Emerging cases of fascioliasis in lorestan province, western iran: Case series report

HEYDARIAN, Peyman and ASHRAFI, Keyhan and RAHIMI ESBOEI, Bahman and MOHEBALI, Mehdi and Beigom KIA, Eshrat and ARYAEIPOUR, Mojgan and BOZORGOMID, Arezoo and CHEGENI SHARAFI, Ali and MOKHAYERI, Hamid and ROKNI, Mohammad Bagher (2021) Emerging cases of fascioliasis in lorestan province, western iran: Case series report. Iranian Journal of Public Health, 50 (1). pp. 195-200.

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Fascioliasis is a zoonotic disease caused by Fasciola spp. We report five serologically and molecularly confirmed cases in an emerging region in Iran. A retrospective, case series study, performed in Lorestan Province, west of Iran between January 2015 and June 2016. From 1256 patients examined, 16 patients had positive serum ELISA. Five cases were approved as infected with fasciolosis using stool exam and PCR. Age ranged from 24 to 80 yr with mean age of 45 years. All of patients were adults and four of them had abdominal and back pain. Other symptoms included fever and chills, coughing and sore throat, weight loss, cutaneous manifestations. All patients lived in the rural environment, and four reported the ingestion of raw aquatic plants such as watercress. In fecal examination for fluke eggs, four samples were positive for F. hepatica eggs. Conventional PCR analysis showed that five human stools were positive for F. hepatica. All of 5 patients were treated with the usual dose of triclabendazole. A history of recent consumption of raw aquatic plants (in 4 out of 5 patients) is an important finding, but in one patient the source of infection remained unclear. Lorestan should be considered as an emerging region for this disease and further research in this province should be carried out.

Item Type: Article
Subjects: Q Science > QR Microbiology
Divisions: University Portal > vice chancellor > vcr
Depositing User: Mrs Shahrzad Gholami
Date Deposited: 01 Sep 2021 05:42
Last Modified: 01 Sep 2021 05:42
URI: http://eprints.qums.ac.ir/id/eprint/10989

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