Fasciola hepatica

Background

Epidemiology

• Associated with ingestion of water plants, classically watercress

Clinical Manifestations

• Acute: triad of fever, right upper quadrant pain, and high-grade eosinophilia
• Chronic: largely asymptomatic

Diagnosis

• Serology is mainstay of diagnosis, especially during acute phase
• Eventually can see eggs in stool, biliary system, or duodenal aspirate

Management

• Triclabendazole 10 mg/kg PO for 1-2 days