McLeod Charlie, Yeoh Daniel, Truarn Cameron, Blyth Christopher C, Bowen Asha C, Snelling Tom L, Wadia Ushma, Hazelton Briony, Porter Michelle
Department of Infectious Diseases, Princess Margaret Hospital, Perth, Australia.
Department of Microbiology, Pathwest QEII Laboratory, Perth, Australia.
Open Forum Infect Dis. 2017 Oct 23;4(4):ofx224. doi: 10.1093/ofid/ofx224. eCollection 2017 Fall.
We report the case of a 15-year-old Burmese girl who presented with hemoptysis 3 years after immigrating to Australia with a background of previously treated pulmonary tuberculosis at 6 years of age. Cavitation in the right upper lobe had originally been identified on her baseline chest radiograph following arrival to Australia; extensive investigations were conducted thereafter to exclude causes of cavitary lung disease; these were negative. was finally diagnosed on serological grounds 3 years after this child's original presentation, with subsequent identification of in sputum and in stool. Clinicians should be alert to the possibility of Paragonimiasis in children who have traveled to or originate from endemic countries who present with a clinically compatible illness. Treatment is simple and effective. Failure to consider this pathogen early may result in unnecessary investigative workup and delayed diagnosis.
我们报告了一名15岁缅甸女孩的病例，她6岁时曾接受过肺结核治疗，移民到澳大利亚3年后出现咯血。抵达澳大利亚后，她的基线胸部X光片最初发现右上叶有空洞；此后进行了广泛检查以排除空洞性肺病的病因；检查结果均为阴性。在该患儿首次就诊3年后，最终通过血清学诊断确诊，随后在痰液和粪便中发现了虫卵。临床医生应对前往或来自流行国家且患有临床相关疾病的儿童患肺吸虫病的可能性保持警惕。治疗简单有效。早期未考虑这种病原体可能导致不必要的检查和诊断延迟。
