A Case of Pulmonary Paragonimiasis with Involvement of the Abdominal Muscle in a 9-Year-Old Girl.
10.3347/kjp.2011.49.4.409
- Author:
Ah Rum CHO
1
;
Hae Ran LEE
;
Kwan Sub LEE
;
Sang Eun LEE
;
So Yeon LEE
Author Information
1. Department of Pediatrics, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 431-070, Korea. imipenem@hanmail.net
- Publication Type:Case Reports
- Keywords:
Paragonimiasis;
crab;
abdominal pain;
pleural effusion;
abdominal muscle
- MeSH:
Abdominal Muscles/*parasitology/pathology/ultrasonography;
Animals;
Anthelmintics/therapeutic use;
Brachyura/*parasitology;
Child;
Drainage;
Female;
Humans;
Lung/parasitology/pathology;
Lung Diseases, Parasitic/*diagnosis/drug therapy/radiography;
Paragonimiasis/*diagnosis/drug therapy/radiography;
Paragonimus/isolation & purification;
Pleural Effusion/parasitology/therapy;
Praziquantel/therapeutic use;
Republic of Korea;
Shellfish/*parasitology;
Treatment Outcome
- From:The Korean Journal of Parasitology
2011;49(4):409-412
- CountryRepublic of Korea
- Language:English
-
Abstract:
In Korea, many people enjoy eating raw or underkooked freshwater crayfish and crabs which unfortunately may cause paragonimiasis. Here, we describe a case of pulmonary and abdominal paragonimiasis in a 9-year-old girl, who presented with a 1-month history of abdominal pain, especially in the right flank and the right inguinal area, with anorexia. A chest radiograph revealed pleural effusion in both lungs, and her abdominal sonography indicated an inflammatory lesion in the right psoas muscle. Peripheral blood analysis of the patient showed hypereosinophilia (66.0%) and an elevated total serum IgE level (>2,500 IU/ml). The pleural effusion tested by ELISA were also positive for antibodies against paragonimiasis. Her dietary history stated that she had ingested raw freshwater crab, 4 months previously. The diagnosis was pulmonary paragonimiasis accompanied by abdominal muscle involvement. She was improved after 5 cycles of praziquantel treatment and 2 times of pleural effusion drainage. In conclusion, herein, we report a case of pulmonary and abdominal paragonimiasis in a girl who presented with abdominal pain and tenderness in the inguinal area.
