A Case of Pulmonary Paragonimiasis with Recurrent Pleural Effusion and Cured by Four Cycles of Chemotherapy.
10.4046/trd.2009.66.6.451
- Author:
Gye Jung CHO
1
;
Jung Hwan LIM
;
Dong Ryeol CHAE
;
Su Young CHI
;
Hee Jung BAN
;
Byeong Kab YOON
;
Yong Soo KWON
;
In Jae OH
;
Kyu Sik KIM
;
Yu Il KIM
;
Sung Chul LIM
;
Young Chul KIM
Author Information
1. Department of Internal Medicine, Yeoung Gwang General Hospital, Yeounggwang, Korea.
- Publication Type:Case Report
- Keywords:
Paragonimiasis;
Recurrence;
Praziquantel
- MeSH:
Adult;
Astacoidea;
Chest Pain;
Eating;
Enzyme-Linked Immunosorbent Assay;
Female;
Fresh Water;
Humans;
Metacercariae;
Paragonimiasis;
Paragonimus;
Pleural Effusion;
Praziquantel;
Recurrence
- From:Tuberculosis and Respiratory Diseases
2009;66(6):451-456
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Paragonimiasis is a parasitic infection that occurs following the ingestion of infectious Paragonimus metacercariae, which occurs as a result of eating raw or undercooked freshwater crabs or crayfish. Pulmonary paragonimiasis is the most common clinical manifestation of this infection. Human paragonimiasis occurs sporadically. We experienced a case of pulmonary paragonimiasis in a 35-year-old woman with left lower chest pain. The patient had hypereosinophilia and a pleural effusion. The diagnosis was confirmed by positive ELISA (Enzyme-linked immunosorbent assay) that detected Paragonimiasis westermani antibody in the serum. We treated the patient with praziquantel for two days at a daily dosage of 75 mg/kg. Left pleuritic pain and pleural effusion improved after treatment. However, similar symptoms and pleural effusion developed recurrently for the first 3 courses of treatment with praziquantel. Upon the fourth round of treatment, the patient made a full recovery.
