title: Paragonimiasis miyazakii associated with bilateral pseudochylothorax.
abstract: A 37-year-old man who suffered from bilateral pleural effusions, subcutaneous abdominal induration and blood eosinophilia, was admitted to our hospital. He had ingested raw crabs at a pub-restaurant before the onset of his symptoms. His pleural effusions were chyliform containing cholesterol crystals, and a high level of immunoglobulin E (36,580 IU/ml) and anti-Paragonimus miyazakii antibody were detected. He was effectively treated with praziquantel. This case suggests that paragonimiasis should be strongly suspected if blood eosinophilia, pseudochylothorax, and a high level of immunoglobulin E in pleural effusion are detected.
authors.affiliation: Department of Internal Medicine, National Kinki-Chuo Hospital for Chest Diseases, Sakai, Osaka.
authors.forename: Y
authors.initials: Y
authors.lastname: Inoue
authors.forename: T
authors.initials: T
authors.lastname: Kawaguchi
authors.forename: A
authors.initials: A
authors.lastname: Yoshida
authors.forename: H
authors.initials: H
authors.lastname: Harada
authors.forename: H
authors.initials: H
authors.lastname: Hara
authors.forename: S
authors.initials: S
authors.lastname: Yamamoto
authors.forename: M
authors.initials: M
authors.lastname: Sakatani
mesh_terms: D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D000909:Antibodies, Helminth / Q000097:blood; D002784:Cholesterol / Q000032:analysis; D002916:Chylothorax / Q000175:diagnosis / Q000209:etiology; D004802:Eosinophilia / Q000209:etiology; D006801:Humans; D007073:Immunoglobulin E / Q000032:analysis* / Q000097:blood; D008297:Male; D010237:Paragonimiasis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010238:Paragonimus / Q000276:immunology; D010996:Pleural Effusion / Q000737:chemistry / Q000175:diagnosis / Q000209:etiology*; D011223:Praziquantel / Q000627:therapeutic use
chemical_list: D000871:Anthelmintics; D000909:Antibodies, Helminth; D007073:Immunoglobulin E; D011223:Praziquantel; D002784:Cholesterol