A Case of Pulmonary Paragonimiasis with Chronic Abdominal Pain and Erythematous Rash in a 6-year-old Girl
10.14776/piv.2018.25.1.54
- Author:
Ju Young KIM
1
;
Min Kyu PARK
;
Yong Ju LEE
;
Sun HUH
;
Ky Young CHO
Author Information
1. Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, the Republic of Korea. choky96@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Paragonimiasis;
Abdominal pain;
Pleural effusion;
Eosinophilia;
Child
- MeSH:
Abdominal Pain;
Anti-Bacterial Agents;
Arm;
Child;
Enzyme-Linked Immunosorbent Assay;
Eosinophilia;
Eosinophils;
Exanthema;
Female;
Hand;
Hospitalization;
Humans;
Immunoglobulin G;
Immunoglobulin M;
Mycoplasma pneumoniae;
Ovum;
Paragonimiasis;
Paragonimus;
Pleural Effusion;
Pneumonia, Mycoplasma;
Praziquantel;
Skin
- From:Pediatric Infection & Vaccine
2018;25(1):54-59
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pleural paragonimiasis is uncommon in the pediatric population and therefore can be challenging to diagnose. This is a case of a 6-year-old girl with pleural effusion who had been having intermittent persistent epigastric pain and erythematous rash on the face, hands, and arms for 6 months. Exudative pleural effusion with prominent eosinophils and serum eosinophilia were observed. As patient showed high immunoglobulin M (IgM) titers against Mycoplasma pneumoniae , she was treated with antibiotics; however, the pleural effusion did not improve during hospitalization. Despite showing negative stool ova and cyst results, patient's serum and pleural effusion were positive for Paragonimus westermani-specific IgGs on enzyme-linked immunosorbent assay. Respiratory symptoms, pleural effusion, and skin symptoms improved after praziquantel treatment.
