B66.3

Clinical Causes: Consuming water plants such as watercress, water chestnuts, or other freshwater vegetables contaminated with larval flukes. Drinking untreated or contaminated water from lakes, ponds, or rivers where infected snails or aquatic plants are present. Eating undercooked or raw freshwater fish or aquatic plants carrying infective larvae. Contact with freshwater bodies that harbor the intermediate snail hosts involved in the parasite’s life cycle.

Key Symptoms: Abdominal pain and discomfort, especially in the upper right region near the liver. Fever and chills, sometimes accompanied by sweating. Nausea, vomiting, or loss of appetite. Jaundice (yellowing of skin and eyes) in more severe cases. Enlargement and tenderness of the liver. Fatigue and general malaise. Allergic reactions, such as skin rashes or itching, in some cases.

Diagnosis Path: Healthcare providers may diagnose fascioliasis through a combination of methods, including blood tests that detect specific antibodies, stool examinations to identify parasite eggs, and imaging studies like ultrasound or MRI to visualize liver involvement. The diagnostic process helps distinguish fascioliasis from other liver or gastrointestinal conditions.

Treatment Protocols: Treatment typically involves antiparasitic medications such as triclabendazole, which is effective against the flukes. In some cases, additional supportive care may be provided to manage symptoms. Preventive measures include avoiding consumption of contaminated water or raw aquatic plants and ensuring proper cooking of seafood. Regular monitoring and follow-up testing are important to confirm eradication of the infection.