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Figure 1.

Geographical distribution of patients, cattle, goats and snails.

The patients are indicated by red filled circles and the number of cases in a household is denoted by circle size. The infected cattle and goats are showed in purple share of pie chart. Triangles denote the snail-collecting sites. Open triangles indicate that no snails were observed in the water ponds, blue ones indicate that infected snails were discovered.

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Figure 1 Expand

Table 1.

Manifestations of fascioliasis in 29 patients involved in an outbreak.

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Figure 2.

Typical image of involved liver in contrast-enhanced computerized tomography.

The section shows the enlarged liver and spleen. The clusters of low density masses (arrows) in livers indicate the winding migration route of parasite.

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Figure 3.

Axillary temperature profile of patients during the illness course.

The vertical hatched bar indicates the treatment date using triclabendazole. The fever is defined as over 37.2°C (dash line). The thick curve denotes the average temperature, which was produced by moving average with a period of 12 (equal to 3 days).

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Table 2.

The change of major indicators after treatment with triclabendazole.

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Table 2 Expand

Figure 4.

Houttuynia cordata growing in water.

The herbs are fertilized by domestic animal faeces and Galba snails are stick to plants.

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Figure 5.

Phylogeny of Fasciola spp. from the present study and other sources.

Red branches indicate the sequences from human stool sample. C represented as egg samples from cattle; G represented as egg samples from goat; H represented as eggs samples from human.

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