TY  - CHAP
M1  - Book, Section
TI  - Fascioliasis
A1  - Rosenthal, Philip J.
A2  - Papadakis, Maxine A.
A2  - McPhee, Stephen J.
A2  - Rabow, Michael W.
A2  - McQuaid, Kenneth R.
PY  - 2023
T2  - Current Medical Diagnosis & Treatment 2023
AB  - Infection  by  Fasciola  hepatica,  the  sheep  liver  fluke,  results  from  ingestion  of  encysted  metacercariae  on  watercress  or  other  aquatic  vegetables.  Infection  is  prevalent  in  sheep-raising  areas  in  many  countries,  especially  parts  of  South  America,  the  Middle  East,  and  southern  Europe,  and  it  has  increasingly  been  recognized  in  travelers  to  these  areas.  Fasciola  gigantica  has  a  more  restricted  distribution  in  Asia  and  Africa  and  causes  similar  findings.  Eggs  are  passed  from  host  feces  into  freshwater,  leading  to  infection  of  snails,  and  then  deposition  of  metacercariae  on  vegetation.  In  humans,  metacercariae  excyst,  penetrate  the  peritoneum,  migrate  through  the  liver,  and  mature  in  the  bile  ducts,  where  they  cause  local  necrosis  and  abscess  formation  (eFigure  35–23).  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1193137978
ER  -