Clinical analysis of 15 children with trematodiasis / 中国小儿急救医学

ABSTRACT

Objective@#To analyze the clinical characteristics of children′s trematodiasis in order to enhance the level of clinical diagnosis and treatment.@*Methods@#The medical history, clinical manifestations, results of laboratory examination, conditions of diagnosis and treatment of 15 confirmed different types of children with trematodiasis from 2002 to 2017 in Shanghai Children′s Medical Center were retrospectively analyzed.@*Results@#Seven cases had eaten raw or undercooked freshwater crab, and 2 cases often drank raw stream or caught crabs.Five cases had polyserositis such as pleural effusion, ascites and pericardial effusion in different degrees.The eosinophil counts of 11 cases(73.3%) and IgE of 10 cases(76.9%) increased.Fifteen cases, trematodiasis serum antibody tests were positive, and 1 case′s fecal clonorchiasis was positive.Fifteen cases were improved by praziquantel.@*Conclusion@#The clinical characteristics of childhood trematodiasis are complex and atypical.Trematodiasis should be understood more deeply for clinician to avoid misdiagnosis.Praziquantel is a safe and effective drug for trematodiasis.