Parasites, Hosts and Diseases

  • 제49권4호
  • /
  • Pages.409-412
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  • 2011
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  • 2982-5164(pISSN)
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  • 1738-0006(eISSN)
대한기생충학·열대의학회 (The Korea Society for Parasitology and Tropical Medicine)
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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)
  • 투고 : 2011.09.08
  • 심사 : 2011.10.15
  • 발행 : 2011.12.15
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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 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.

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참고문헌

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피인용 문헌

  1. Paragonimiasis in the Abdominal Cavity and Subcutaneous Tissue: Report of 3 Cases vol.50, pp.4, 2011, https://doi.org/10.3347/kjp.2012.50.4.345
  2. Clinical Update on Parasitic Diseases vol.85, pp.5, 2013, https://doi.org/10.3904/kjm.2013.85.5.469
  3. Recent Incidence of Paragonimus westermani Metacercariae in Freshwater Crayfish, Cambaroides similis, from Two Enzootic Sites in Jeollanam-do, Korea vol.55, pp.3, 2011, https://doi.org/10.3347/kjp.2017.55.3.347
  4. A retrospective clinical analysis of pediatric paragonimiasis in a Chinese children’s hospital from 2011 to 2019 vol.11, pp.None, 2011, https://doi.org/10.1038/s41598-021-81694-7