A Case of Pulmonary Paragonimiasis.
- Author:
Jin Hee HONG
1
;
Sung Soo JIN
;
Nak Gyun CHUNG
;
Joon Sung LEE
Author Information
1. Department of Pediatrics, College of Medicine, Catholic University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pulmonary paragonimiasis;
Hemoptysis
- MeSH:
Animals;
Astacoidea;
Chest Pain;
Cough;
Diagnosis;
Diagnosis, Differential;
Eating;
Enzyme-Linked Immunosorbent Assay;
Female;
Fresh Water;
Hemoptysis;
Humans;
Immunoglobulin G;
Korea;
Ovum;
Paragonimiasis*;
Paragonimus;
Paragonimus westermani;
Parasitic Diseases;
Praziquantel;
Prevalence;
Skin Tests;
Thorax;
Tuberculosis
- From:Journal of the Korean Pediatric Society
1999;42(3):430-436
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Paragonimiasis is a parasitic disease found in carnivorous animals which is caused by trematodes of the genus Paragonimus. Human infestation occurs by ingestion of raw or not incompletely cooked freshwater crab or crayfish with the metacercaria. Recently, the prevalence of human paragonimiasis has decreased markedly, however, about one hundred clinical cases have been diagnosed annually by antibody test in Korea. The symptoms, such as chronic cough, hemoptysis, and radiological findings are often confused with those of tuberculosis. Therefore, differential diagnosis between tuberculosis and paragonimiasis is important in Korea which has a high prevalence of tuberculosis. Recently, we experienced a case of pulmonary paragonimiasis in a 13yearold girl with hemoptysis and chest pain. Chest roentgenogram with subsequent tomography demonstrating multiple cavitary lesions and linear tubular densities. Strong positive was noted in intradermal skin test for Paragonimus westermani as well as in IgG antibody detection using ELISA method. Diagnosis was confirmed by stool with multiple P. westermani ova, which was treated with a two day course of praziquantel.
