Table 1 Clinical, radiologic, and laboratory characteristics of 14 patients diagnosed with granulomatous and eosinophilic gastrointestinal and hepatic abscesses in Sulaimaniyah, Iraq, 2009–2012
Patient | Age (yrs) | Sex | Date (mo/yr) and method of diagnosis | Social and medical history | Febrile | Weight loss | Eosino-philia | Principal symptoms/duration | Radiologic findings | Fasciola ELISA |
|---|---|---|---|---|---|---|---|---|---|---|
1. | 48 | M | 5/2010; histology | Cashier/healthy | Yes | Yes | 12% | Abdominal pain/2 mos, intestinal mass, obstruction | CT: Cecal, ascending colon mass, stricture. Rt. lobe liver mass | Neg |
2. | 1.5 | M | 8/2010; histology, biopsy of pelvic mass | Previously well infant | Yes | Yes | 29% | Abdominal pain, pelvic mass/1 wk. | CT: Necrotic mass, lower abdomen and pelvis | Neg |
3. | 59 | M | 10/2010; histology | Merchant, dry goods/healthy | Yes | Yes (6 kg) | No | Abdominal pain and mass. Itching/3 mos. | CT: Cecal mass | Neg |
4. | 53 | M | 2/2012; histology | Soldier/healthy | Yes | Yes | Not tested | Abdominal pain/1 mo., intestinal mass, obstruction | CT: Cecal, transverse colon masses, strictures | Neg |
5. | 39 | M | 5/2012; histology | Military office worker/chronic gastritis | Yes | Yes | 9% | Persistent cough, sore throat/1 mo. | CT: Diffuse soft tissue mass of oropharynx. Transverse colon mass, stricture | Neg |
6. | 1.5 | M | 8/2012; histology | Previously well infant | Yes | Yes | 21% | Abdominal pain/2-3 d, intestinal mass, obstruction | CT: Cecal mass, thick ascending colon with stricture | Neg |
7. | 30 | M | 6/2009; histology, serology | Janitor/healthy | Yes | Yes | 26% | R subcostal pain/1 mo. | CT: Cystic mass Rt. lobe liver. Mild splenomegaly | Pos |
8. | 30 | F | 5/2010; histology, serology | Housewife/healthy | No | No | > 50% | R subcostal pain/1 wk. | US: Small hypodense liver lesions. Mild splenomegaly | Pos |
9. | 56 | F | 6/2010; histology, serology | Housewife/healthy | No | Yes (7 kg) | 35% | R subcostal pain/1-2 wks. | US: Small hypodense liver lesions | Pos |
10. | 56 | F | 8/2010; histology, serology | Housewife/healthy | Yes | Yes | 26% | R subcostal pain/1-2 wks. | US: Cystic mass Rt. lobe liver | Pos |
11. | 33 | M | 11/2011; histology, serology | Shopkeeper/healthy | Yes | Yes (10 kg) | 72% | R subcostal pain/2-3 wks. | CT: Cystic mass Rt. lobe liver. Mild splenomegaly | Pos |
12. | 22 | F | 5/2010; histology, serology | Student/healthy | No | Yes (4 kg) | 74% | R subcostal pain/1 wk. | US: Small hypodense liver lesions. Mild splenomegaly | Borderline |
13. | 17 | F | 5/2009; histology | Student/healthy | Yes | Yes | 23% | Abdominal pain/2-3 wks. | US: Cystic mass Rt. lobe liver. Mild splenomegaly | Neg |
14. | 32 | M | 4/2009; histology | Soldier/healthy | No | No | 29% | R subcostal pain/1-2 mos. | CT: Cystic mass Rt. lobe liver | Neg |