Diagnosis and surgical management of pericardial effusion due to paragonimiasis.
Children
Diagnosis
Paragonimiasis
Pericardial effusion
Surgery
Journal
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
ISSN: 1878-3511
Titre abrégé: Int J Infect Dis
Pays: Canada
ID NLM: 9610933
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
12
02
2019
revised:
24
03
2019
accepted:
25
03
2019
pubmed:
2
4
2019
medline:
1
8
2019
entrez:
2
4
2019
Statut:
ppublish
Résumé
The pericardial effusion (PE) caused by paragonimiasis is rarely reported. This study aims to present experience in the diagnosis and surgical management of PE due to paragonimiasis. Medical records of 57 children who were diagnosed with PE due to paragonimiasis and underwent surgery at Children's Hospital of Chongqing Medical University between January 2012 and August 2018 were retrospectively reviewed. The average age of this group was 7.6 ± 3.0 years. Patients were mainly from Chongqing and Sichuan areas. ELISA for Paragonimus skrjabini in all 57 patients showed positive results. Moderate or large PE were identified in 12 and 45 patients, respectively. All patients underwent surgery either by pericardectomy or thoracoscopic surgery. Pathological exams indicated massive eosinophil infiltration in all 57 specimens. After 3-4 courses of praziquantel therapy, the clinical outcomes were satisfactory. Typical endemic history, eosinophilia and multiple serous effusion raise suspicions of paragonimiasis. Once moderate to large PE is identified in patients with paragonimiasis, surgical treatment is necessary.
Identifiants
pubmed: 30930185
pii: S1201-9712(19)30161-4
doi: 10.1016/j.ijid.2019.03.032
pii:
doi:
Substances chimiques
Anthelmintics
0
Praziquantel
6490C9U457
Types de publication
Journal Article
Langues
eng
Pagination
102-108Informations de copyright
Copyright © 2019 The Author(s). Published by Elsevier Ltd.. All rights reserved.