A case of paragonimiasis in a child with pericardial effusion
10.3969/j.issn.1005-0507.2026.01.013
- VernacularTitle:以心包积液为主要表现的小儿并殖吸虫感染1例
- Author:
Rui YI
1
;
Qiong ZHANG
1
;
Qi-lin LUO
1
Author Information
1. The Fourth Clinical Medical College of Jishou University, Huaihua 418000, Hunan, China
- Publication Type:Journal Article
- Keywords:
Paragonimiasis;
Pericardial effusion;
Eosinophils
- From:
Acta Parasitologica et Medica Entomologica Sinica
2026;33(1):72-74
- CountryChina
- Language:Chinese
-
Abstract:
The child, male,11 years old, Han nationality, student of Qiandongnan Miao Autonomous Prefecture, Guizhou Province, visited the General Hospital of Hunan Medical University on October 1,2024 due to“cough, chest tightness for 10 days and pericardial effusion was found for 8 days.”The child has a history of eating raw crabs. Admission examination: shortness of breath, slightly cyanotic lips, mild trifoveal symptoms, low heart sound, and routine blood showed significant eosinophil elevation. Serological examination showed that pulmonary fluke antibody IgG was positive, chest and abdomen CT and cardiac ultrasound showed a large amount of pericardial effusion, medium pleural effusion on the right side with lower right lung insufficiency, small pleural effusion on the left side, small effusion on the abdominal cavity, three-point Slight reflux of the valve. Considering that it is a clinical diagnosis case of complication flukesomyces disease, the child was given a praziquantel tablet,25 mg/kg,3 times a day, for 3 consecutive days. The treatment was treated at the above dose for 1 week interval for 1 course of treatment, and 3 courses were given. After three months, the child recovered well after the follow-up visit. The child did not complain of special discomfort, and the CT showed a small amount of effusion.
