|
KMID : 0383820090660060451
|
|
Tuberculosis and Respiratory Diseases
2009 Volume.66 No. 6 p.451 ~ p.456
|
|
|
A Case of Pulmonary Paragonimiasis with Recurrent Pleural Effusion and Cured by Four Cycles of Chemotherapy
|
|
Cho Gye-Jung
Oh In-Jae
Kim Kyu-Sik
Kim Yu-Il
Lim Sung-Chul
Kim Young-Chul
Chi Su-Young
Kwon Yong-Soo
Ban Hee-Jung
Yoon Byeong-Kab
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Paragonimiasis, Recurrence, Praziquantel
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|