A Case of Pulmonary Paragonimiasis with Recurrent Pleural Effusion and Cured by Four Cycles of Chemotherapy / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 451-456, 2009.
Article
in Korean
| WPRIM
| ID: wpr-73516
ABSTRACT
Paragonimiasis is a parasitic infection that occurs following the ingestion of infectious Paragonimus metacercariae, which occurs as a result of eating raw or undercooked freshwater crabs or crayfish. Pulmonary paragonimiasis is the most common clinical manifestation of this infection. Human paragonimiasis occurs sporadically. We experienced a case of pulmonary paragonimiasis in a 35-year-old woman with left lower chest pain. The patient had hypereosinophilia and a pleural effusion. The diagnosis was confirmed by positive ELISA (Enzyme-linked immunosorbent assay) that detected Paragonimiasis westermani antibody in the serum. We treated the patient with praziquantel for two days at a daily dosage of 75 mg/kg. Left pleuritic pain and pleural effusion improved after treatment. However, similar symptoms and pleural effusion developed recurrently for the first 3 courses of treatment with praziquantel. Upon the fourth round of treatment, the patient made a full recovery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paragonimiasis
/
Paragonimus
/
Pleural Effusion
/
Praziquantel
/
Recurrence
/
Chest Pain
/
Enzyme-Linked Immunosorbent Assay
/
Astacoidea
/
Eating
/
Metacercariae
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Tuberculosis and Respiratory Diseases
Year:
2009
Type:
Article
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