Case 5

A 42-year-old female  presents with cirrhosis of the liver with ascites and signs of portal hypertension.  

The family had recently moved from Egypt. She vaguely remembers that she was treated for a parasitic infection, but cannot remember the name.

Questions

What parasitic infection is she likely to have? and why?

What is  the life cycle of this parasite?  

What are the other common flukes?

What is the epidemiology of this infection?

Describe the pathogenesis and clinical manifestation of this infection.  

How would you confirm the diagnosis?

What treatment would have been prescribed for her?

What control measures are available to prevent its transmission?