KMID : 0368120110410010038
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Korean Circulation Journal 2011 Volume.41 No. 1 p.38 ~ p.42
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A Case of Sparganosis That Presented as a Recurrent Pericardial Effusion
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Lee Ju-Hee
Kim Gi-Hyun Kim Sang-Min Lee Sang-Yeub Lee Won-Yik Bae Jang-Whan Shin Kyeong-Seob Hwang Kyung-Kuk Kim Dong-Won Cho Myeong-Chan
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Abstract
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Sparganosis is caused by a larval tapeworm of the genus Spirometra, which commonly invades subcutaneous tissue, but less frequently invades muscle, intestines, spinal cord, and the peritoneopleural cavity. The authors managed a female patient who presented with a recurrent pericardiopleural effusion and peripheral eosinophilia. The anti-sparganum-specific IgG serum level was significantly higher than normal control levels. In this patient, sparganosis was caused by the ingestion of raw frogs in an effort to control her thyroid disease. The recurrent pericardiopleural effusion and peripheral eosinophilia were controlled by 3 consecutive doses of praziquantel (75 mg/kg/day). The patient is doing well 4 years after presentation. Sparganosis should be considered a rare, but possible cause of recurrent pericardial effusion and peripheral eosinophilia. Immunoserologic testing using enzyme linked immunosorbent assays can be helpful in diagnosing human sparganosis, especially in cases without a subcutaneous lump or mass. Praziquantel is an alternative treatment for sparganosis in surgically-unresectable cases.
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KEYWORD
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Sparganosis, Pericardial effusion, Praziquantel
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