Fasciolopsiasis

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Fasciolopsiasis
Fasciolopsis buski
SpecialtyInfectious diseases Edit this on Wikidata

Fasciolopsiasis results from an

intestinal fluke of humans
, growing up to 7.5 cm (3.0 in) long.

Signs and symptoms

Most infections are light, almost

toxemia, allergic responses, sensitization caused by the absorption of the worms' allergenic metabolites can lead to intestinal obstruction and may eventually cause death of the patient.[2]

Cause

The parasite infects an amphibic

water spinach, which are eaten raw by pigs and humans. Water itself can also be infective when drunk unboiled ("Encysted cercariae exist not only on aquatic plants, but also on the surface of the water.")[4]

Diagnosis

Microscopic identification of eggs, or more rarely of the adult

vomitus is the basis of specific diagnosis. The eggs are indistinguishable from those of the very closely related Fasciola hepatica liver fluke, but that is largely inconsequential since treatment is essentially identical for both.[citation needed
]

Prevention

Infection can be prevented by immersing vegetables in boiling water for a few seconds to kill the infective metacercariae, avoiding the use of untreated feces ("nightsoil") as a fertilizer, and maintenance of proper sanitation and good hygiene. Additionally, snail control should be attempted.[citation needed]

Treatment

pyrantel pamoate.[5] Oxyclozanide, hexachlorophene and nitroxynil are also highly effective.[6]

Epidemiology

Distribution of Fasciolopsis buski

F. buski is endemic in Asia including China, Taiwan, Southeast Asia, Indonesia, Malaysia, and India. It has an up to 60% prevalence in worst-affected communities in southern and eastern India and mainland China and has an estimated 10 million human infections. Infections occur most often in school-aged children or in impoverished areas with a lack of proper sanitation systems.[7]

A study from 1950s found that F. buski was endemic in central Thailand, affecting about 2,936 people due to infected aquatic plants called water caltrops and the snail hosts which were associated with them. The infection, or the eggs which hatch in the aquatic environment, were correlated with the water pollution in different districts of Thailand such as Ayuthaya Province. The high incidence of infection was prevalent in females and children ages 10–14 years of age.[8]

References

  1. ^ Lankester E, Küchenmeister F (1857). "Appendix B: On the occurrence of species of Distoma in the human body". On animal and vegetable parasites of the human body: a manual of their natural history, diagnosis, and treatment. Vol. 1. Sydenham Society. pp. 433–7.
    Odhner TH (1902). "Fasciolopsis Buski (Lank.)[= Distomum crassum Cobb.], ein bisher wenig bekannter Parasit des Menschen in Ostasien". Centralblatt für Bakteriologie, Parasitenkunde und Infektionskrankheiten. XXXI.
  2. PMID 19624087
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Further reading

External links