ABSTRACT

Fasciola hepatica is a parasitic infection is seen especially in developing countries. A 9-year-old boy with nausea, gastric pain, decreased appetite, and eating complaints was referred to our polyclinic and hospitalized with a prediagnosis of parasitic infection. His physical examination was normal, but anemia and significant eosinophilia were detected in the blood sample. F. hepatica serology was positive in blood, and signs of adult F. hepatica parasites were seen on abdominal ultrasonography. On further examination, F. hepatica signs were seen on abdominal computed tomography and magnetic resonance imaging. Triclabendazole was started in a single dose of 10 mg/kg, and the same dose was repeated one month later. Patient completely recovered after triclabendazole treatment. Systemic parasitic infection should be considered among patients with gastric pain, decreased appetite, and pica (especially soil eating). Serologic tests are also beneficial as well as radiologic techniques in the diagnosis of parasitic infections.

Keywords: Fasciola hepatica, parasitic diseases, radiology