[Pseudotumor form of hepatic distomatosis: successful treatment with praziquantel]

Autor: P E, Queneau, S, Koch, S, Bresson-Hadni, B, Bartholomot, F, Arbez-Gindre, B, Heyd, J P, Miguet
Jazyk: francouzština
Rok vydání: 1997
Předmět:
Zdroj: Gastroenterologie clinique et biologique. 21(6-7)
ISSN: 0399-8320
Popis: Human Fasciola hepatica infection is usually discovered either early, during the acute (invasive) phase, or in the advanced phase, which is characterized by biliary complications. We report a case of liver distomatosis with nodular intra-hepatic lesions in a 58-year-old woman. Radiological investigations showed 3 nodular lesions in the VII segment, which were difficult to distinguish from liver metastases or liver abscesses. Distomatosis serology was positive with passive hemagglutination. After a 5-day treatment with praziquantel, clinical symptoms resolved quickly while serological tests became negative. Radiological images slowly decreased to a calcified scar at 13 months. No side-effects were noted. Praziquantel, whose efficacy in the common presentations of liver distomatosis has recently been demonstrated, also seems effective and well tolerated in case of nodular intra-hepatic lesions.
Databáze: OpenAIRE