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[Clinical and radiologic manifestations of larval paragonimiasis in children]
Insights
Larval paragonimiasis (LP) in children presents with distinct clinical and X-ray signs, forming toxico-allergic, abdominal, or pulmonary syndromes. Early diagnosis relies on clinical, radiological, and serological data for effective treatment.
Area of Science:
- Parasitology
- Pediatric Infectious Diseases
- Radiology
Background:
- Larval paragonimiasis (LP) is a parasitic infection with significant geographical distribution.
- Understanding the diverse clinical and radiological manifestations in children is crucial for timely diagnosis.
Observation:
- A study investigated 60 children with acute and 45 with latent LP in the southern Primorski Territory.
- Identified three distinct clinical syndromes: toxico-allergic, abdominal, and pulmonary.
Findings:
- X-ray findings included pleural exudate, thickened pleura, and pneumothorax.
- Bronchopulmonary pathology showed focal/infiltrative shadows, altered lung markings, and bullous changes.
- Distinctive clinical and radiological signs aid in identifying LP.
Implications:
- Accurate diagnosis and differential diagnosis depend on integrating clinical, X-ray, and serological results.
- This research aids in recognizing and managing pediatric paragonimiasis effectively.
- Highlights the importance of considering LP in endemic areas with relevant symptoms.
Abstract:
Investigation of 60 children with acute types and 45 children with latent types of larval paragonimiasis (LP) has revealed various clinical and x-ray manifestations of this disease, spread in the southern Primorski Territory. Three syndromes of this disease were singled out: toxico-allergic, abdominal and pulmonary. X-ray investigation showed characteristic LP symptoms: exudate in the pleural cavity, thickening of the wall, diaphragmatic and interlobular pleura, sometimes--pneumothorax. Pathology of the bronchopulmonary system manifested itself in focal and infiltrative shadows, enhanced and deformed lung markings, and bullous inflation. Diagnosis and differential diagnosis must be based on analysis of clinical and x-ray data and the results of serological reactions.