- Fasciolopsiasis
Infobox_Disease
Name = PAGENAME
Caption = Adult "Fasciolopsis buski
DiseasesDB =
ICD10 = ICD10|B|66|5|b|65
ICD9 = ICD9|121.4
ICDO =
OMIM =
MedlinePlus =
eMedicineSubj =
eMedicineTopic =
MeshID = D014201Fasciolopsiasis results from
infection by thetrematode "Fasciolopsis buski " (Lankester, 1857) Odhner, 1902, the largestintestinal fluke ofhuman s (up to 7.5 cm in length). [cite web |url=http://www.stanford.edu/class/humbio103/ParaSites2002/fasciolopsiasis/fasciolopsiasis.html |title="Fasciolopsiasis" at Stanford.edu |accessdate=2007-07-03 |format= |work=]Geographic distribution
This
disease occurs inAsia and theIndia nsubcontinent , especially in areas where humans raisepig s and consume rawaquatic plants .Infection cycle
The parasite infects an amphibic
snail ("Segmentina nitidella ,Segmentina hemisphaerula ,Hippeutis schmackerie ,Gyraulus ,Lymnaea , Pila,Planorbis (Indoplanorbis )") after being released by infected feces; from thisintermediate host metacercaria infest onaquatic plant s, which are eaten (raw) by pigs and humans. Also the water is possibly infective when drunk unheated ("Encysted cercariae exist not only onaquatic plant s, but also on the surface of the water.".) [cite journal |author=Weng YL, Zhuang ZL, Jiang HP, Lin GR, Lin JJ |title=Studies on ecology of Fasciolopsis buski and control strategy of fasciolopsiasis |language=Chinese |journal=Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi |volume=7 |issue=2 |pages=108–11 |year=1989 |pmid=2805255 |doi=]Clinical features
Most infections are light and asymptomatic. In heavier infections,
symptom s includediarrhea ,abdominal pain ,fever ,ascites ,anasarca , and intestinal obstruction.Laboratory diagnosis
Microscopic identification of eggs, or more rarely of the adult
fluke s, in thestool orvomit us is the basis of specificdiagnosis . The eggs are indistinguishable from those of "Fasciola hepatica ".Treatment
Triclabendazole is the drug of choice for treatment of fasciolopsiasis.Incidence/prevalence
*"It has been estimated that there may be 10 million people in East Asia infected with this fluke, yet its radiological identification remains unreported." [cite web |url=http://tmcr.usuhs.mil/tmcr/chapter21/otherfas.htm |title=Tropical Medicine Central Resource |accessdate=2007-07-03 |format= |work=]
ee also
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Hulda Regehr Clark References
External links
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