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A Case of Pulmonary Paragonimiasis with Involvement of the Abdominal Muscle in a 9-Year-Old Girl

Korean Journal of Parasitology 2011년 49권 4호 p.409 ~ 412
 ( Cho Ah-Rum ) - Hallym University College of Medicine Department of Pediatrics

 ( Lee Hae-Ran ) - Hallym University College of Medicine Department of Pediatrics
 ( Lee Kwan-Sub ) - Hallym University College of Medicine Department of Radiology
 ( Lee Sang-Eun ) - Korea Centers for Disease Control and Prevention
 ( Lee So-Yeon ) - Hallym University College of Medicine Department of Pediatrics

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.

키워드

Paragonimiasis; crab; abdominal pain; pleural effusion; abdominal muscle
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