Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Two Cases of Paragonimiasis in Young Siblings Presenting with Pleural Effusion and Subcutaneous Nodules

흉막삼출과 피부결절로 발현한 초등학생 남매의 폐흡충증 2례

  • Jeong, Moon Young (Department of Pediatrics, School of Medicine, Chonnam National University) ;
  • Baek, Hee Jo (Department of Pediatrics, School of Medicine, Chonnam National University) ;
  • Cho, Duck (Department of Laboratory Medicine, School of Medicine, Chonnam National University) ;
  • Kim, Jin (Department of Pathology, Collegy of Medicine, Seonam University) ;
  • Hwang, Chan Kyoo (Department of Pediatrics, Sunchon Hankook Hospital) ;
  • Han, Dong Kyun (Department of Pediatrics, School of Medicine, Chonnam National University) ;
  • Ma, Jae Sook (Department of Pediatrics, School of Medicine, Chonnam National University) ;
  • Kook, Hoon (Department of Pediatrics, School of Medicine, Chonnam National University)
  • 정문영 (전남대학교 의과대학 소아과학교실) ;
  • 백희조 (전남대학교 의과대학 소아과학교실) ;
  • 조덕 (전남대학교 의과대학 진단검사의학교실) ;
  • 김진 (서남대학교 의과대학 병리학교실) ;
  • 황찬규 (순천한국병원 소아과) ;
  • 한동균 (전남대학교 의과대학 소아과학교실) ;
  • 마재숙 (전남대학교 의과대학 소아과학교실) ;
  • 국훈 (전남대학교 의과대학 소아과학교실)
  • Received : 2005.07.15
  • Accepted : 2005.08.29
  • Published : 2005.12.15
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Abstract

Paragonimiasis is the infestation of lung flukes of the trematode genus Paragonimus. This disease is common in Asia, and the southern part of Korea has been known as one of the endemic areas of Paragonimiasis westermanii in Korea. Human infection is associated with specific dietary habits, such as eating freshwater crawfish or crabs. In a 6 1/2-year-old boy with pleural effusion and eosinophilia, paragonimiasis was diagnosed by skin test, serologic exam, and histologic identification of the parasites in a skin lesion. The same diagnosis was entertained in his elder sister with silent pleural effusion. We describe herewith these rare cases of paragonimiasis in two siblings who had a history of eating cooked freshwater crabs.

인체 감염된 폐흡충류가 폐, 복부장기, 뇌 등에 기생하는 경우를 폐흡충증이라 한다. 우리나라를 포함한 아시아의 특정지역에 유행하며 우리나라에서는 전남 및 경남 해안지방 등지에 유행지가 보고되어 왔다. 인체 감염은 민물 가재나 민물 게를 날 것으로 먹을 때 발생한다. 저자들은 과도한 호산구 증다증 소견과 함께 삼출성 흉막염과 피부 침범을 동반한 6세 남아에서 paragonimus 피부 반응검사와 ELISA 검사와 피부 결절의 병리조직학 검사를 통해 폐흡충증을 진단하였고, 동일한 증상을 보인 누나에서도 진단을 하여 praziquantel로 치료한 2례를 경험하였기에 보고하는 바이다.

Keywords

References

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