Two Cases of Paragonimiasis in Young Siblings Presenting with Pleural Effusion and Subcutaneous Nodules / 소아과

Paragonimiasis is the infestation of lung flukes of the trematode genus Paragonimus. This disease is common in Asia, and the southern part of Korea has been known as one of the endemic areas of Paragonimiasis westermanii in Korea. Human infection is associated with specific dietary habits, such as eating freshwater crawfish or crabs. In a 6 1/2-year-old boy with pleural effusion and eosinophilia, paragonimiasis was diagnosed by skin test, serologic exam, and histologic identification of the parasites in a skin lesion. The same diagnosis was entertained in his elder sister with silent pleural effusion. We describe herewith these rare cases of paragonimiasis in two siblings who had a history of eating cooked freshwater crabs.

Isolated tubal torsion with diagnosed hydrosalpinx / 대한산부인과학회지

Isolated torsion of the fallopian tube is an uncommon event. It is a difficult condition to evaluate clinically before exploration. But once happened, promt surgical intervention may allow for preservation of the tube. Recently we experienced isolated tubal torsion with diagnosed hydrosalpinx, and report it with a brief review of literatures.

A Case of Parovarian Serous Cystadenocarcinoma of Borderline Malignancy / 대한산부인과학회잡지

Although parovarian cysts constitute 10-20% of all adnexal masses, malignant parovarian tumors are extremely rare. Due to the rarity of this lesion, there are controversies concerning the origin, clinical behavior, and prognosis of these tumors. Currently, it is suggested that these paovarian tumors should be treated similarly to their ovarian counterparts. We experienced one case of parovarian serous cystadenocarcinoma of borderline malignancy, and report this with a brief review of the literatures.

Neurologic Complications after Hematopoietic Stem Cell Transplantation in Children / 소아과

PURPOSE: Neurologic complications(NC) after hematopoietic stem cell transplantation(HSCT) are important because of high mortality and severe sequelae. We analyzed the incidence, manifestation and risk factors of NC in 61 children undergoing HSCT. METHODS: We retrospectively analyzed NC in 61 cases(42 male and 19 female, aged one to 16 years) given HSCT between 1996 and 2003 due to hematologic malignacies, solid tumors, or other hematologic diseases. RESULTS: NC were seen in 22 children(36.0%). Herpes zoster was the most frequent one(n=17, 27.9 %), followed by seizure(n=8, 13.1%), CNS infection(n=3, 4.9%), cyclosporin toxicity(n=3, 4.9%), CVA (n=2, 3.3%), and chemotherapy injury(n=1, 1.6%). Among the 22 cases, 12 developed herpes zoster only and 10 developed other NC in addition to herpes zoster. Two patients died of NC. The incidence of NC was not affected by various factors, including type and source of HSCT or previous cranial radiation. CONCLUSION: NC were frequent in children who underwent HSCT. We should acknowlege the occurrence of various NC after HSCT. Further study is needed to develop measures to minimize these complications.