Cutaneous Fascioliasis

Am. J. Trop. Med. Hyg., 72(5), 2005, pp. 508-509Copyright © 2005 by The American Society of Tropical Medicine and Hygiene
CUTANEOUS FASCIOLIASIS: A CASE REPORT IN VIETNAM, LE THI XUAN, NGUYEN THIEN HUNG, AND JITRA WAIKAGUL .Department of Parasitology, Faculty of Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam; Medic Medical Center, Ho Chi Minh City, Vietnam; Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.

A 40 year-old woman living in Gialai, Kontum, Vietnam, developed a red solid mass in the epigastric region. From ultrasound investigation, liver abscess and myositis of the intercostal muscle was diagnosed. Two weeks after treatment with antibiotics, the mass disappeared, but a migratory track developed in the right upper quadrant of the abdomen. An aspiration of the vesicular end of the serpiginous track showed a light brown, living worm that was later identified as an immature Fasciola sp. This is the first case report of cutaneous fascioliasis in the form similar to creeping eruption.

Authors’ addresses: Le Thi Xuan, Department of Parasitology, Faculty of Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, 217 Hong Bang, District 5, Ho Chi Minh City, Vietnam, E-mail: lexuan02@hcm.vnn.vn.
. Nguyen Thien Hung, Medic Medical Centre, 254 Hoa Hao, District 10, Ho Chi Minh City, Vietnam, E-mail: ngyen_thienhung@yahoo.com.vn.

Jitra Waikagul, Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, 420/6 Ratchawithi Road, Bangkok 10400, Thailand.

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