscopy or surgery, biopsy
* Serology (ELISA), PCR
* CT abdomen, US, ERCP, cholangiography, MRI
==Management==
* Triclabendazole (10mg/kg PO x 1-2 days)
* Alternative: Bithionol and nitazoxnide
* ID and GI consult
* Possible surgery consult

==Sources==
<references/>
* http://www.cdc.gov/parasites/fasciola/gen_info/index.html
* Leder K, et al. Liver flukes: Fascioliasis. In: Post T, ed. UpToDate. Waltham, Mass.: UpToDate; 2014. www.uptodate.com. Accessed December 24, 2014.
* Tolan RW, et al. (2013, Apr 12). Fascioliasis. eMedicine. Retrieved 12/24/2014 from http://emedicine.medscape.com/article/997890-overview