Fascioliasis in the Etiology of Fever of Unknown Origin/Nedeni Bilinmeyen Ates Etyolojisinde Fasyolyaz

• Published in: KLIMIK dergisi Vol. 33; no. 2; p. 176
• Main Authors: Erguden-Gurbuz, Ceren, Abdullayeva, Madina, Ozkoc, Soykan, Eren-Kutsoylu, Oya Ozlem, Yapar, Nur, Bayram-Delibas, Songul
• Format: Journal Article
• Language: English
• Published: AVES 01-08-2020
• Subjects: Ambulatory care facilities; Communicable diseases; Development and progression; Disease transmission; Eggs (Food); Fever; Fluke infections; Goats; Liver
• ISSN: 1301-143X
• DOI: 10.5152/kd.2020.41

Fasciola hepatica, also known as the common liver fluke, is a trematod with a leaf-like and flattened body. The definitive hosts are herbivorous animals such as cattle, sheep, and goats, and it mostly causes disease in animals. Human is an incidental host. The metacercarial forms are transmitted by ingestion of aquatic plants (watercress) in contact with contaminated water. They reach the liver through the intestine, transform into adult form, and following their settlement on the bile ducts start to produce eggs. Serological methods facilitate diagnosis if eggs cannot be seen in feces. In endemic regions, fascioliasis is among the causes of fever of unknown origin (FUO). In this report, we present six adult cases who applied to the Infectious Diseases and Clinical Microbiology Outpatient Clinic with a clinical picture of FUO, and were serologically diagnosed as fascioliasis. Klimik Dergisi. 2020; 33(2): 176-9. Key Words: Fasciola hepatica, fever of unknown origin, serology. Fasciola hepatica "karaciger kelebegi" olarak isimlendirilen yaprak seklinde yassi bir trematoddur. Kesin konagi, sigir, koyun, keci gibi otcul hayvanlar olup daha cok hayvanlarda hastalik yapar. Insan rastlantisal konaktir. Parazit metaserkarya formunda, kontamine sularla temas etmis su bitkilerinin (su teresi) yenmesiyle bulasir. Barsaktan gecerek karacigere ulasan parazit eriskin forma donusur; safra yollarina yerlesir ve yumurta uretmeye baslar. Diskida parazit yumurtalarinin gorulememesi durumunda serolojik yontemler taniyi kolaylastirir. Fasyolyaz, endemik bolgelerde nedeni bilinmeyen ates (NBA) sebepleri arasinda bulunmaktadir. Bu bildiride Infeksiyon Hastaliklari ve Klinik Mikrobiyoloji Poliklinigi'ne NBA klinik tablosuyla basvurmus, eriskin yas grubunda olan ve serolojik olarak fasyolyaz tanisi almis alti olgu sunulmaktadir. Klimik Dergisi. 2020; 33(2): 176-9. Anahtar Sozcukler: Fasciola hepatica, nedeni bilinmeyen ates, seroloji.