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Two Cases of Paragonimiasis in Young Siblings Presenting with Pleural Effusion and Subcutaneous Nodules

Korean Journal of Pediatrics 2005;48(12):1385-1388.
Published online December 15, 2005.
Two Cases of Paragonimiasis in Young Siblings Presenting with Pleural Effusion and Subcutaneous Nodules
Moon Young Jeong1, Hee Jo Baek1, Duck Cho2, Jin Kim3, Chan Kyoo Hwang4, Dong Kyun Han1, Jae Sook Ma1, Hoon Kook1
1Departments of Pediatrics, School of Medicine, Chonnam National University, Gwangju
2Departments of Laboratory Medicine, School of Medicine, Chonnam National University, Gwangju
3Department of Pathology, Collegy of Medicine, Seonam University, Namwon,
4Department of Pediatrics, Sunchon Hankook Hospital, Sunchon, Korea
흉막삼출과 피부결절로 발현한 초등학생 남매의 폐흡충증 2례
정문영1, 백희조1, 조덕2, 김진3, 황찬규4, 한동균1, 마재숙1, 국훈1
1전남대학교 의과대학 소아과학교실
2전남대학교 의과대학 진단검사의학교실
3서남대학교 의과대학 병리학교실
4순천한국병원 소아과
Correspondence: 
Hoon Kook, Email: hoonkook@chonnam.ac.kr
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.
Key Words: Paragonimiasis , Eosinophilia , Pleural effusion , Sibling


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