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Paragonimiasis in chinese children: 58 cases analysis
Hong Zhen Xu1, Lan Fang Tang, Xiao Ping Zheng
1Department of Pulmonology, The Children's Hospital of Zhejiang University School of Medicine and the Key Laboratory of Reproductive Genetics (Zhejiang University), Ministry of Education, China.
Iranian Journal of Pediatrics
|February 23, 2013
Summary
Paragonimiasis in children presents with diverse systemic and respiratory symptoms, often including eosinophilia. Early diagnosis is crucial for effective treatment and prevention through safe food and water practices.
Area of Science:
- Medical Parasitology
- Pediatric Infectious Diseases
- Clinical Medicine
Background:
- Paragonimiasis is a parasitic infection caused by lung flukes, often acquired through consumption of raw or undercooked freshwater crustaceans.
- Pediatric cases can exhibit a wide range of clinical manifestations, making diagnosis challenging.
Purpose of the Study:
- To analyze the clinical and radiological features of paragonimiasis in pediatric patients.
- To enhance awareness and understanding of this parasitic disease in children.
Main Methods:
- Retrospective review of 58 pediatric patients diagnosed with paragonimiasis.
- Analysis of clinical symptoms, laboratory findings, and imaging results.
Main Results:
- Common symptoms included systemic (70.7%) and respiratory (74.1%) involvement, with frequent eosinophilia (79.3%) and granulocytosis (77.6%).
- Radiological findings revealed pneumonia (44.8%), pleurisy (48.3%), hydropericardium (29.3%), and ascites (27.6%).
- Brain imaging abnormalities were noted in 40% of evaluated patients.
Conclusions:
- Paragonimiasis should be considered in pediatric patients with multi-system lesions, particularly those with eosinophilia and serous effusions.
- Clinical suspicion should be raised for respiratory, cardiac, digestive, and nervous system abnormalities.
- Promoting healthy eating habits is essential for preventing paragonimiasis.