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KMID : 1040320180250010054
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Pediatric Infection & Vaccine
2018 Volume.25 No. 1 p.54 ~ p.59
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A Case of Pulmonary Paragonimiasis with Chronic Abdominal Pain and Erythematous Rash in a 6-year-old Girl
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Kim Ju-Young
Park Min-Kyu
Lee Yong-Ju
Huh Sun
Cho Ky-Young
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Abstract
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Pleural paragonimiasis is uncommon in the pediatric population and therefore can be challenging to diagnose. This is a case of a 6-year-old girl with pleural effusion who had been having intermittent persistent epigastric pain and erythematous rash on the face, hands, and arms for 6 months. Exudative pleural effusion with prominent eosinophils and serum eosinophilia were observed. As patient showed high immunoglobulin M (IgM) titers against Mycoplasma pneumoniae , she was treated with antibiotics; however, the pleural effusion did not improve during hospitalization. Despite showing negative stool ova and cyst results, patient’s serum and pleural effusion were positive for Paragonimus westermani -specific IgGs on enzyme-linked immunosorbent assay. Respiratory symptoms, pleural effusion, and skin symptoms improved after praziquantel treatment.
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KEYWORD
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Paragonimiasis, Abdominal pain, Pleural effusion, Eosinophilia, Child
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