TAILIEUCHUNG - Hepatic paragonimiasis in a 15-month-old girl: A case report

Paragonimiasis, particularly hepatic paragonimiasis (HP), is a type of zoonotic parasitic disease rarely encountered in infants. There have been only a few reports of HP, and no case of HP has been reported in an infant. | Gong et al. BMC Pediatrics 2017 17 190 DOI S12887-017-0942-5 CASE REPORT Open Access Hepatic paragonimiasis in a 15-month-old girl a case report Zongrong Gong1 2 Zhicheng Xu3 Chuanfen Lei4 and Chaomin Wan1 2 Abstract Background Paragonimiasis particularly hepatic paragonimiasis HP is a type of zoonotic parasitic disease rarely encountered in infants. There have been only a few reports of HP and no case of HP has been reported in an infant. Case presentation A 15-month-old girl presented with persistent mild fever with a duration of 1 month hepatomegaly and low-density lesions in the right hepatic lobe on abdominal ultrasound and computer tomography. Pathological examination and serum antibody detection were performed to verify HP. The diagnosis of HP was established based on findings of Charcot-Leyden crystals on liver lesion biopsy and antibodies against paragonimus westermani detected by enzyme-linked immunosorbent assay. After initiation of praziquantel 75 mg kg day for 3 days all clinical findings promptly improved and the patient was discharged. Conclusion It is very important to consider paragonimiasis in the clinical examination of infants from an area with paragonimiasis epidemic presenting with fever hepatomegaly low-density lesions in the liver. Keywords Paragonimiasis Hepatic paragonimiasis Diagnosis infant Background Paragonimiasis is a type of zoonotic parasitic disease caused by Paragonimus westermani commonly referred to as the lung fluke that has a wide distribution throughout China Japan Korea Southeast Asia and the Indian subcontinent 1-4 . In China the nationwide prevalence is estimated at 5 . Immature forms of P. westermani migrate through the duodenal wall peritoneal cavity and diaphragm where they encapsulate and mature within the pulmonary parenchyma with the majority of cases presenting with lung involvement 6 . Ectopic infections can occur in unexpected regions including the liver 7 brain 8 muscles and subcutaneous tissues 3 . .

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