1. A Case of Pulmonary Paragonimiasis with Involvement of the Abdominal Muscle in a 9-Year-Old Girl
- Author
-
Sang-Eun Lee, Ah-Rum Cho, So-Yeon Lee, Hae-Ran Lee, and Kwan-Sub Lee
- Subjects
medicine.medical_specialty ,Abdominal pain ,Paragonimiasis ,Pleural effusion ,Brachyura ,Lung Diseases, Parasitic ,Paragonimus ,Hypereosinophilia ,Case Report ,Praziquantel ,abdominal muscle ,Republic of Korea ,medicine ,Animals ,Humans ,crab ,Child ,Lung ,Abdominal Muscles ,Shellfish ,Ultrasonography ,Anthelmintics ,medicine.diagnostic_test ,biology ,business.industry ,abdominal pain ,medicine.disease ,biology.organism_classification ,Surgery ,Pleural Effusion ,Radiography ,Infectious Diseases ,medicine.anatomical_structure ,Treatment Outcome ,Abdomen ,Drainage ,Parasitology ,Female ,medicine.symptom ,Chest radiograph ,business - 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.
- Published
- 2011