Fasciolopsiasis, denoting an intestinal infection by the trematode parasite fasciolopsis buski, is regarded as a rare clinical entity in medical practice, but many reports have emphasized its frequent misdiagnosis and rather high prevalence rates 1 2. Migration poses the risk of spread of the worm to other parts of the country. We report an unusual case of fasciolopsiasis, in which the adult worms were passed out in the vomitus of an 11yearold boy. The prevalence of fasciolopiasis is related to growing water plants and feeding pigs on water plants. Endemic focus of fasciolopsis buski infection in bangladesh. A vietnamese child presented with a history of abdominal pain. Fasciolopsis buski is a foodborne zoonotic parasite which is transmitted by aquatic plants, with pigs and humans as the definitive hosts. Unusual presentation of fasciolopsis buski in a viet namese child april 2004 transactions of the royal society of tropical medicine and hygiene 983. Case report fasciolopsis buski infection in a vietnamese.
Here we report a case of a 50yearold female who presented with upper abdominal. Fascioliasis is a zoonotic disease caused by fasciola species. The patient was presented with severe epigastric pain, vomiting and constipation for a period of. There are two more reports of live adult worms being vomited out 1, 5. First autochthonous case of fasciolopsis buski infection in indonesia. Theprevalence of fasciolopiasis is related to growingwater plants and feeding pigs on water plants. Fasciolopsis buski giant intestinal fluke a case report. Digenetic trematode echinostoma olympus life science. Fasciolopsiasis is a disease caused by the largest intestinal fluke, fasciolopsis buski. Services university of the health sciences usuhs and the journal of special operations medicine. Live faciolopsis buski in a migrant with subacute intestinal. The patient had complains of occasional gastrointestinal symptoms.
Echinostomiasis is a foodborne infection caused by an intestinal trematodes belonging to the family echinostomatidae. These eggs cannot be distinguished from the eggs of fasciola hepatica. Fasciolidae parasite occurring in humans but also in pigs, equines, bovines, caprines and ovines that act as reservoir hosts for infection chandra, 1984. A viet namese child presented with a history of abdominal pain. However, with heavy infections, the worms can produce catarrhal inflammation with mild ulceration and the patient may experience abdominal pain, anorexia, nausea, vomiting, diarrhea and. Fasciolidae parasite occurring in humans but also in pigs, equines, bovines, caprines and ovines that act as reservoir hosts for infection chandra, 1984, segal et al. We report a first case of echinostomiasis from nepal in a 62 years old, hindu male who presented to tribhuvan university teaching hospital, kathmandu with a complaint of abdominal pain and distension with vomiting on and off for 34 months. Human acquires the infection after eating raw freshwater plants contaminated with the infective metacercariae. The disease is endemic in the far east and southeast. Epidemiology of fasciolopsis buski in uttar pradesh.
Patient responded to treatment with piperazine, thiabendazole and albendazole, the importance of considering multiple and nonendemicparasite infestations in migrant of poor socioeconomic. Patient may be asymptomatic or presents with jaundice and biliary colic or right hypochondriac pain due to bile duct obstruction with gastrointestinal symptoms. Fasciolopsiasis is a disease caused by the largest foodborne intestinal trematode known as fasciolopsis buski. Fasciolopsis buski is a duodenal digenetic trematode family. To describe the clinical and sociodemographic profile of fasciolopsiasis in children. Reported is a case of sevenyearold, migrant from bihar state, infested with fasciolopsis buski strongyloides stercoralis ascaris lumbricoides, trichuris trichiura and ankylostoma duodenale in feces. Fasciolopsis buski is commonly called the giant intestinal fluke, because it is an exceptionally large parasitic fluke, and the largest known to parasitise humans. Its size is variable and a mature specimen might be as little as 2 cm long, but the body may grow to a length of 7. Herein, we report a case of fasciolopsiasis in a 22yearold man who.
