Browse > Article
http://dx.doi.org/10.3347/kjp.2012.50.4.349

Intestinal Paragonimiasis with Colonic Ulcer and Hematochezia in An Elderly Taiwanese Woman  

Liu, Chung-Te (Division of Nephrology, Department of Internal Medicine, Wan Fang Hospital)
Chen, Yen-Cheng (Division of Nephrology, Department of Internal Medicine, Wan Fang Hospital)
Chen, Tso-Hsiao (Division of Nephrology, Department of Internal Medicine, Wan Fang Hospital)
Barghouth, Ursula (Department of Parasitology, College of Medicine, Taipei Medical University)
Fan, Chia-Kwung (Department of Parasitology, College of Medicine, Taipei Medical University)
Publication Information
Parasites, Hosts and Diseases / v.50, no.4, 2012 , pp. 349-352 More about this Journal
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.
Keywords
Paragonimus westermani; ectopic; colonic ulcer; hematochezia; praziquantel;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Shim SS, Kim Y, Lee JK, Lee JH, Song DE. Pleuropulmonary and abdominal paragonimiasis: CT and ultrasound findings. Br J Radiol 2012; 85: 403-410.   DOI   ScienceOn
2 Liu JC. The prevalence of Paragonimus westermani in Taipei County. Zhonghua Min Guo Wei Sheng Wu Ji Mian Yi Xue Za Zhi 1986; 19: 302-306 (in Chinese).
3 Lee SC, Jwo SC, Hwang KP, Lee N, Shieh WB. Discovery of encysted Paragonimus westermani eggs in the omentum of an asymptomatic elderly woman. Am J Trop Med Hyg 1997; 57: 615-618.   DOI
4 Richardson MD, Turner A, Warnock DW, Llewellyn PA. Computer-assisted rapid enzyme-linked immunosorbent assay (ELISA) in the serological diagnosis of aspergillosis. J Immunol Methods 1983; 56: 201-207.   DOI   ScienceOn
5 Tijssen P. Practice and Theory of Enzyme Immunoassays. Amsterdam, Netherland. Elsevier. 1985.
6 Steinmann P, Keiser J, Bos R, Tanner M, Utzinger J. Schistosomiasis and water resources development: Systematic review, meta-analysis, and estimates of people at risk. Lancet Infect Dis 2006; 6: 411-425.   DOI   ScienceOn
7 Park CW, Chung WJ, Kwon YL, Kim YJ, Kim ES, Jang BK, Park KS, Cho KB, Hwang JS, Kwon JH. Consecutive extrapulmonary paragonimiasis involving liver and colon. J Dig Dis 2012; 13: 186-189.   DOI   ScienceOn
8 Itoh M, Sato S. Multi-dot enzyme-linked immunosorbent assay for serodiagnosis of trematodiasis. Southeast Asian J Trop Med Public Health 1990; 21: 471-474.
9 Ardelean DS, Gonska T, Wires S, Cutz E, Griffiths A, Harvey E, Tse SM, Benseler SM. Severe ulcerative colitis after rituximab therapy. Pediatrics 2010; 126: e243-e246.   DOI   ScienceOn
10 Procop GW. North American paragonimiasis (caused by Paragonimus kellicotti) in the context of global paragonimiasis. Clin Microbiol Rev 2009; 22: 415-446.   DOI   ScienceOn
11 Liu Q, Wei F, Liu W, Yang S, Zhang X. Paragonimiasis: An important food-borne zoonosis in China. Trends Parasitol 2008; 24: 318-323.   DOI   ScienceOn
12 Nawa Y. Re-emergence of paragonimiasis. Intern Med 2000; 39: 353-354.   DOI   ScienceOn
13 Kim EM, Kim JL, Choi SI, Lee SH, Hong ST. Infection status of freshwater crabs and crayfish with metacercariae of Paragonimus westermani in Korea. Korean J Parasitol 2009; 47: 425-426.   DOI   ScienceOn
14 Kim TS, Han J, Shim SS, Jeon K, Koh WJ, Lee I, Lee KS, Kwon OJ. Pleuropulmonary paragonimiasis: CT findings in 31 patients. AJR Am J Roentgenol 2005; 185: 616-621.   DOI   ScienceOn