Parasites, Hosts and Diseases

The Korea Society for Parasitology and Tropical Medicine (대한기생충학·열대의학회)
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Intestinal Paragonimiasis with Colonic Ulcer and Hematochezia in An Elderly Taiwanese Woman

  • Liu, Chung-Te (Division of Nephrology, Department of Internal Medicine, Wan Fang Hospital) ;
  • Chen, Yen-Cheng (Division of Nephrology, Department of Internal Medicine, Wan Fang Hospital) ;
  • Chen, Tso-Hsiao (Division of Nephrology, Department of Internal Medicine, Wan Fang Hospital) ;
  • Barghouth, Ursula (Department of Parasitology, College of Medicine, Taipei Medical University) ;
  • Fan, Chia-Kwung (Department of Parasitology, College of Medicine, Taipei Medical University)
  • Received : 2012.06.17
  • Accepted : 2012.08.09
  • Published : 2012.12.17
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Abstract

A 94-year-old female with end-stage renal disease presents with fever, fatigue, and hematochezia. She had previously resided in Hunan Province, China, and Myanmar, and she immigrated to Taiwan 30 years ago. Colonoscopy revealed a colonic ulcer. Biopsy of the colonic ulcer showed ulceration of the colonic mucosa, and many Paragonimus westermani-like eggs were noted. Serum IgG antibody levels showed strong reactivity with P. westermani excretory-secretory antigens by ELISA. Intestinal paragonimiasis was thus diagnosed according to the morphology of the eggs and serologic finding. After treatment with praziquantel, hematochezia resolved. The present case illustrates the extreme manifestations encountered in severe intestinal paragonimiasis.

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References

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