Intestinal Paragonimiasis with Colonic Ulcer and Hematochezia in An Elderly Taiwanese Woman

被引：4

作者：

Liu, Chung-Te ^{[2
]}

Chen, Yen-Cheng ^{[2
]}

Chen, Tso-Hsiao ^{[2
]}

Barghouth, Ursula ^{[1
,4
]}

Fan, Chia-Kwung ^{[1
,3
]}

机构：

[1] Taipei Med Univ, Dept Parasitol, Taipei 11031, Taiwan

[2] Taipei Med Univ, Wan Fang Hosp, Dept Internal Med, Div Nephrol, Taipei 11031, Taiwan

[3] Taipei Med Univ, Ctr Int Trop Med, Coll Med, Taipei 11031, Taiwan

[4] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Trop Med, New Orleans, LA 70112 USA

来源：

KOREAN JOURNAL OF PARASITOLOGY | 2012年 / 50卷 / 04期

关键词：

Paragonimus westermani; ectopic; colonic ulcer; hematochezia; praziquantel; PLEUROPULMONARY; WESTERMANI; CT;

D O I：

10.3347/kjp.2012.50.4.349

中图分类号：

R38 [医学寄生虫学]; Q [生物科学];

学科分类号：

07 ; 0710 ; 09 ; 100103 ;

摘要：

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.

引用

页码：349 / 352

页数：4

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