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A case of pulmonary paragonimiasis with involvement of the abdominal muscle in a 9-year-old girl.

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.
AuthorsAh-Rum Cho, Hae-Ran Lee, Kwan-Sub Lee, Sang-Eun Lee, So-Yeon Lee
JournalThe Korean journal of parasitology (Korean J Parasitol) Vol. 49 Issue 4 Pg. 409-12 (Dec 2011) ISSN: 1738-0006 [Electronic] Korea (South)
PMID22355209 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anthelmintics
  • Praziquantel
Topics
  • Abdominal Muscles (diagnostic imaging, parasitology, pathology)
  • Animals
  • Anthelmintics (therapeutic use)
  • Brachyura (parasitology)
  • Child
  • Drainage
  • Female
  • Humans
  • Lung (parasitology, pathology)
  • Lung Diseases, Parasitic (diagnosis, diagnostic imaging, drug therapy)
  • Paragonimiasis (diagnosis, diagnostic imaging, drug therapy)
  • Paragonimus (isolation & purification)
  • Pleural Effusion (parasitology, therapy)
  • Praziquantel (therapeutic use)
  • Radiography
  • Republic of Korea
  • Shellfish (parasitology)
  • Treatment Outcome
  • Ultrasonography

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