Intestinal Paragonimiasis with Colonic Ulcer and Hematochezia in An Elderly Taiwanese Woman
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
A 94-year-old female with end-stage renal disease presents with fever, fatigue, and hematochezia. She had previously resided in Hunan Province, China, and Myanmar, and she immigrated to Taiwan 30 years ago. Colonoscopy revealed a colonic ulcer. Biopsy of the colonic ulcer showed ulceration of the colonic mucosa, and many Paragonimus westermani-like eggs were noted. Serum IgG antibody levels showed strong reactivity with P. westermani excretory-secretory antigens by ELISA. Intestinal paragonimiasis was thus diagnosed according to the morphology of the eggs and serologic finding. After treatment with praziquantel, hematochezia resolved. The present case illustrates the extreme manifestations encountered in severe intestinal paragonimiasis.
Abstract
A 94-year-old female with end-stage renal disease presents with fever, fatigue, and hematochezia. She had previously resided in Hunan Province, China, and Myanmar, and she immigrated to Taiwan 30 years ago. Colonoscopy revealed a colonic ulcer. Biopsy of the colonic ulcer showed ulceration of the colonic mucosa, and many Paragonimus westermani-like eggs were noted. Serum IgG antibody levels showed strong reactivity with P. westermani excretory-secretory antigens by ELISA. Intestinal paragonimiasis was thus diagnosed according to the morphology of the eggs and serologic finding. After treatment with praziquantel, hematochezia resolved. The present case illustrates the extreme manifestations encountered in severe intestinal paragonimiasis.
참고문헌 (14)
- Procop GW, "North American paragonimiasis (caused by Paragonimus kellicotti) in the context of global paragonimiasis", Clin Microbiol Rev, 22, pp.415~446 (2009)
- Liu Q, "Paragonimiasis: An important food-borne zoonosis in China", Trends Parasitol, 24, pp.318~323 (2008)
- Nawa Y, "Re-emergence of paragonimiasis", Intern Med, 39, pp.353~354 (2000)
- 김은민, "Infection Status of Freshwater Crabs and Crayfish with Metacercariae of Paragonimus westermani in Korea", The Korean Journal of Parasitology, 47(4), pp.425~426 (2009), 대한기생충학회
- Kim TS, "Pleuropulmonary paragonimiasis: CT findings in 31 patients", AJR Am J Roentgenol, 185, pp.616~621 (2005)
- "Pleuropulmonary and abdominal paragonimiasis: CT and ultrasound findings", BRITISH JOURNAL OF RADIOLOGY, 85(1012), pp.403~410 (2012), BRITISH INST RADIOLOGY
- Liu JC, "The prevalence of Paragonimus westermani in Taipei County", Zhonghua Min Guo Wei Sheng Wu Ji Mian Yi Xue Za Zhi, 19, pp.302~306 (1986)
- Lee SC, "Discovery of encysted Paragonimus westermani eggs in the omentum of an asymptomatic elderly woman", Am J Trop Med Hyg, 57, pp.615~618 (1997)
- Richardson MD, "Computer- assisted rapid enzyme-linked immunosorbent assay (ELISA) in the serological diagnosis of aspergillosis", J Immunol Methods, 56, pp.201~207 (1983)
- Tijssen P, "Practice and Theory of Enzyme Immunoassays" (1985), Elsevier
- Steinmann P, "Schistosomiasis and water resources development: Systematic review, meta-analysis, and estimates of people at risk", Lancet Infect Dis, 6, pp.411~425 (2006)
- Park CW, "Consecutive extrapulmonary paragonimiasis involving liver and colon", J Dig Dis, 13, pp.186~189 (2012)
- Itoh M, "Multi-dot enzyme-linked immunosorbent assay for serodiagnosis of trematodiasis", Southeast Asian J Trop Med Public Health, 21, pp.471~474 (1990)
- Ardelean DS, "Severe ulcerative colitis after rituximab therapy", Pediatrics, 126, pp.e243~e246 (2010)