CHANGING PATTERN OF FASCIOLIASIS PREVALENCE EARLY IN THE 3RD MILLENNIUM IN DAKAHLIA GOVERNORATE, EGYPT: AN UPDATE

Document Type : Original Article

Authors

1 Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

2 Department of Tropical Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

3 Department of Parasitology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

Abstract

Fascioliasis is an important food- and water-borne parasitic zoonosis caused by liver flukes of genus Fasciola (Digenea: Fasciolidae) of worldwide distribution. In Egypt, fascioliasis was encountered in nearly all Egyptian Governorates, partiularly in the Nile Delta and specifically in Dakahlia. All enrolled cases were subjected to complete history taking, clinical examination, routine investigations and abdominal ultrasonography. Stool analysis  IHA and ELISA were used for fascioliasis diagnosis. Rural areas showed highest prevalence of fascioliasis than urban areas, however, but without significance (x2= 0.042 & P= 0.837). Regarding human fascioliasis in examined the centers, no statistically significant difference (x2 =2.824 & P=0.243) was detected. Regarding gender variation, the difference was statistically insignificant (x2= 0.166 & P= 0.683). The difference between the age groups was statistically insignificant (x2= 3.882 & P=0.274).
Clinically, 7 cases (35%) were asymptomatic and another 13 cases (65%) had different clinical pictures. Abdominal pain, anemia, eosinophilia, and tender hepatomegaly were seen in 70%, 80%, 70%, and 10%; respectively. Of them, 11cases
showed positive abdominal ultrasonographic findings suggestive of fascioliasis.

Keywords

Journal of the Egyptian Society of Parasitology
Volume 43, Issue 1
April 2013
Pages 275-286

Files

Share

How to cite

Statistics