The Turkish Journal of Pediatrics 2011 , Vol 53 , Num 1
An Unexpected Parasitic Cause Of Hypereosinophilia: Fascioliasis
Units of 1Pediatric Hematology, 2Pediatric Allergy and Asthma, and 3Pediatric Infectious Diseases, 4Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey Gökçe M, Şahiner Ü, Ünal Ş, Parlakay A, Öncel İ, Saçkesen C, Kara A, Gümrük F. An unexpected parasitic cause of hypereosinophilia: fascioliasis. Turk J Pediatr 2011; 53: 111-113.

A six-year-old boy from Eastern Anatolia was admitted to our outpatient clinic with abdominal pain and hyperleukocytosis. His leukocyte count was 50x109/L with an 80% eosinophilia. Serological investigation was positive at a titration of 1/2560 for Fasciola hepatica. Hepatomegaly with linear hypoechogenic strains, which is typical for F. hepatica, was seen on abdominal ultrasonography. He was successfully treated with triclabendazole, 10 mg/kg/day. He is now under follow-up without any complaints. Hypereosinophilia mimicking leukemia is not an expected finding. To our best knowledge, high leukocyte count with F. hepatica in a child has not been reported in the literature until now. Keywords : Fasciola hepatica, hypereosinophilia, hyperleukocytosis.

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