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Introduction: in the last few years, the Incidence rate of fascioliosis caused by Fasciola hepatica has increased worldwide. Cuba is one of the countries that have reported sporadic cases and also some outbreaks of fasciolosis., Objective: to describe clinical and therapeutic features of this trematodiasis of digestive transmission found in 87 patients, who had been admitted to "Pedro Kourí" Institute of Tropical Medicine from January 1996 to December 2005., Methods: patients were divided into 2 groups according to the prescribed drug, that is, triclabendazole and dihydroemetine. The clinical variables were collected at the time of diagnosis and 90 days after treatment; the means and the standard deviation were estimated., Results: males was slightly predominant (54) in our series of patients admitted to the institute service. Consumption of watercress (Nasturtium officinale) was found in almost half of the patients. Abdominal pain, fever and malaise were the most frequent symptoms. Both drugs were useful to treat F. hepatica., Conclusions: this study showed the usefulness of lab tests for diagnosis and follow-up of patients after treatment. The anti-parasitic drugs dihydroemetine and triclabendazole proved to be effective at the prescribed doses in this research with minor adverse effects.

The case of a 52-year-old white female patient with personal and family history of psychiatric disorders and pubic pediculosis that was referred for presenting exulcerated lesions of the skin during the last two years was reported. On the microscopic study, the samples taken from the patient during her admission corresponded to epithelium and hair. The skin biopsy was interpreted as exulceration secondary to scratching, and no evidence of parasites was found. Psychological and psychiatric evaluation of the patient confirmed her hallucinatory state. She was finally diagnosed a Delusional Parasitosis (II grade Primary Dermatozoal Parasitic Delirium, ectoparasitosis). This is a very infrequent diagnosis and no documented case was found of this dermatological pathology in Cuba.