Secondary vasculitis to infection by Fasciola hepatica

Authors

  • Germán Málaga Facultad de Medicina “Alberto Hurtado”, Universidad Peruana Cayetano Heredia. Lima, Perú. Hospital Nacional Cayetano Heredia. Lima, Perú. Médico internista, magíster en Medicina.
  • Rubén Taco-Palma Facultad de Medicina “Alberto Hurtado”, Universidad Peruana Cayetano Heredia. Lima, Perú. médico internista.
  • Jaime Cáceres-Pizarro Facultad de Medicina “Alberto Hurtado”, Universidad Peruana Cayetano Heredia. Lima, Perú. Hospital Nacional Cayetano Heredia. Lima, Perú. médico patólogo clínico.
  • María de los Angeles Lazo CONEVID, Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia. Lima, Perú. médico cirujano.
  • Ana Castañeda-Guarderas CONEVID, Unidad de Conocimiento y Evidencia, Universidad Peruana Cayetano Heredia. Lima, Perú. médico cirujano.
  • Ray Ticse Facultad de Medicina “Alberto Hurtado”, Universidad Peruana Cayetano Heredia. Lima, Perú. Hospital Nacional Cayetano Heredia. Lima, Perú. médico internista.

DOI:

https://doi.org/10.17843/rpmesp.2012.293.374

Keywords:

Vasculitis, Fasciola hepatica, Endemic diseases

Abstract

There is a case of a 38 year-old male patient coming from an area where hepatic fascioliasis is endemic in Peru. He was hospitalized because he showed 4 weeks of symptoms like fever, intense myalgias, erythematous and painful injuries on limb extensions. The electromyography and nerve conduction velocity showed a global inflammatory myopathy. A skin biopsy showed polyarteritis nodosa-type vasculitis. During the evaluation process prior to the immunosuppressive therapy, hepatic Fasciola eggs were found in the parasitological examination of stools. The fascioliasis diagnosis was confirmed by fas2-ELISA: 0.46 (VN <0.20). Clinical symptoms started to subside after treatment with ticlabendazol. Contact with the patient was maintained for a year and there was no evidence of disease recurrence, and he was asymptomatic.

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Published

2014-02-03

Issue

Section

Case Report

How to Cite

1.
Málaga G, Taco-Palma R, Cáceres-Pizarro J, Lazo M de los A, Castañeda-Guarderas A, Ticse R. Secondary vasculitis to infection by Fasciola hepatica. Rev Peru Med Exp Salud Publica [Internet]. 2014 Feb. 3 [cited 2024 Jun. 22];29(3). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/374

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