Hepatic fascioliasis in Mashhad, Northeast Iran: first report

Abstract Fascioliasis is a zoonotic disease caused by a leaf-like worm (fluke) called Fasciola. Herein, we present a case of human hepatic fascioliasis. A 57-year-old man was referred to the hospital for ambiguous gastrointestinal symptoms with suspected hemangioma. Hepatic fascioliasis was diagnosed using abdominal computed tomography and serology. He tested positive for the IgG antibody against Fasciola hepatica. The patient was treated successfully with triclabendazole. This is the first published report on the occurrence of fascioliasis in Northeast Iran, a non-endemic area for fascioliasis. Our results suggest the emergence of a new focus in the region.

摘要 片形吸虫病（Fascioliasis）是由片形吸虫（Fasciola）这种叶状吸虫引发的人畜共患病。本文报告1例人类肝片形吸虫病病例：患者为57岁男性，因不明原因胃肠道症状就诊，初始疑似血管瘤。经腹部计算机断层扫描与血清学检查确诊为肝片形吸虫病，其抗肝片形吸虫（Fasciola hepatica）IgG抗体检测呈阳性。患者接受三氯苯达唑（triclabendazole）治疗后痊愈。本研究为伊朗东北部这一片形吸虫病非流行区首次报道的肝片形吸虫病病例，研究结果提示该地区出现了新的流行疫源地。