Brote epidémico de fascioliasis invasiva: Estudio de una familia
Se estudiaron 6 casos de una familia procedente del área rural, con antecedentes de ingestión de berro silvestre, para exponer nuestras observaciones clínicas y terapéuticas sobre esta infección. Se observó que unas semanas más tarde a la ingestión se presentaron síntomas de astenia, dolor en hipocondrio derecho, fiebre, hepatomegalia. Se realizó leucograma, recuento global de eosinófilos, aminotransferasas, fosfatasa alcalina, antígeno de superficie, anti HVC, serodiagnóstico para fasciola (ELISA indirecto), heces fecales seriadas, drenaje biliar, laparoscopia y biopsia hepática y colangiopancreatografía transduodenal. Se estudió solamente mediante exámenes de laboratorio el caso de un niño. Se halló un recuento global de eosinófilos elevado en todos los casos. Se detectaron huevos de fasciola en 2 casos: uno en heces fecales y otro, en bilis. Se demostró, mediante laparoscopia, la presencia de lesiones de larva migrans visceral en la superficie hepática, que se comportaron histológicamente como granulomas. La colangiopancreatografía transduodenal resultó un método útil en el diagnóstico y tratamiento de algunos casos. Se indicó tratamiento con emetina y prazicuantel indistintamente.<br<6 cases of a family from a rural area with history of ingestion of wild watercress were studied to explain our clinical and therapeutic observations on this infection. Symptoms of astenia, pain on the right hypochondrium, fever and hepatomegaly were observed some weeks after the ingestion. White blood cell count, global count of eosinophils, aminotranspherasa, alkaline phosphatasa, surface antigen, anti HVC, serodiagnosis for fasciola (indirect ELISA), serial stools, biliary drainage, laparoscopy, liver biopsy and transduodenal cholangiopancreatography were performed. Only the case of a child was studied by laboratory tests. An elevated global account of eosinophils was found in all cases. Eggs of fasciola were detected in 2 cases: one in stools and the other in bilis. The presence of lesions of larva migrans visceral on the liver surface that behaved histologically as granulomas was demonstrated by laparoscopy. Transduodenal cholangiopancreatography proved to be a useful method in the diagnosis and treatment of some cases. Treatment with emetine and prazicuantel was indistinctly indicated..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2002 |
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| Erschienen: |
2002 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:41 |
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| Enthalten in: |
Revista Cubana de Medicina - 41(2002), 4, Seite 212-215 |
| Sprache: |
Spanisch |
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| Beteiligte Personen: |
Gloria Astencio Rodríguez [VerfasserIn] |
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| Links: |
doaj.org [kostenfrei] |
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| Themen: |
BROTE DE ENFERMEDADES |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
DOAJ068886004 |
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| 520 | |a Se estudiaron 6 casos de una familia procedente del área rural, con antecedentes de ingestión de berro silvestre, para exponer nuestras observaciones clínicas y terapéuticas sobre esta infección. Se observó que unas semanas más tarde a la ingestión se presentaron síntomas de astenia, dolor en hipocondrio derecho, fiebre, hepatomegalia. Se realizó leucograma, recuento global de eosinófilos, aminotransferasas, fosfatasa alcalina, antígeno de superficie, anti HVC, serodiagnóstico para fasciola (ELISA indirecto), heces fecales seriadas, drenaje biliar, laparoscopia y biopsia hepática y colangiopancreatografía transduodenal. Se estudió solamente mediante exámenes de laboratorio el caso de un niño. Se halló un recuento global de eosinófilos elevado en todos los casos. Se detectaron huevos de fasciola en 2 casos: uno en heces fecales y otro, en bilis. Se demostró, mediante laparoscopia, la presencia de lesiones de larva migrans visceral en la superficie hepática, que se comportaron histológicamente como granulomas. La colangiopancreatografía transduodenal resultó un método útil en el diagnóstico y tratamiento de algunos casos. Se indicó tratamiento con emetina y prazicuantel indistintamente.<br<6 cases of a family from a rural area with history of ingestion of wild watercress were studied to explain our clinical and therapeutic observations on this infection. Symptoms of astenia, pain on the right hypochondrium, fever and hepatomegaly were observed some weeks after the ingestion. White blood cell count, global count of eosinophils, aminotranspherasa, alkaline phosphatasa, surface antigen, anti HVC, serodiagnosis for fasciola (indirect ELISA), serial stools, biliary drainage, laparoscopy, liver biopsy and transduodenal cholangiopancreatography were performed. Only the case of a child was studied by laboratory tests. An elevated global account of eosinophils was found in all cases. Eggs of fasciola were detected in 2 cases: one in stools and the other in bilis. The presence of lesions of larva migrans visceral on the liver surface that behaved histologically as granulomas was demonstrated by laparoscopy. Transduodenal cholangiopancreatography proved to be a useful method in the diagnosis and treatment of some cases. Treatment with emetine and prazicuantel was indistinctly indicated. | ||
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