Case Report: First Molecular Diagnosis of Liver Abscesses Due to Fasciola hepatica Acute Infection Imported from Vietnam

Coralie L’Ollivier Aix Marseille University, Institut de Recherche pour le Développement (IRD), Assistance Publique Hôpitaux de Marseille (AP-HM), Service de Santé des Armées (SSA), VITROME, Institut Hospitalo-Universitaire (IHU)-Méditerranée Infection, Marseille, France;

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Carole Eldin Aix Marseille University, Institut de Recherche pour le Développement (IRD), Assistance Publique Hôpitaux de Marseille (AP-HM), Service de Santé des Armées (SSA), VITROME, Institut Hospitalo-Universitaire (IHU)-Méditerranée Infection, Marseille, France;

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Emilie Lambourg Aix Marseille University, Institut de Recherche pour le Développement (IRD), Assistance Publique Hôpitaux de Marseille (AP-HM), Service de Santé des Armées (SSA), VITROME, Institut Hospitalo-Universitaire (IHU)-Méditerranée Infection, Marseille, France;

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Philippe Brouqui Aix Marseille University, IRD, AP-HM, Microbes, Evolution, Phylogénie et Infection (MEPHI), IHU-Méditerranée Infection, Marseille, France

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Jean Christophe Lagier Aix Marseille University, IRD, AP-HM, Microbes, Evolution, Phylogénie et Infection (MEPHI), IHU-Méditerranée Infection, Marseille, France

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We report a case of Fasciola hepatica liver abscesses in a 67-year-old female returning from a trip to Vietnam. She has been suffering from a fever, right abdominal pain for 4 days, and major eosinophilia. Radiologic investigations showed multiple hypodense confluent abscesses in the right lobe of the liver, complicated by occlusive thrombosis of the right branch of the portal vein. The serological investigation of helminth-elicited eosinophilia showed only a positive serology for F. hepatica. Despite repeated negative stool examinations for any intestinal pathogen, the diagnosis was established by the detection of F. hepatica DNA in stool and pus aspirate samples.

Author Notes

Address correspondence to Jean Christophe Lagier, IHU-Méditerranée Infection, 19-21 Blvd. Jean Moulin, Marseille 13005, France. E-mail: jean-christophe.lagier@ap-hm.fr

Authors’ addresses: Coralie L’Ollivier, Carole Eldin, and Emilie Lambourg, Aix Marseille University, IRD, AP-HM, SSA, VITROME, IHU-Méditerranée Infection, Marseille, France, E-mails: coralie.lollivier@ap-hm.fr, carole.eldin@ap-hm.fr, and emilie.lambourg1@gmail.com. Philippe Brouqui and Jean Christophe Lagier, Aix Marseille Univ, IRD, AP-HM, MEPHI, IHU-Méditerranée Infection, Marseille, France, E-mails: philippe.brouqui@ap-hm.fr and jean-christophe.lagier@ap-hm.fr.

These authors contributed equally to this work.

  • 1.

    Ashrafi K, Bargues MD, O’Neill S, Mas-Coma S, 2014. Fascioliasis: a worldwide parasitic disease of importance in travel medicine. Travel Med Infect Dis 12: 636–649.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    World Health Organization. Foodborne Trematode Infections [Internet]. Available at: http://www.who.int/foodborne_trematode_infections/fascioliasis/en/. Accessed July 27, 2018.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Hotez PJ, Bottazzi ME, Strych U, Chang LY, Lim YA, Goodenow MM, AbuBakar S, 2015. Neglected tropical diseases among the Association of Southeast Asian Nations (ASEAN): overview and update. PLoS Negl Trop Dis 9: e3575.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Cabada MM, Malaga JL, Castellanos-Gonzalez A, Bagwell KA, Naeger PA, Rogers HK, Maharsi S, Mbaka M, White AC Jr., 2017. Recombinase polymerase amplification compared to real-time polymerase chain reaction test for the detection of Fasciola hepatica in human stool. Am J Trop Med Hyg 96: 341–346.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Behzad C, Lahmi F, Iranshahi M, Mohammad Alizadeh AH, 2014. Finding of biliary fascioliasis by endoscopic ultrasonography in a patient with eosinophilic liver abscess. Case Rep Gastroenterol 8: 310–318.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Das K, Sakuja P, Aggarwal A, Puri AS, Tatke M, 2007. Non-resolving liver abscess with Echinococcus cross-reactivity in a non-endemic region. Indian J Gastroenterol 26: 92–93.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Dronamraju SS, Jaques BC, Schmid M, Samuel JR, Charnley RM, 2014. Fascioliasis: a rare cause of liver abscess. Postgrad Med J 90: 179–180.

  • 8.

    El-Shabrawi M, El-Karaksy H, Okasha S, El-Hennawy A, 1997. Human fascioliasis: clinical features and diagnostic difficulties in Egyptian children. J Trop Pediatr 43: 162–166.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Hassan HA, Majid RA, Rashid NG, Nuradeen BE, Abdulkarim QH, Hawramy TA, Rashid RM, Farris AB, Guarner J, Hughson MD, 2013. Eosinophilic granulomatous gastrointestinal and hepatic abscesses attributable to basidiobolomycosis and fasciolias: a simultaneous emergence in Iraqi Kurdistan. BMC Infect Dis 13: 91.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Jha AK, Goenka MK, Goenka U, Chakrabarti A, 2013. Hepatobiliary fascioliasis in non-endemic zones: a surprise diagnosis. Arab J Gastroenterol 14: 29–30.

  • 11.

    Kang ML, Teo CH, Wansaicheong GK, Giron DM, Wilder-Smith A, 2008. Fasciola hepatica in a New Zealander traveler. J Travel Med 15: 196–199.

  • 12.

    Kim JB, Kim DJ, Huh S, Cho SY, 1995. A human case of invasive fascioliasis associated with liver abscess. Korean J Parasitol 33: 395–398.

  • 13.

    Menon P, Sinha AK, Rao KL, Khurana S, Lal S, Thapa BR, 2015. Biliary Fasciola gigantica infestation in a nonendemic area—an intraoperative surprise. J Pediatr Surg 50: 1983–1986.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Mueller J, Dagenbach S, Riecken B, Klinger C, 2017. Ambiguous hepatic mass and fever after stay in Turkey. Internist (Berl) 58: 503–506.

  • 15.

    Riazi H, 2001. Large liver abscess: unusual presentation of fascioliasis: case report and literature review. Saudi J Gastroenterol 7: 113–115.

  • 16.

    Sapmaz F, Kalkan IH, Guliter S, Nazlıoğlu A, 2013. A clinical presentation of a very rare infection: parenchymal Fasciola hepatica. Turkiye Parazitol Derg 37: 305–306.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Teichmann D, Grobusch MP, Göbels K, Müller HP, Koehler W, Suttorp N, 2000. Acute fascioliasis with multiple liver abscesses. Scand J Infect Dis 32: 558–560.

  • 18.

    Wang JK, Ma WJ, Lu Q, Zheng EL, Yang Q, Hu HJ, Liu F, Li QS, Li FY, 2017. First case report of retroperitoneal metastasis of fascioliasis after surgery. Medicine (Baltimore) 96: e9258.

  • 19.

    Dusak A, Onur MR, Cicek M, Firat U, Ren T, Dogra VS, 2012. Radiological imaging features of Fasciola hepatica infection–a pictorial review. J Clin Imaging Sci 2: 2.

  • 20.

    Bui Thi D, Pham ND, Saegerman C, Losson B, 2016. Current status of fasciolosis in Vietnam: an update and perspectives. J Helminthol 90: 511–522.

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