Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + Download Section PDF Listen ++ For further information, see CMDT Part 35-17: Intestinal Flukes + Key Features Download Section PDF Listen +++ ++ Fasciolopsis buski is a common parasite of pigs and humans in eastern and southern Asia Eggs shed in stools and hatch in fresh water, followed by infection of snails and release of cercariae that encyst on aquatic plants Humans are infected by eating uncooked plants, including water chestnuts, bamboo shoots, and watercress Adult flukes mature in about 3 months and live in the small intestine attached to the mucosa, leading to local inflammation and ulceration + Clinical Findings Download Section PDF Listen +++ ++ Infection is often asymptomatic, but eosinophilia may be marked In symptomatic cases, after an incubation period of 1–2 mo, manifestations include epigastric pain and diarrhea Uncommon findings Other gastrointestinal symptoms Ileus Edema Ascites + Diagnosis Download Section PDF Listen +++ ++ Diagnosis depends on finding characteristic eggs or, occasionally, adult flukes in the stools Moderate eosinophilia is common Illness > 6 months after travel to endemic area is unlikely + Treatment Download Section PDF Listen +++ ++ Praziquantel Drug of choice 25 mg/kg as a single dose Triclabendazole and niclosamide are alternatives (for most species)