Journal List > Pediatr Infect Vaccine > v.25(1) > 1098705

Kim, Park, Lee, Huh, and Cho: A Case of Pulmonary Paragonimiasis with Chronic Abdominal Pain and Erythematous Rash in a 6-year-old Girl

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 immuno globulin 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.

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Fig. 1.
Chest radiography shows right pleural effusion.
piv-25-54f1.tif
Fig. 2.
Chest computed tomography shows pleural effusion with fissural thickening and subsegmental atelectasis in right middle and lower lobe.
piv-25-54f2.tif
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