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Hypersensitive Reaction to Praziquantel in a Clonorchiasis Patient

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초록

Praziquantel is the drug of choice for clonorchiasis. Since clonorchiasis is endemic in most river basins, praziquantel has been widely used for 30 years in Korea. A 54-year-old Korean woman suffered from hypersensitive reactions, such as nausea, dyspnea, rash, and urticaria after taking the first dose of praziquantel to treat clonorchiasis. She ingested one dose again and the same symptoms appeared, and she was treated at a clinic with anti-histamines. She tried one more dose with anti-histamines but found the same symptoms. Later, she was found to pass eggs of Clonorchis sinensis and medicated with flubendazole. The hypersensitive reaction to praziquantel is rare but occurs. This is the 5th case report in the world.

Abstract

Praziquantel is the drug of choice for clonorchiasis. Since clonorchiasis is endemic in most river basins, praziquantel has been widely used for 30 years in Korea. A 54-year-old Korean woman suffered from hypersensitive reactions, such as nausea, dyspnea, rash, and urticaria after taking the first dose of praziquantel to treat clonorchiasis. She ingested one dose again and the same symptoms appeared, and she was treated at a clinic with anti-histamines. She tried one more dose with anti-histamines but found the same symptoms. Later, she was found to pass eggs of Clonorchis sinensis and medicated with flubendazole. The hypersensitive reaction to praziquantel is rare but occurs. This is the 5th case report in the world.

참고문헌 (8)

  1. Hong ST, "Clonorchis sinensis and clonorchiasis, an update", Parasitol Int, 30 (2011)
  2. 경선영, "A Paragonimiasis Patient with Allergic Reaction to Praziquantel and Resistance to Triclabendazole: Successful Treatment after Desensitization to Praziquantel", The Korean Journal of Parasitology, 49(1), pp.73~77 (2011), 대한기생충학회
  3. Shen C, "A case of anaphylactic reaction to praziquantel treatment", Am J Trop Med Hyg, 76, pp.603~605 (2007)
  4. Huang SW, "A clinical approach to a patient with praziquantel hypersensitivity", J Allergy Clin Immunol, 90, pp.867~ (1992)
  5. Liu T, "Allergic manifestation after pyquiton treatment of schistosomiasis", Chinese J Parasitol Parasit Dis, 2, pp.192~203 (1984)
  6. Matsumoto J, "Adverse effect of praziquantel teatment of Schistosoma japonicum infection: Involvement of host anaphylactic reaction induced by parasite antigen release", Int J Parasitol, 32, pp.461~471 (2002)
  7. Hong ST, "Sustained-release praziquantel tablet: Pharmacokinetics and the treatment of clonorchiasis in beagle dogs", Parasitol Res, 91, pp.316~320 (2003)
  8. Chenghua Shen, "Collection of Clonorchis sinensis adult worms from infected humans after praziquantel treatment", The Korean Journal of Parasitology, 45(2), pp.149~152 (2007), 대한기생충학회

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