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CPT Joseph J. Drabick, MC, USA; MAJ James E. Egan, MC, USA; Scott L. Brown; SSG Randall G. Vick; CPT Beth M. Sandman, MC, USA; Ronald C. Neafie, MS

JAMA. 1988;259(4):567-568.

Abstract
Dicroceliasis is an unusual zoonotic trematode infection caused by the lancet liver fluke, Dicrocoelium dendriticum. Grazing herbivores (usually sheep or cattle) are the definitive hosts. The life cycle proceeds through two intermediate hosts: the land snail and the field ant. Human infection is acquired by consuming the field ant. This case report describes a human immunodeficiency virus— seropositive patient who presumably acquired this parasite from bottled water contaminated with ants. A brief discussion of the parasitology, pathology, clinical findings and treatment is presented.

(JAMA 1988;259:567-568)

Author Affiliations
USA

From the Infectious Disease Service (Dr Drabick) and the Departments of Microbiology (Messrs Brown and Vick) and Medicine (Dr Sandman), Walter Reed Medical Center, the Walter Reed Army Institute of Research (Dr Egan); and the Department of Infectious Disease and Parasite Pathology, Armed Forces Institute of Pathology (Mr Neafie), Washington, DC.

Footnotes
The views of the authors do not purport to reflect the opinions of the Department of Defense.

Reprint requests to Infectious Disease Service, Walter Reed Army Medical Center, Washington, DC, 20307-5001 (Dr Drabick).

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ABSTRACT