الفهرس 
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Abstract
present study was performed in Pediatric Department , Banha
Faculty of Medicine , Zagagzig University. 50 children (33 males and 17
females ) were chosen from those attending the out-and inpatient clinics of
Pediatrics at Banha University Hospital . The selected cases were below 14
years and showed heptomegaly on preliminary examination . All the cases
were subjected to complete clinical examination , stool analyss , blood
analysis and their sera were isolated for immunological test (I.H.A) and then,
the gained data were recorded .
The results of this work were presented in figures and tables and the
conventional statistical methods were used for their analysis .The results were
as follows:
_ The mean age of males in the studied cases with hepatomegaly was 5.9
years ( ± 2.6 )whereas the mean age offemales in these cases was 5.5
years (± 3.5) .
_ Among all the studied cases with hepatomegaly,3 cases were infected
with Fasciola (6%) , all of them (100%) were males having a mean age
7.3 years (± 2.1).
_ Fasciola infection was prevalent in the age groups: 4-8 years (33.3%)
and over 8 years (66.7%).
_ Clinically, all cases (100%) had a triad offever , pallor and tender
hepatomegaly with occasional vomiting (33.3%) and jaundice (33.3%).
_ Haematologically , infected cases had a mean haemoglobin value 5.8
gmJdl (± 1.3 ) and eosinophilic percent 77% ( ± 1.5 ) .
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_ Stool examination of the studied cases with hepatomegaly revealed:
_No parasites in 19 cases (38%) .
_ Only Fasciola in 3 cases (6%) .
_ Other parasites in 28 cases (56%) .
_ The validity of stool examination techniques in detecting Fasciola eggs,
compared to LH.A , was as follows: zero % for floatation (zinc
sulphate) techniquc , 33.3% for the 3 successive stool examinations
and 100% for formol - ether sedimentation and merthiolate iodi ne
formaldehyde concentation techniques.
CONCLUSION :
1- Human fascioliasis becomes a new parasitic health problem among
Egyptian children.
2- This disease should be suspected in any child having fever, paIlor and
tender hepatomegaly, particularly when the blood picture reveals anaemia
and marked eosinophilia.