1/6. 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 = paragonimiasis (Clic here for more details about this article) |
2/6. 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 = 6keywords = paragonimiasis (Clic here for more details about this article) |
3/6. Pleuropulmonary paragonimiasis mimicking pulmonary tuberculosis--a report of three cases.paragonimiasis is an important cause of pulmonary disease worldwide. infection in humans mainly occurs by ingestion of raw or undercooked freshwater crabs or crayfish. The disease is well known in endemic regions of Asian countries, where culturally based methods of food preparation foster human transmission. Three patients with clinical and radiological features compatible with pulmonary tuberculosis had been treated for tuberculosis without remedy despite an inability to demonstrate acid fast bacilli in sputum smears. All patients had history of ingestion of raw crabs and crayfish. The confirmed diagnosis of pleuropulmonary paragonimiasis was made based on the demonstration of paragonimus eggs in the sputum, and high absolute eosinophilia in their peripheral blood and pleural fluid. All the patients had been treated with praziquantel successfully.- - - - - - - - - - ranking = 5keywords = paragonimiasis (Clic here for more details about this article) |
4/6. 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 = 6keywords = paragonimiasis (Clic here for more details about this article) |
5/6. 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 = 9keywords = paragonimiasis (Clic here for more details about this article) |
6/6. 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 = 6keywords = paragonimiasis (Clic here for more details about this article) |