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June 1, 2026Tropical Doctor0 citations

Fascioliasis presenting as non-resolving liver abscess: Case series from eastern India

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ABAyan BasuDPDipankar PaulYRYogiraj Ray

Key Points

  • To report cases of fascioliasis manifesting as non-resolving liver abscess in eastern India.
  • Diagnosed six cases of fascioliasis over the past year.
  • Used dietary history, liver imaging, and stool analysis for diagnosis.
  • Treated patients with Triclabendazole or Nitazoxanide.
  • All six patients presented with acute symptoms such as fever and abdominal pain.
  • Diagnosis was confirmed via liver abscess findings on imaging and Fasciola eggs detected in stool.
  • All patients successfully responded to treatment with Triclabendazole or Nitazoxanide.

Abstract

Fascioliasis is a foodborne trematode infection caused by Fasciola hepatica and Fasciola gigantica . It is caused by ingestion of undercooked aquatic vegetation containing infective stage metacercariae. Symptoms in the acute stage include fever, abdominal pain and eosinophilia and in the chronic stage symptoms of biliary obstruction or cholangitis. Very few fascioliasis cases have been reported from India. In the last 1 year, we diagnosed six cases of fascioliasis who presented with acute stage symptoms. They were diagnosed by characteristic dietary history, liver abscess on imaging and eggs of Fasciola in stool. They were successfully treated with Triclabendazole or Nitazoxanide.

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Cite This Study

Basu et al. (2026) studied this question.

synapsesocial.com/papers/6a1d236002fbce9130639037https://doi.org/10.1177/00494755261456527
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