SEVERE INFECTION WITH FASCIOLA-HEPATICA A S THE CAUSE OF HEMORRHAGIC ASCITES

Multi-organ infection with Fasciola hepatica is uncommon. We report a case of severe infection with Fasciola hepatica as a cause of liver an d peritoneum injuries with hemorrhagic ascites as well as pulmonary, p ericardial, splenic and portal system injuries in a 37-year old man wh o was a native of Green Cape. the patient was in poor general health, had a major inflammatory syndrome, and polyclonal hypergammaglobulinem ia (90 g/L). The diagnosis was confirmed by positive distomatosis sero logy and the presence of eggs of Fasciola hepatica in the histological samples of the liver and peritoneum. After treatment with praziquante l then triclabendazole, the global outcome was favorable.