Intraorbital paragonimus infection

Xia, Yong; Chen, Jun; Chen, Long Yi

doi:10.4103/ijo.ijo_295_19

Cited by 3 publications

(4 citation statements)

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“…Besides, triclabendazole is also effective against paragonimiasis, the recommended regimen is 10 mg/kg body weight in a single dose, which may be repeated after 12-24 h in heavy infections [38]. Adding steroids in the early stage of treatment helps to suppress inflammatory response [39] and prevents drug allergic reaction. For cerebral paragonimiasis, a course of mannitol is often warranted if the cerebral lesions have significant surrounding oedema [40].…”

Section: Discussionmentioning

confidence: 99%

One delayed diagnosis of paragonimiasis case and literature review

Kong

Hua

Liu

et al. 2021

Respirology Case Reports

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Human paragonimiasis has been appearing all over the world due to increased human migration, international travel, and worldwide food trading. However, delayed and missed diagnosis rates are also increasing due to atypical clinical manifestations and the lack of disease understanding by clinical workers. We describe the case of a 43-year-old man, who was hospitalized with cough and chest pain for two months. Chest computed tomography (CT) revealed bilateral emphysema, left pleural effusion, and bilateral atelectasis. The hypereosinophilia gave us a clue; ultimately, the diagnosis of paragonimiasis was made through a diet history and a positive result of serum Paragonimus sp. immunoglobulin (Ig) G antibody. Moreover, 27 misdiagnosed paragonimiasis cases in the past decade have been reported. We draw conclusions by summarizing their characteristics for suspicious eosinophilic paragonimiasis patients; we should inquire diet history carefully, test serum IgG antibodies, and try to detect eggs. Once diagnosed, praziquantel is preferred for treatment.

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Section: Discussionmentioning

confidence: 99%

One delayed diagnosis of paragonimiasis case and literature review

Kong

Hua

Liu

et al. 2021

Respirology Case Reports

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“…Five of the reported cases describe the use of corticosteroids with subsequent clinical improvement of symptoms (Pachucki et al ., 1984; Mariano et al ., 1986; Lane et al ., 2009; Bahr et al ., 2017). Reports of infections by other Paragonimus species also specify clinical improvement after corticosteroids (Kimura et al ., 1993; Ravin and Loy, 2016; Xia et al ., 2019). However, corticosteroids have long been known to decrease eosinophil counts (Shoenfeld et al ., 1981), which are essential to the immune system's defence against parasitic infection (Ravin and Loy, 2016).…”

Section: Discussionmentioning

confidence: 99%

A clinical review of human disease due to Paragonimus kellicotti in North America

2021

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“…Травматическое повреждение и развивающиеся воспалительные реакции тканей угла передней камеры глаза приводят к нарушению оттока водянистой влаги и развитию вторичной глаукомы. При визуальном осмотре мигрирующий гельминт может быть обнаружен в передней камере глаза [30,31].…”

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“…При окулярном парагонимозе при МРТ могут быть обнаружены «туннельные знаки» в тканях орбиты и головного мозга, соответствующие миграционным трактам [30].…”

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