1/9. paragonimiasis westermani with multifocal lesions in lungs and skin.We report a case of paragonimus westermani infection with a reticulonodular lesion in the right lung, left pleural effusion, and a mobile subcutaneous mass. Analyses of pleural effusion and bronchoalveolar lavage fluid (BALF) showed marked eosinophilia and high levels of eosinophil cationic protein and interleukin (IL)-5. Transbronchial lung biopsy revealed the presence of pneumonia with mild eosinophilic infiltration but remarkable lymphocytic infiltration. In this patient, high IL-5 levels in both BALF and pleural effusion could explain the remarkable eosinophilia.- - - - - - - - - - ranking = 1keywords = pleural effusion, effusion (Clic here for more details about this article) |
2/9. paragonimiasis miyazakii associated with bilateral pseudochylothorax.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.- - - - - - - - - - ranking = 1keywords = pleural effusion, effusion (Clic here for more details about this article) |
3/9. Case report: paragonimiasis westermani with seroconversion from immunoglobulin (Ig) m to IgG antibody with the clinical course.A 66-year-old man visited our hospital with primary complaint of cough. Chest roentgenogram showed slight pleural effusion and pneumothorax in the left lung. eosinophilia (22.8%) was also found in his peripheral blood. Multiple-dot enzyme-linked immunosorbent assay (dot-ELISA) for the detection of parasite-specific immunoglobulin (Ig) G antibody was used to screen his serum against various parasitic diseases, but no significant binding was observed with any of the 12 parasite antigens examined, including those of paragonimus westermani and P. miyazakii. Although he seemed to have been spontaneously cured without treatment, a nodular shadow appeared in the right upper medial lung field on the chest roentgenogram 6 months later. This time, his serum was positive for anti-P. westermani IgG antibody by the same method. A reexamination of the first and second admission serum samples for parasite-specific IgM and IgG antibodies revealed significant level of IgM antibody in the serum of the first admission, which had decreased at the time of the second admission. Conversely, the level of IgG antibody, which was low at the first admission, became dominant in the second admission serum 6 months later. These results clearly show that although the dot-ELISA to detect IgG antibody is generally useful for screening and detecting paragonimiasis, detection of IgM antibody seems to be a useful aid and should also be included in immunoserological diagnosis, especially if the patient is considered to be in the early stage of infection.- - - - - - - - - - ranking = 0.33333333333333keywords = pleural effusion, effusion (Clic here for more details about this article) |
4/9. A case of cutaneous paragonimiasis with pleural effusion.BACKGROUND: paragonimiasis is an infectious disease caused by Paragonimus, which persists in the lung of mammals. infection in the skin is very rare. RESULTS: A subcutaneous tumor with itching developed on the right lateroabdominal region of a 55-year-old man 10 days after eating fresh-water crab. It was surgically excised 2 months later. Examination of a specimen of the surgically excised tumor revealed an abscess containing many eosinophils. parasites or other infectious organisms were not found in sections. The blood eosinophil count of the patient was elevated, and P. westermani-specific immunoglobulin g (IgG) antibody titer was strongly detected in the serum. The tumor was diagnosed as cutaneous paragonimiasis caused by P. westermani. Three months after eating the crab, a chest x-ray film showed a pleural effusion. P. westermani-specific IgG antibody was also detected in the pleural fluid. The patient was given 75 mg/kg/day of praziquantel for 3 days. The pleural effusion gradually disappeared after the medication. CONCLUSIONS: This patient had cutaneous paragonimiasis with a skin tumor that was diagnosed prior to the expression of a pleural effusion.- - - - - - - - - - ranking = 2.3333333333333keywords = pleural effusion, effusion (Clic here for more details about this article) |
5/9. paragonimiasis presenting with unilateral pseudochylothorax: case report and literature review.A 64-y-old female previously treated for lung fluke presented with shortness of breath and moderate left pleural effusion. Thoracentesis was performed and milky pleural effusion was obtained. Paragonimus ova and rhomboidal cholesterol crystals were found. paragonimiasis was diagnosed, and the patient was treated with praziquantel 25 mg/kg/d.- - - - - - - - - - ranking = 0.66666666666667keywords = pleural effusion, effusion (Clic here for more details about this article) |
6/9. Pulmonary paragonimiasis: diagnostic value of pleural fluid analysis.Pleural fluid studies showing a glucose value of less than 10 mg/dl, an LDH level greater than 1,000 IU/L, eosinophilia, a high protein value, and low pH are characteristic of paragonimiasis. In a patient with a pleural effusion and compatible clinical, radiologic, and serologic findings, pleural fluid analysis will allow diagnosis with reasonable certainty even in the absence of positive ova studies, and is useful in distinguishing paragonimiasis from tuberculosis.- - - - - - - - - - ranking = 0.33333333333333keywords = pleural effusion, effusion (Clic here for more details about this article) |
7/9. Pleural paragonimiasis in a Southeast asia refugee.We report a Laotian patient with pleural paragonimiasis who did not have the usual diagnostic triad for this parasitic disease. He did not have chronic hemoptysis (considered by many to be an "invariable" finding), there were no pulmonary infiltrations, and stool and sputum examinations did not yield Paragonimus ova. The diagnosis was made on the basis of ova found in the pleural fluid. paragonimiasis pleural effusion did not resolve with bithionol, the drug of choice for pulmonary paragonimiasis, and, as a result, chest tube drainage was required. The difference between pleural paragonimiasis and pulmonary paragonimiasis is that the classic clinical presentation of the latter (hemoptysis, ova in sputum and stools, lung infiltration, etc.) requires an intrapulmonary location on the parasite. A search for ova in the pleural fluid may be the only diagnostic tool for patients suspected of pleural paragonimiasis. With the influx of Southeast asia refugees, this case report may be of relevance to U.S. physicians involved in the care of patients in whom not all chronic pleuropulmonary diseases are tuberculous.- - - - - - - - - - ranking = 0.33333333333333keywords = pleural effusion, effusion (Clic here for more details about this article) |
8/9. A case of paragonimiasis.A 2 1/2-year-old girl recently arrived from eastern nigeria presented with a soft tissue swelling of the infraclavicular region. Subsequent investigation revealed a cavity in the left lung associated with a small pleural effusion and leucocytosis with pronounced eosinophilia. Clinical and serological findings were compatible with the diagnosis of paragonimiasis. After a course of Bitin-S the chest x-ray returned to normal, the soft tissue changes disappeared, and the eosinophil count fell.- - - - - - - - - - ranking = 0.33333333333333keywords = pleural effusion, effusion (Clic here for more details about this article) |
9/9. Pulmonary paragonimiasis with pleural effusion containing paragonimus ova: sonographical appearance of pleural effusion.In the pleural effusion of a 46-year-old man with pulmonary paragonimiasis, numerous floating particles containing parasitic ova and granulation tissue were observed. The floating particles appeared as diffuse hyperechoic foci in the anechoic pleural effusion on ultrasonography. We concluded that rupture of the intrapulmonary paragonimiasis lesion into the pleural cavity caused the formation of these floating particles.- - - - - - - - - - ranking = 3.3333333333333keywords = pleural effusion, effusion (Clic here for more details about this article) |