Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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A Case of Pulmonary Paragonimiasis with Involvement of the Abdominal Muscle in a 9-Year-Old Girl

  • Cho, Ah-Rum (Department of Pediatrics, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, Hae-Ran (Department of Pediatrics, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, Kwan-Sub (Department of Radiology, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Lee, Sang-Eun (Korea Centers for Disease Control and Prevention) ;
  • Lee, So-Yeon (Department of Pediatrics, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University)
  • Received : 2011.09.08
  • Accepted : 2011.10.15
  • Published : 2011.12.15
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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 lgE 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.

Keywords

References

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