A thick fleshy leaf shaped worm, identified as fasciolopsis buski was found in the vomitus of a 15 year old migrant from bihar. We report fasciolopsis buski in a migrant from bihar working in coimbatore, tamil nadu. Pdf fasciolopsis buski infection in a 50yearold female. Transactions of the royal society of tropical medicine and hygiene, 983. Adult worms of f buski from humans are very rarely seen except at autopsy, and this is the first such report from viet nam. Immature eggs are discharged into the intestine and stool. An unusual presentation of diarrhea by fasciolopsis buski. Feb 21, 2019 epidemiology of fasciolopsis buski in uttar pradesh. Diagnosis is made by detecting eggs in stool, but the distinction between fasciolopsis buski and fasciola hepatica is very difficult to make in routine stool examinations. Approximately 12 million highquality reads were obtained from adult f. Other cases of live adult worms causing different clinical conditions are reported by cao et. We report a case of human fascioliasis in a 45 years old female presented to tribhuvan university teaching hospital tuth, kathmandu, nepal on august. High prevalence of fasciolopsis buski in an endemic area.
Fasciolopis buski produce about 25,000 eggs per day, each oval and measuring approximately m in length. Mamatha ballal, suganthi martena department of clinical microbiology and immunology, kmc international centre manipal, karnataka, india. Eggs become embryonated in water, eggs release miracidia, which invade a suitable snail intermediate host. Adult fasciolopsis buski generally live on the walls of the duodenum and jejunum in the gastrointestinal tract, but can spread throughout the intestines in severe cases of infection.
Olympus life science fasciolopsis buski adult 20200502 20200502 tagged fasciolopsis buski. Fasciolopsiasis presenting as intestinal perforation. Pdf fasciolopsiasis is a disease caused by the largest intestinal fluke, fasciolopsis buski. Studies show that between 2550% of children harbor this parasite in countries such as china and thailand 1. The prevalence of fasciolopiasis is related to growing water plants. Fasciolopsiasis articles case reports symptoms treatment, ireland. Fasciolopsis buski, fasciolopsiasis, abdominal pain, hepatitis, nepal. This caused a partial blockage in the local appendix lumen, increased intraluminal pressure, inflammation and edema in some areas resulting in acute or chronic appendicitis. The below mentioned article provides a short note on fasciolopsis buski giant intestinal fluke. Measuring up to 80 mm in length, it is one of the largest trematodes found in humans. Bargues the epidemiological picture of human fascioliasis has changed in recent years.
Its general morphology is similar to that of the common liver fluke, fasciola hepatica, but it lacks the thickened anterior cone and its. Barlow first determined its life cycle in humans in 1925 prevalent in southeast asia and lives in humans and pigs intestines. Case study fasciolopsis buski vomited out by a child. Muralidhar s, srivastava l, aggarwal a, jain n, sharma dk. This parasite is found in many countries in the orient and, as with many other parasites that. The trematode fasciolopsis buski, the largest intestinal fluke of humans. Fasciolopsiasis is a disease caused by the largest intestinal flatworm, trematode fasciolopsis buski. Mar 14, 2015 in this report, the mechanism of appendicitis caused by fasciolopsis buski in these patients was attachment of the sucker to the appendiceal orifice. Fasciolopsiasis is a parasitic infection caused by fasciolopsis buski and is considered to be most prevalent in countries of southeast asia. Fasciolopsis buski is the largest intestinal fluke infecting human beings. Fasciolopsis buski definition of fasciolopsis buski by.
A first case report from rural coastal india manipal, karnataka. In the snail the parasites undergo several developmental stages sporocysts, rediae, and cercariae. It is yet to know whether there is any genetic diversity among f. Fasciolopsis buski is a zoonotic intestinal fluke infecting humans and pigs, but it has been seriously neglected. Fasciolopsis buski lankester, 1857 looss, 1899, the iconic species of the genus fasciolopsis, is the etiological agent of fasciolopsiasis of many mammals, such as humans, pigs, monkeys, dogs and rabbits. Blood stage parasites, thin blood smears cdc pdf pdf file. This trematode is endemic in certain parts of the country. Hemanga k bhattacharjee, devendra yadav, deepak bagga department of paediatric surgery, safdarjung hospital, new delhi,110029, india corresponding author.
