Cho Ah-Rum, Lee Hae-Ran, Lee Kwan-Sub, Lee Sang-Eun, Lee So-Yeon
Department of Pediatrics, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 431-070, Korea.
Korean J Parasitol. 2011 Dec;49(4):409-12. doi: 10.3347/kjp.2011.49.4.409. Epub 2011 Dec 16.
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.
在韩国，许多人喜欢食用生的或未煮熟的淡水小龙虾和螃蟹，而这不幸地可能会引发肺吸虫病。在此，我们描述了一名9岁女孩的肺及腹部肺吸虫病病例，该女孩有1个月的腹痛病史，尤其是右侧胁腹和右侧腹股沟区疼痛，并伴有厌食。胸部X光片显示双肺有胸腔积液，腹部超声检查显示右侧腰大肌有炎性病变。该患者的外周血分析显示嗜酸性粒细胞增多（66.0%），血清总IgE水平升高（>2500 IU/ml）。通过酶联免疫吸附测定（ELISA）检测胸腔积液，结果显示肺吸虫抗体也呈阳性。她的饮食史表明，4个月前她食用过生的淡水蟹。诊断为伴有腹部肌肉受累的肺吸虫病。经过5个疗程的吡喹酮治疗和2次胸腔积液引流后，她的病情有所好转。总之，在此我们报告了一名出现腹股沟区腹痛和压痛的女孩的肺及腹部肺吸虫病病例。
