Emerging Cases of Fascioliasis in Lorestan Province, Western Iran: Case Series Report
| Autor: | Eshrat Beigom Kia, Keyhan Ashrafi, Peyman Heydarian, Mehdi Mohebali, Hamid Mokhayeri, Arezoo Bozorgomid, Mojgan Aryaeipour, Mohammad Bagher Rokni, Ali Chegeni Sharafi, Bahman Rahimi Esboei |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Veterinary medicine
Fasciola biology business.industry Public Health Environmental and Occupational Health Fasciola hepatica Iran biology.organism_classification medicine.disease Triclabendazole parasitic diseases Case report Sore throat Medicine Helminths Chills Parasites Fasciolosis medicine.symptom Public aspects of medicine RA1-1270 business Case series medicine.drug |
| Zdroj: | Iranian Journal of Public Health, Vol 50, Iss 1 (2020) Scopus-Elsevier Iranian Journal of Public Health |
| ISSN: | 2251-6093 2251-6085 |
| Popis: | Fascioliasis is a zoonotic disease caused by Fasciola spp. We report five serologically and molecularly confirmed cases in an emerging region in Iran. A retrospective, case series study, performed in Lorestan Province, west of Iran between January 2015 and June 2016. From 1256 patients examined, 16 patients had positive serum ELISA. Five cases were approved as infected with fasciolosis using stool exam and PCR. Age ranged from 24 to 80 yr with mean age of 45 years. All of patients were adults and four of them had abdominal and back pain. Other symptoms included fever and chills, coughing and sore throat, weight loss, cutaneous manifestations. All patients lived in the rural environment, and four reported the ingestion of raw aquatic plants such as watercress. In fecal examination for fluke eggs, four samples were positive for F. hepatica eggs. Conventional PCR analysis showed that five human stools were positive for F. hepatica. All of 5 patients were treated with the usual dose of triclabendazole. A history of recent consumption of raw aquatic plants (in 4 out of 5 patients) is an important finding, but in one patient the source of infection remained unclear. Lorestan should be considered as an emerging region for this disease and further research in this province should be carried out. |
| Databáze: | OpenAIRE |
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