Pediatr Infect Vaccine.  2018 Apr;25(1):54-59. 10.14776/piv.2018.25.1.54.

A Case of Pulmonary Paragonimiasis with Chronic Abdominal Pain and Erythematous Rash in a 6-year-old Girl

• Kim JY
• Park MK
• Lee YJ
• Huh S
• Cho KY

• KMID: 2438755
• DOI: http://doi.org/10.14776/piv.2018.25.1.54

Abstract

Pleural paragonimiasis is uncommon in the pediatric population and therefore can be challenging to diagnose. This is a case of a 6-year-old girl with pleural effusion who had been having intermittent persistent epigastric pain and erythematous rash on the face, hands, and arms for 6 months. Exudative pleural effusion with prominent eosinophils and serum eosinophilia were observed. As patient showed high immunoglobulin M (IgM) titers against Mycoplasma pneumoniae , she was treated with antibiotics; however, the pleural effusion did not improve during hospitalization. Despite showing negative stool ova and cyst results, patient's serum and pleural effusion were positive for Paragonimus westermani-specific IgGs on enzyme-linked immunosorbent assay. Respiratory symptoms, pleural effusion, and skin symptoms improved after praziquantel treatment.

Keyword

Paragonimiasis; Abdominal pain; Pleural effusion; Eosinophilia; Child

MeSH Terms

Abdominal Pain*
Anti-Bacterial Agents
Arm
Child*
Enzyme-Linked Immunosorbent Assay
Eosinophilia
Eosinophils
Exanthema*
Female*
Hand
Hospitalization
Humans
Immunoglobulin G
Immunoglobulin M
Mycoplasma pneumoniae
Ovum
Paragonimiasis*
Paragonimus
Pleural Effusion
Pneumonia, Mycoplasma
Praziquantel
Skin
Anti-Bacterial Agents
Immunoglobulin G
Immunoglobulin M
Praziquantel

Figure

• 

  Fig. 1. Chest radiography shows right pleural effusion.

• 

  Fig. 2. Chest computed tomography shows pleural effusion with fissural thickening and subsegmental atelectasis in right middle and lower lobe.

Reference

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