Resumen

ALARCON DE NOYA, Belkisyolé et al. Localización pancreática de fasciola hepática en un caso humano autóctono proveniente del Edo. Bolívar, Venezuela. Gen [online]. 2006, vol.60, n.2, pp.134-137. ISSN 0016-3503.

Human fasciolosis in Venezuela is an infrequent disease, reported only 8 times previously in persons coming from the center and the western states of the country. The case of a 25 years old masculine patient from Bolivar State, where he practices equitation and supervises tasks of corral of equine and bovine cattle is reported. The disease began with diarrhea at 14 years old, accompanied by persistent eosinofilia. ELISA and "Immunoblot" were strongly positive to excretion-secretion Fasciola hepatica antigen. Given the presence of persistent epigastric pain, echo-endoscopy was practiced, resulting in the visualization of cyst expansion of the pancreatic duct with an internal structure probably corresponding to a parasite. The parasitologic examination of the duodenal content and feces reported Fasciola hepatica eggs this last material. After treatment with Bithionol, eosinofilia diminished and there was frank clinical improvement. It is the first case of human fasciolosis of the southeastern part of the country, where bovine or human fasciolosis had not been described in which additionally, an ectopic pancreatic location of difficult clinical diagnosis occurred.

Palabras clave : Fasciolosis; immunodiagnosis; echo-endoscopy; eosinofilia; pancreas; Venezuela.

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