The disease is endemic in the far east and southeast asia. Blood stage parasites, thick blood smears cdc pdf pdf, 938 kb plasmodium spp. Ppt fasciolopsis buski powerpoint presentation free to. An unusual presentation of diarrhea by fasciolopsis buski, taenia spp. Fasciolopsis buski fasciolopsis buski is prevalent in southeast asiaand lives in humans and pigs intestines, so it isalso called asia giant intestinal fluke. He had history of consumption of insufficiently cooked fish and snail with alcohol. Fasciolopsis buski 1 fasciolopsis buski 2 fasciolopsis buski. Fasciolopsis buski lives in the small intestine of humans and pigs.
Fasciolopsiasis is a disease caused by fasciolopsis buski where humans acquire the infection by consumption of raw fresh water plants contaminated with metacercariae stage of the parasite. This parasite is found in many countries in the orient and, as with many other parasites that infect humans, pigs serve as a reservoir ho. Morphology of fasciolopsis buski giant intestinal fluke. A finding of live fasciolopsis buski in an ileostomy opening. Live faciolopsis buski in a migrant with subacute intestinal obstruction, a case report from a tertiary care hospital. Intestinal infestation with fasciolopsis buski leading to acute. There has been no report of fasciolopsiasis either in man or in animal in malaysia. Fasciolopsis buski, the large intestinal fluke, a species found in the intestine of humans in eastern and southern asia. The combination of morphological and molecular methods provided a very elegant.
Olympus life science fasciolopsis buski adult pixelmasterdesign. The trematode fasciolopsis buski, the largest intestinal fluke of humans life cycle. This disease occurs due to the ingestion of infected aquatic foods or contact with infected pigs. Identification and characterization of micrornas in the. Shortly afterwards, he vomited eight live trematode flukes that were collected and. Introduction one of the old parasite described in chinese traditional medicine in london, fasciolopsis buski was first found in the duodenum of a sailor and described by busk in 1843. Pdf intestinal infestation with fasciolopsis buski. Acute kidney injury following intestinal obstruction occurred in this case which was never. Patient responded to treatment with piperazine, thiabendazole and albendazole, the importance of considering multiple and nonendemicparasite. Fasciolopsiasis results from an infection by the trematode fasciolopsis buski, the largest intestinal fluke of humans up to 7. Return to article details fasciolopsis buski infection in a vietnamese pregnant woman with systemic lupus erythematosus download download pdf. We are reporting an unusual case, in which an 11yearold boy vomited out 4 live adult worms. A case of polyparasitism involving a trematode and four. Trematode paragonimus westermani ova in pleural effusion pdf document.
Intestinal infestation with fasciolopsis buski leading to. There were 2 cases of mixed infection between o viverrini and f buski infection 1. A clinical case of infection caused by fasciolopsis buski in a 24 weeks pregnant woman from vietnam affected by systemic lupus erythematosus. The objective of the present study was to characterize the microrna mirna profiles of this parasite by solexa deep sequencing and bioinformatic analysis. Therefore, we determined the sequences of partial 18s, the complete internal. Pdf fasciolopsiasis is a disease caused by the largest foodborne intestinal trematode known as fasciolopsis buski. The clinical presentation depends on the severity of infection, ranging from asymptomatic to lifethreatening intestinal inflammation and bleeding. Short notes on fasciolopsis buski giant intestinal fluke. Reservoirs humans and pigs some authors have implicated dogs and rabbits as reservoirs, but this seems to be rare if true at all. The incidence of fasciolopsiasis is often associated with aquatic plants. Fasciolopsis buski is prevalent in southeast asia and lives in humans and pigs intestines, so it is also called asia giant intestinal fluke. Live fasciolopsis buski vomited out by a boy mohanty i.
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