title: A case of pulmonary paragonimiasis with involvement of the abdominal muscle in a 9-year-old girl.
abstract: 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.
authors.affiliation: Department of Pediatrics, Hallym University Sacred Heart Hospital, College of Medicine, Hallym University, Anyang 431-070, Korea.
authors.forename: Ah-Rum
authors.initials: AR
authors.lastname: Cho
authors.forename: Hae-Ran
authors.initials: HR
authors.lastname: Lee
authors.forename: Kwan-Sub
authors.initials: KS
authors.lastname: Lee
authors.forename: Sang-Eun
authors.initials: SE
authors.lastname: Lee
authors.forename: So-Yeon
authors.initials: SY
authors.lastname: Lee
mesh_terms: D000009:Abdominal Muscles / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000473:pathology; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D003386:Brachyura / Q000469:parasitology*; D002648:Child; D004322:Drainage; D005260:Female; D006801:Humans; D008168:Lung / Q000469:parasitology / Q000473:pathology; D008174:Lung Diseases, Parasitic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D010237:Paragonimiasis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D010238:Paragonimus / Q000302:isolation & purification; D010996:Pleural Effusion / Q000469:parasitology / Q000628:therapy; D011223:Praziquantel / Q000627:therapeutic use; D011859:Radiography; D056910:Republic of Korea; D012758:Shellfish / Q000469:parasitology*; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D000871:Anthelmintics; D011223:Praziquantel