One delayed diagnosis of paragonimiasis case and literature review
| Autor: | Lijuan Hua, Chen Bao, Jiannan Hu, Luxia Kong, Qian Liu, Shuyun Xu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Pediatrics medicine.medical_specialty Pleural effusion Case Report Atelectasis Hypereosinophilia Case Reports Disease Chest pain Diseases of the respiratory system 03 medical and health sciences 0302 clinical medicine Eosinophilic medicine hypereosinophilia Paragonimiasis RC705-779 business.industry paragonimiasis praziquantel medicine.disease Praziquantel 030228 respiratory system 030220 oncology & carcinogenesis medicine.symptom business Delayed diagnosis medicine.drug |
| Zdroj: | Respirology Case Reports, Vol 9, Iss 5, Pp n/a-n/a (2021) Respirology Case Reports |
| ISSN: | 2051-3380 |
| DOI: | 10.1002/rcr2.750 |
| Popis: | Human paragonimiasis has been appearing all over the world due to increased human migration, international travel, and worldwide food trading. However, delayed and missed diagnosis rates are also increasing due to atypical clinical manifestations and the lack of disease understanding by clinical workers. We describe the case of a 43‐year‐old man, who was hospitalized with cough and chest pain for two months. Chest computed tomography (CT) revealed bilateral emphysema, left pleural effusion, and bilateral atelectasis. The hypereosinophilia gave us a clue; ultimately, the diagnosis of paragonimiasis was made through a diet history and a positive result of serum Paragonimus sp. immunoglobulin (Ig) G antibody. Moreover, 27 misdiagnosed paragonimiasis cases in the past decade have been reported. We draw conclusions by summarizing their characteristics for suspicious eosinophilic paragonimiasis patients; we should inquire diet history carefully, test serum IgG antibodies, and try to detect eggs. Once diagnosed, praziquantel is preferred for treatment. Human paragonimiasis has been appearing all over the world due to increased human migration, international travel, and worldwide food trading. However, delayed and missed diagnosis rates are also increasing due to atypical clinical manifestations and the lack of disease understanding by clinical workers. Here, we present a case of delayed diagnosis in a 43‐year‐old male. The key findings for correct diagnosis were patient's living in mountainous areas with streams with the presence of host, hypereosinophilia, and careful diet history. Once diagnosed, praziquantel is preferred for treatment. |
| Databáze: | OpenAIRE |
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