Review
Copyright ©2014 Baishideng Publishing Group Inc.
World J Hepatol. Sep 27, 2014; 6(9): 632-642
Published online Sep 27, 2014. doi: 10.4254/wjh.v6.i9.632
Table 5 Parasitic infection of the liver
Disease (organism)Organs/statusClinical presentation
Malaria (P. falciparum, malariae, vivax, ovale)Pre-erythrocytic phaseAsymptomatic
Erythrocytic phaseAnemia, jaundice, mild elevation of aminotransferases, tender hepatomegaly, splenomegaly
Amebiasis (Entameba histolytica)Intestine Amebic liver abscessRight upper quadrant pain, fever, hepatomegaly (50%), jaundice (< 10%)
Cystic echinococcosis (Echinococcus granulosus)Single cyst (> 70%), < 10 cm and no complication Size up (1-5 cm/year), > 10 cm RuptureAsymptomatic Abdominal pain, mass effect (possible) Peritonitis, hypersensitivity reactions
Alveolar echinococcus (E. multilocularis)Malaise, tender hepatomegaly, eosinophilia, obstructive jaundice, portal hypertension
Schitosomiasis (S. mansoni, japonicum)Acute phase Chronic phaseEosinophilic infiltrate Presinusoidal portal hypertension, splenomegaly, gastroesophageal varices
Fascioliasis (F. hepatica)Acute phase Chronic phaseAbdominal pain, fever, hemobilia, hepatomegaly Biliary colic, cholangitis, cholelithiasis, obstructive jaundice
Ascariasis (A.lumbricoides)Abdominal pain, fever, obstructive jaundice