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Peer-reviewed veterinary case report

andCo-Infection Leading to Hepatic Abscess: A Case Report.

Journal:
Journal of Korean medical science
Year:
2023
Authors:
Kim, Seung Wan & Jang, Byoung Kuk
Affiliation:
Department of Internal Medicine · South Korea

Plain-English summary

A 39-year-old woman developed a liver abscess, which is a pocket of infection in the liver, due to being infected by two different parasites at the same time. One of these parasites comes from soil contaminated with dog and cat feces, while the other is from liver flukes that can be found in contaminated water or plants. Although she had a pet dog and had eaten a type of water plant that could carry the parasites, the exact source of her infection wasn't clear. After receiving treatment with two medications, albendazole and triclabendazole, her blood tests and imaging showed improvement. Overall, the treatment worked well for her condition.

Abstract

Toxocariasis is a zoonotic disease caused by ingesting eggs from soil contaminated withand, commonly found in feces of infected dogs and cats, leading to a range of clinical symptoms including fever, abdominal pain and gastrointestinal manifestations. Fascioliasis is also a zoonotic disease caused by liver flukesandwhich can be contracted through consumption of contaminated water or aquatic plants, leading to various clinical features. Here, we report a case of a 39-year-old woman diagnosed with a liver abscess caused by co-infection ofandas confirmed by serological tests. Although the existence of a pet dog and an experience of eating raw water dropwort are potential clues for diagnosis, it cannot be determined as the source of infection because the source of infection has not been clearly identified. After administrating albendazole and triclabendazole sequentially, the patient showed improvement in blood test and imaging findings. Clinicians should be aware of parasitic co-infection and take appropriate management.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/37821089/