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

Affiliations
  • 1Department of Pediatrics, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, the Republic of Korea. choky96@hallym.or.kr
  • 2Department of Pediatrics, KEPCO Medical Center, Seoul, the Republic of Korea.
  • 3Department of Parasitology, Hallym University College of Medicine, Chuncheon, the Republic of Korea.
  • 4Institute of Medical Education, Hallym University College of Medicine, Chuncheon, the Republic of Korea.

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
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