A Case of Pulmonary Paragonimiasis with Involvement of the Abdominal Muscle in a 9-Year-Old Girl
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
In Korea, many people enjoy eating raw or underkooked freshwater crayfish and crabs which unfortunately may cause paragonimiasis. Here, we describe a case of pulmonary and abdominal paragonimiasis in a 9-year-old girl, who presented with a 1-month history of abdominal pain, especially in the right flank and the right inguinal area, with anorexia. A chest radiograph revealed pleural effusion in both lungs, and her abdominal sonography indicated an inflammatory lesion in the right psoas muscle. Peripheral blood analysis of the patient showed hypereosinophilia (66.0%) and an elevated total serum IgE level (>2,500 IU/ml). The pleural effusion tested by ELISA were also positive for antibodies against paragonimiasis. Her dietary history stated that she had ingested raw freshwater crab, 4 months previously. The diagnosis was pulmonary paragonimiasis accompanied by abdominal muscle involvement. She was improved after 5 cycles of praziquantel treatment and 2 times of pleural effusion drainage. In conclusion, herein, we report a case of pulmonary and abdominal paragonimiasis in a girl who presented with abdominal pain and tenderness in the inguinal area.
Abstract
In Korea, many people enjoy eating raw or underkooked freshwater crayfish and crabs which unfortunately may cause paragonimiasis. Here, we describe a case of pulmonary and abdominal paragonimiasis in a 9-year-old girl, who presented with a 1-month history of abdominal pain, especially in the right flank and the right inguinal area, with anorexia. A chest radiograph revealed pleural effusion in both lungs, and her abdominal sonography indicated an inflammatory lesion in the right psoas muscle. Peripheral blood analysis of the patient showed hypereosinophilia (66.0%) and an elevated total serum IgE level (>2,500 IU/ml). The pleural effusion tested by ELISA were also positive for antibodies against paragonimiasis. Her dietary history stated that she had ingested raw freshwater crab, 4 months previously. The diagnosis was pulmonary paragonimiasis accompanied by abdominal muscle involvement. She was improved after 5 cycles of praziquantel treatment and 2 times of pleural effusion drainage. In conclusion, herein, we report a case of pulmonary and abdominal paragonimiasis in a girl who presented with abdominal pain and tenderness in the inguinal area.
참고문헌 (18)
- Dainichi T, "A case of cutaneous paragonimiasis with pleural effusion", Int J Dermatol, 42, pp.699~702 (2003)
- Lee SH, "Synopsis of Medical Parasitology. Seoul, Korea", pp.211~212 (1996), Korea Medical Publising Co
- DeFrain M, "North American paragonimiasis: Case report of a severe clinical infection", Chest, 121, pp.1368~1372 (2002)
- Choi DW, "Paragonimus and paragonimiasis in Korea", Korean J Parasitol, 28, pp.79~102 (1990)
- Cho SY, "Metacercarial infections of Paragonimus westermani in freshwater crabs sold in markets in Seoul", Korean J Parasitol, 29, pp.189~191 (1991)
- Rim HJ, "Epidemiological survey on paragonimiasis in Kang Hwa Gun", Korean J Parasitol, 13, pp.139~151 (1975)
- Hong YA, "Infestation status of Paragonimus westermani metacercariae in the second intermediate host in Ulchin county, Kyungpook Province", Korean J Parasitol, 24, pp.194~200 (1986)
- Vidamaly S, "Paragonimiasis: A common cause of persistent pleural effusion in Lao PDR", Trans R Soc Trop Med Hyg, 103, pp.1019~1023 (2009)
- Obara A, "Paragonimiasis cases recently found among immigrants in Japan", Intern Med, 43, pp.388~392 (2004)
- Mukae H, "Clinicoradiologic features of pleuropulmonary Paragonimus westermani on Kyusyu Island, Japan", Chest, 120, pp.514~520 (2001)
- Cho SY, "Application of micro-ELISA in serodiagnosis of human paragonimiasis", Korean J Parasitol, 19, pp.151~156 (1981)
- 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
- Byeong Seok Sohn, "Three Cases of Paragonimiasis in a Family", The Korean Journal of Parasitology, 47(3), pp.281~285 (2009), 대한기생충학회
- Kagawa FT, "Pulmonary paragonimiasis", Semin Respir Infect, 12, pp.149~158 (1997)
- Boé DM, "A 31-year-old man with chronic cough and hemoptysis", Chest, 132, pp.721~726 (2007)
- Keiser J, "Food-borne trematodiases", Clin Microbiol Rev, 22, pp.466~483 (2009)
- Sumitani M, "A case of chronic pleuritis by Paragonimus wetermani infection resistant to standard chemotherapy and cured by three additional cycles of chemotherapy", Nihon Kokyuki Gakkai Zasshi, 43, pp.427~431 (2005)
- Blair D, "Paragonimiasis and the genus Paragonimus", Adv Parasitol, 42, pp.113~222 (1999)