Document Detail

Fascioliasis in pregnancy.
MedLine Citation:
PMID:  18669773     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Fascioliasis is a common zoonotic infection worldwide, although cases in the United States are uncommon, sporadic, and predominantly found in the immigrant population. The small number of cases identified in the United States may reflect the unfamiliarity of physicians with this infection. CASE: A 28-year-old Hispanic woman who frequently visited northern Central Mexico presented at 36 weeks of gestation with nausea, vomiting, and right upper quadrant pain. She was diagnosed with cholelithiasis. Postpartum endoscopic retrograde cholangiopancreatography and sphincterotomy were performed, with discovery of the trematode Fasciola hepatica. The patient received triclabendazole, which led to clinical improvement. CONCLUSION: Fascioliasis often mimics another common problem in pregnancy, cholelithiasis; clinicians need to be aware of this disease in high-risk populations.
Adnan Alatoom; Jeanne Sheffield; Rita M Gander; Joanna Shaw; Dominick Cavuoti
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  112     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-01     Completed Date:  2008-09-09     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  483-5     Citation Subset:  AIM; IM    
Department of Pathology, University of Texas Southwestern Medical Center, Dallas, TX 75390-9073, USA.
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MeSH Terms
Cholelithiasis / etiology
Emigrants and Immigrants
Eosinophilia / etiology
Fascioliasis / complications,  diagnosis*,  enzymology
Liver / enzymology
Pregnancy Complications, Parasitic / diagnosis*,  enzymology

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